EAST LAKE ONCOLOGY (NPI# 1528275781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528275781 |
| Entity Type | Organization |
| Organization Name | EAST LAKE ONCOLOGY |
| Practice Address |
4114 Woodlands Pkwy Suite 301 Palm Harbor FL 34685-3450 |
| Practice Telephone | 7277892595 |
| Practice Fax Number | 7277898891 |
| Mailing Telephone | 7277892595 |
| Mailing Fax Number | 7277898891 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-01-28 |
| Authorized Official Name | D. ANDA NORBERGS (PRESIDENT) |
| Authorized Official Telephone | 7277892595 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME0056118 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE UNSPEC | 09165Y | 01 |
| RRW MEDICARE | DG4665 | 01 | |
| FL | BCBSFL | 09165 | 01 |
| Street Address |
4114 WOODLANDS PKWY SUITE 301 |
| City | PALM HARBOR |
| State | FL |
| Zip Code | 34685-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851351985 | Tampa Bay Area Cancer Consultants Pa | Internal Medicine | 4114 Woodlands Pkwy, Suite 301, Palm Harbor, FL 34685-3494 | 2006-03-24 |
| 1164636932 | D. Anda Norbergs | Specialist | 4114 Woodlands Pkwy, Suite 301, Palm Harbor, FL 34685-3498 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427663376 | Laura Ashley Birch Williams | Physical Therapy Assistant | 4168 Woodlands Pkwy # A, Palm Harbor, FL 34685 | 2020-09-08 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1093277162 | Raza Zaidi | Student in an Organized Health Care Education/Training Program | 3818 Ambassador Dr, Palm Harbor, FL 34685 | 2019-04-05 |
| 1366965063 | Crestar Labs Fl LLC | Clinical Medical Laboratory | 4714 Ayron Terrace, Palm Harbor, FL 34685 | 2017-07-25 |
| 1497284038 | Jacquelle Davis | Social Worker | 1261 Bay Harbor Dr Apt 201, Palm Harbor, FL 34685 | 2017-06-07 |
| 1649693888 | Marliss Rae Jones | Social Worker | 1107 Mainsail Circle, Palm Harbor, FL 34685 | 2014-01-23 |
| 1427489152 | Best At Home Care LLC | In Home Supportive Care | 1801 East Lake Rd, #3a, Palm Harbor, FL 34685 | 2013-12-05 |
| 1457622292 | Dennis Hamilton | Pharmacist | 3420 East Lake Rd, Palm Harbor, FL 34685 | 2012-01-25 |
| 1275770448 | Amy Beach Harcourt | Physical Therapist | 3488 East Lake Rd, Suite 302, Palm Harbor, FL 34685 | 2009-01-09 |
| 1225223589 | Carolyn Kim Puckett | Physical Therapist | 800 Tarpon Woods Blvd., Suite F1, Palm Harbor, FL 34685 | 2007-09-10 |
| Find all providers in zip 34685 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1851351985 | Tampa Bay Area Cancer Consultants Pa | Internal Medicine | 4114 Woodlands Pkwy, Suite 301, Palm Harbor, FL 34685-3494 | 2006-03-24 |
| 1942277181 | Digestive Disease and Cancer Institute Pa | Internal Medicine | 34653 Us 19 N, Palm Harbor, FL 34684-2152 | 2006-03-07 |
| 1780683482 | Marcos Guapindaia Joppert | Internal Medicine | 3850 Tampa Rd, Suite 202, Palm Harbor, FL 34684-3670 | 2005-07-15 |
| 1851702120 | Advanced Cancer Care LLC | Internal Medicine | 34653 Us 19 N, Palm Harbor, FL 34684-2152 | 2014-05-08 |
| 1356572168 | Sneh Gupta Md Pa | Internal Medicine | 34661 Us Highway 19 N, Palm Harbor, FL 34684-2152 | 2009-07-29 |
| 1982667572 | Madhu Goyal | Internal Medicine | 34653 Us Highway 19 N, Palm Harbor, FL 34684-2152 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
| 1760818959 | Talha Badar | Internal Medicine | 4500 San Pablo Rd S # X, Jacksonville, FL 32224-1865 | 2013-09-19 |
| Find all providers with the same taxonomy | ||||
| City | PALM HARBOR |
| Zip Code | 34685 |
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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.