I.M.P.A.C.T, MEDGROUP, INC (NPI# 1427371921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427371921 |
| Entity Type | Organization |
| Organization Name | I.M.P.A.C.T, MEDGROUP, INC |
| Practice Address |
5998 N Us Highway 41 Ste A Apollo Beach FL 33572-3133 |
| Practice Telephone | 8136185300 |
| Practice Fax Number | 8136419001 |
| Mailing Telephone | 8136185300 |
| Mailing Fax Number | 8136419001 |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | VIVIAN ROBAINA (OFFICE MANAGER) |
| Authorized Official Telephone | 8136185300 |
| Is Organization Subpart | Y |
| Parent Organization Name | I.M.P.A.C.T, MEDGROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
5998 N US HIGHWAY 41 STE A |
| City | APOLLO BEACH |
| State | FL |
| Zip Code | 33572-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780657817 | Al William Robaina | Internal Medicine | 5998 N Us Highway 41 Ste A, Apollo Beach, FL 33572-3133 | 2006-02-09 |
| 1083214969 | Marisa Iris Vasquez | Internal Medicine | 5998 N Us Highway 41 Ste A, Apollo Beach, FL 33572-3133 | 2020-10-29 |
| 1922429794 | Diane E Lalley | Nurse Practitioner | 5998 N Us Highway 41 Ste A, Apollo Beach, FL 33572-3133 | 2013-12-22 |
| 1326266099 | A Robaina Md Pa | Internal Medicine | 5998 N Us Highway 41 Ste A, Apollo Beach, FL 33572-3133 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367001 | Carolyne P Cole | Marriage & Family Therapist | Revolutionary Change Counseling, 300 Frandorson Circle #200, Apollo Beach, FL 33572 | 2020-02-10 |
| 1295380111 | Florida Home Care Associates LLC | In Home Supportive Care | 5948 Frond Way, Apollo Beach, FL 33572 | 2019-08-07 |
| 1386156297 | Orthopros Pllc | Dentist | 423 Apollo Beach Blvd, Apollo Beach, FL 33572 | 2017-11-01 |
| 1588907521 | Raymond Eric Major | Family Medicine | 917 Symphony Isles Bl, Apollo Beach, FL 33572 | 2013-03-28 |
| 1760780399 | Sharon Ann Collier | Dentist | 101 Flamingo Dr., Ste. D Apollo Beach Family Dentistry, Apollo Beach, FL 33572 | 2011-03-07 |
| 1003091380 | John R Hayden | Chiropractor | 100 Frandson Ct., Suite 101, Apollo Beach, FL 33572 | 2008-01-04 |
| 1275541195 | William H Smith | Massage Therapist | 100 Frandorson Circle, Suite 201, Apollo Beach, FL 33572 | 2006-08-04 |
| 1922023639 | Theresa Marie Thiele | Physician Assistant | 201 Flamingo Dr, Apollo Beach, FL 33572 | 2006-07-13 |
| 1912940073 | Suzzette Marie Svercek | Massage Therapist | 813 Chipaway Drive, Apollo Beach, FL 33572 | 2006-06-14 |
| 1457320194 | Accupath Plus LLC | Clinical Medical Laboratory | 5938 Frond Way, Apollo Beach, FL 33572 | 2006-03-15 |
| Find all providers in zip 33572 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770923906 | Daniel Sullivan Dennison | Internal Medicine | 6518 Surfside Blvd, Apollo Beach, FL 33572-3008 | 2013-07-02 |
| 1912040940 | Lawrence Stuart Greenfield | Internal Medicine | 604 Balibay Rd, Apollo Beach, FL 33572-3323 | 2007-02-15 |
| 1154388452 | Christopher A Blazejowski | Internal Medicine | 415 Apollo Beach Blvd, Apollo Beach, FL 33572-2281 | 2006-04-28 |
| 1144298134 | Khawaja Atiq Rahman | Internal Medicine | 6015 Rex Hall Ln, Apollo Beach, FL 33572-2657 | 2006-03-08 |
| 1780657817 | Al William Robaina | Internal Medicine | 5998 N Us Highway 41 Ste A, Apollo Beach, FL 33572-3133 | 2006-02-09 |
| 1083214969 | Marisa Iris Vasquez | Internal Medicine | 5998 N Us Highway 41 Ste A, Apollo Beach, FL 33572-3133 | 2020-10-29 |
| 1124426176 | Tampa General Medical Group Inc | Internal Medicine | 6488 N Us Highway 41, Apollo Beach, FL 33572-1804 | 2014-12-08 |
| 1841433687 | Luis Eric Lopez | Internal Medicine | 6488 N Us Highway 41, Apollo Beach, FL 33572-1804 | 2009-04-09 |
| 1326266099 | A Robaina Md Pa | Internal Medicine | 5998 N Us Highway 41 Ste A, Apollo Beach, FL 33572-3133 | 2007-04-20 |
| 1386700797 | Express Care of Tampa Bay, LLC | Internal Medicine | 6015 Rex Hall Ln, Apollo Beach, FL 33572-2657 | 2006-12-29 |
| Find all providers in APOLLO BEACH | ||||
| City | APOLLO BEACH |
| Zip Code | 33572 |
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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.