SELECT PHYSICIANS ALLIANCE (NPI# 1487116448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487116448 |
| Entity Type | Organization |
| Organization Name | SELECT PHYSICIANS ALLIANCE |
| Practice Address |
10002 Princess Palm Ave Ste 332 Tampa FL 33619-8327 |
| Practice Telephone | 8135717184 |
| Practice Fax Number | 8136544695 |
| Mailing Telephone | 8135717184 |
| Mailing Fax Number | 8136544695 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | SHERYL A WATTS (COO) |
| Authorized Official Telephone | 8135717184 |
| Is Organization Subpart | Y |
| Parent Organization Name | SELECT PHYSICIANS ALLIANCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
Allopathic & Osteopathic Physicians | ||
| N | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers | ||
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities | ||
| N | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
Allopathic & Osteopathic Physicians | ||
| N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
Allopathic & Osteopathic Physicians | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004140000 | 05 | |
| FL | MEDICARE PTAN | FM218C | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 2nd Ave Sw, Largo, FL 337703120 | 7273410551 | 7273410332 |
| 511 W Alexander St Ste 1, Plant City, FL 335637116 | 8138798045 | 8137179615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912375742 | Select Physicians Alliance | Otolaryngology | 10002 Princess Palm Ave Ste 332, Tampa, FL 33619 | 2015-09-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SELECT PHYSICIANS ALLIANCE, P.L | 10002 Princess Palm Ave Ste 332, Tampa, FL 33619-8327 |
| Street Address |
10002 PRINCESS PALM AVE STE 332 |
| City | TAMPA |
| State | FL |
| Zip Code | 33619-8327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902184781 | Select Physicians Alliance Pl | Audiologist-Hearing Aid Fitter | 10002 Princess Palm Ave Ste 332, Tampa, FL 33619 | 2011-07-28 |
| 1912375742 | Select Physicians Alliance | Otolaryngology | 10002 Princess Palm Ave Ste 332, Tampa, FL 33619 | 2015-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740706787 | Nuevo Amanecer Tampa, LLC | Assisted Living Facility | 7405 Aripeka Dr, Tampa, FL 33619 | 2017-08-22 |
| 1144742396 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 7444 Palm River Dr, Tampa, FL 33619 | 2017-07-10 |
| 1750817110 | Ajaa Love Care Services | Home Health | 8905 Tidewater Trail, Tampa, FL 33619 | 2017-05-04 |
| 1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
| 1598116741 | Austin Chase | Chiropractor | 10081 E Adamo Dr, Tampa, FL 33619 | 2016-06-29 |
| 1841667003 | Healthworks Med Group of Florida Pa | General Practice | 9527 Delaney Creek Blvd, Tampa, FL 33619 | 2015-08-24 |
| 1962883371 | A Plus Alliance Home Care Agency, LLC | Home Health | 1503 South Hwy 301 Suite 13, Tampa, FL 33619 | 2015-06-11 |
| 1285026377 | Fatty Ademola Aderoju | Pharmacist | 5701 Hillsborough Ave, Tampa, FL 33619 | 2015-02-26 |
| 1942692504 | Henry Fate Corporation | Home Health | 9325 Bay Plaza Blvd, Suite 205, Tampa, FL 33619 | 2015-02-19 |
| 1598189938 | Willie Ruth Miller | Custodial Care Facility | 4812 S. 86th St, Tampa, FL 33619 | 2014-02-05 |
| Find all providers in zip 33619 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285953679 | Matthew J Mifsud | Otolaryngology | 2 Tampa General Cir Fl Circle2, Tampa, FL 33606-3603 | 2010-05-25 |
| 1801124839 | Martin Joseph Adelman | Otolaryngology | 16307 Avila Blvd, Tampa, FL 33613-1000 | 2009-12-02 |
| 1942473921 | Kathleen A Macisaac | Otolaryngology | 4320 S Manhattan Ave, Tampa, FL 33611-1304 | 2008-04-10 |
| 1528273455 | Michael James Butler | Otolaryngology | 6432 Renwick Cir, Tampa, FL 33647-1172 | 2007-05-14 |
| 1215019179 | Jonathan Lyons Chadwick | Otolaryngology | 4714 N Armenia Ave Ste 200, Tampa, FL 33603-2603 | 2006-10-20 |
| 1972530616 | Warren S. Goldstein | Otolaryngology | 7425 Monika Manor Dr, Tampa, FL 33625-5814 | 2006-06-27 |
| 1487680856 | Douglas William Klotch | Otolaryngology | 3450 E Fletcher Avenue, Suite 260, Tampa, FL 33613 | 2006-06-25 |
| 1164469151 | George Blake M.d., P.a. | Otolaryngology | 605 S Fremont Ave, Suite A, Tampa, FL 33606-2479 | 2006-05-31 |
| 1821049826 | Amanollah -- Tabesh | Otolaryngology | 7001 N Dale Mabry Hwy, Suite # 3, Tampa, FL 33614-3910 | 2006-05-14 |
| 1437143104 | Lance R Meyerson | Otolaryngology | 12500 N Dale Mabry Hwy Ste F, Tampa, FL 33618-2809 | 2005-09-08 |
| 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.