ST JOSEPHS HOPSITAL (NPI# 1457623233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457623233 |
| Entity Type | Organization |
| Organization Name | ST JOSEPHS HOPSITAL |
| Other Organization Name | SJN NEONATES |
| Practice Address |
4211 Van Dyke Rd Lutz FL 33558-8002 |
| Mailing Address |
2995 Drew St Fl 2 Clearwater FL 33759-3012 |
| Practice Telephone | 8134432010 |
| Mailing Telephone | 7272819390 |
| Mailing Fax Number | 8136352613 |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | MS. LYNDA GORKEN (VP) |
| Authorized Official Telephone | 7272819390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| SJN Neonates | Other Name - Individual/Organization |
| Street Address |
4211 VAN DYKE RD |
| City | LUTZ |
| State | FL |
| Zip Code | 33558-8002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841937 | Ronald Eugene Stephans Jr. | Family Medicine | 4211 Van Dyke Rd, Suite B, Lutz, FL 33558-8005 | 2005-06-20 |
| 1871119008 | Jeysi Alvarez | Anesthesiologist Assistant | 4211 Van Dyke Rd, Lutz, FL 33558-8005 | 2020-06-23 |
| 1548884364 | Garren Dial | Anesthesiologist Assistant | 4211 Van Dyke Rd, Lutz, FL 33558-8005 | 2020-06-08 |
| 1861028409 | Chf Care Pllc | Internal Medicine | 4211 Van Dyke Rd, Lutz, FL 33558-8005 | 2020-03-16 |
| 1861850117 | Baycare Medical Group Pediatric Walk-in Care LLC | Pediatrics | 4211 Van Dyke Rd, Suite 100, Lutz, FL 33558-8005 | 2016-02-02 |
| 1710266507 | Emergency Medical Associates of Tampa Bay LLC | Emergency Medicine | 4211 Van Dyke Rd, Lutz, FL 33558-8002 | 2011-08-10 |
| 1194016006 | Tampa Cardiac Specialists LLC | Internal Medicine | 4211 Van Dyke Rd, Suite 205, Lutz, FL 33558-8002 | 2011-04-26 |
| 1710277249 | Brett A Armstrong | Surgery | 4211 Van Dyke Rd, Suite 200, Lutz, FL 33558-8004 | 2011-04-18 |
| 1881995579 | Deana M Lantz | Nurse Practitioner | 4211 Van Dyke Rd, Suit 101b, Lutz, FL 33558-8005 | 2010-11-11 |
| 1316268147 | Emergency Medical Associates of Florida LLC | Emergency Medicine | 4211 Van Dyke Rd, Lutz, FL 33558-8002 | 2010-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1780175273 | Elder Services of Central Florida, Inc | Home Health | 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 | 2018-05-21 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1376905851 | Michelle Renee Story | Contractor | 20921 Haulover Cv. #f6, Lutz, FL 33558 | 2016-03-24 |
| 1992192223 | Melissa Sonia Giblin | Specialist/Technologist, Other | 17535 Darby Ln, Lutz, FL 33558 | 2015-04-24 |
| 1396177739 | Zoe Scripts Laboratory Services LLC | Clinical Medical Laboratory | 4969 Van Dyke Rd., Lutz, FL 33558 | 2013-08-08 |
| 1649617705 | Suzanne Marie Newby | Physician Assistant | 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 | 2013-05-30 |
| 1073889572 | Julie J. Mckean, Lmhc, Ncc, LLC | Counselor | 4929 Van Dyke Road, Lutz, FL 33558 | 2012-03-29 |
| 1750524864 | Sheetal Suryawanshi | Dentist | 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 | 2009-04-20 |
| 1063675478 | Juan J Egas | Physical Medicine & Rehabilitation | 17807 Hunting Bow Cir, Lutz, FL 33558 | 2008-07-07 |
| Find all providers in zip 33558 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790248813 | Elena Nease | Nurse Practitioner | 2145 Mykell Dr, Milton, FL 32583-3369 | 2019-04-08 |
| 1134616956 | Lianely Marciante | Nurse Practitioner | 6424 Grand Cypress Cir, Lake Worth, FL 33463 | 2018-04-17 |
| 1104220292 | Cori Elizabeth Raiken | Nurse Practitioner | 905 Lake Lily Dr Apt C432, Maitland, FL 32751-7680 | 2014-10-17 |
| 1437446002 | Jennifer Dooley | Nurse Practitioner | 140 Mcleods Way, Winter Springs, FL 32708-7106 | 2011-07-05 |
| 1134344302 | Eleanor F Pardue | Nurse Practitioner | 2080 Child St Naval Hospital At Jacksonville, Mother Infant Unit, Jacksonville, FL 32212 | 2007-04-14 |
| 1922161629 | Deborah Louise Rogala | Nurse Practitioner | 3231 Mc Mullen Booth Rd, Safety Harbor, FL 34695 | 2006-12-18 |
| 1922179605 | Dinorah Rodriguez-warren | Nurse Practitioner | 15144 Moultrie Pointe Rd, Orlando, FL 32828-6656 | 2006-11-13 |
| 1962585612 | H Olly A. Hubbard | Nurse Practitioner | 3231 Mcmullen Booth Rd., Mease Countryside Hospital, Clearwater, FL 33761 | 2006-10-23 |
| 1851330211 | Jennifer L Naylor | Nurse Practitioner | 165 Sw Vision Gln, Lake City, FL 32025-1111 | 2006-06-04 |
| 1427002617 | Cara Lou Rhoads | Nurse Practitioner | 832 Heritage Dr, Weston, FL 33326-4543 | 2006-05-20 |
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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.