DR. KEITH EDWARD BARIBAULT (NPI# 1376785923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376785923 |
| Entity Type | Individual |
| Full Name | DR. KEITH EDWARD BARIBAULT |
| Credential | MD |
| Practice Address |
10500 University Center Dr Ste 200 Tampa FL 33612-6497 |
| Mailing Address |
14275 Midway Rd Suite 400 Addison TX 75001-3614 |
| Practice Telephone | 8009296694 |
| Mailing Telephone | 8009423376 |
| Mailing Fax Number | 6102714245 |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
239324 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Midland Ave, Port Chester, NY 105734943 | 8009423376 | 9149349819 |
| Street Address |
10500 UNIVERSITY CENTER DR STE 200 |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-6497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437138443 | Ruth H Hanno | Dermatology | 10500 University Center Dr Ste 200, Tampa, FL 33612-6497 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942416334 | Mary Therese Parisi | Pathology | 17909 Bahama Isle Drive, Tampa, FL 33647 | 2007-05-15 |
| 1912120536 | Pamela M. F. Manolson | Pathology | 20001 Lomond Ln, Tampa, FL 33647-3347 | 2007-04-11 |
| 1093847089 | William Eng | Pathology | 8313 W Hillsborough Ave Ste 320, 8002 Gunn Hwy, Tampa, FL 33615-3802 | 2007-03-12 |
| 1972587004 | George Gibbons | Pathology | 10500 University Center Dr, Ste 175, Tampa, FL 33612-6494 | 2005-12-01 |
| 1386987840 | David Poshi Wang | Pathology | 6001 Memorial Hwy, Tampa, FL 33615-4531 | 2013-04-03 |
| 1417257254 | Wei-shen Chen | Pathology | 13330 Usf Laurel Dr, Tampa, FL 33612 | 2010-10-27 |
| 1376771444 | Paul Rodriguez-waitkus | Pathology | 13330 Usf Laurel Dr Fl 4, Tampa, FL 33612-6601 | 2009-06-29 |
| 1770743593 | Su Xu | Pathology | 4915 Ehrlich Rd, Tampa, FL 33624 | 2008-06-16 |
| 1699952952 | Leslie Marie Turner | Pathology | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2008-01-29 |
| 1639361447 | Kenneth Calder | Pathology | 10500 University Center Dr, Suite 200, Tampa, FL 33612-6494 | 2007-08-15 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.