MR. BERNARD PHILIPPE (NPI# 1548648561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548648561 |
| Entity Type | Individual |
| Full Name | MR. BERNARD PHILIPPE |
| Credential | M.D. |
| Practice Address |
1839 Central Ave St Petersburg FL 33713 |
| Practice Telephone | 7273221054 |
| Practice Fax Number | 7278228081 |
| Mailing Telephone | 7273221054 |
| Mailing Fax Number | 7278228081 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | ACN720 | FL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 019124 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
1839 CENTRAL AVE |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407857089 | Jeffrey Allan Gelber | Internal Medicine | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2005-08-09 |
| 1447878129 | Ericka Hering Spottke | Registered Nurse | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2020-07-09 |
| 1629695002 | Olta Plunkett | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2020-07-01 |
| 1780219998 | Kathleen Kay Davis | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2020-03-08 |
| 1336773662 | Rebecca Anderson | Pharmacist | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2020-02-25 |
| 1144868753 | Cory M Burns | Family Medicine | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2019-12-13 |
| 1154968337 | Charles M Solla | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2019-12-05 |
| 1346895000 | Vicki Cross | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2019-08-08 |
| 1679137863 | Alisha L Grimmage | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2019-04-24 |
| 1619434354 | Ereny Sawirs | Pharmacist | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2019-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386110765 | Verify Md Inc. | General Practice | 360 Central Ave Ste 1360, St Petersburg, FL 33701-3838 | 2018-10-23 |
| 1336279835 | Nhu Van Bui | General Practice | 3731 Central Ave, St Petersburg, FL 33713 | 2007-03-06 |
| 1316050115 | Judith Ellen Kline | General Practice | 750 94 Ave N, #201, St Petersburg, FL 33702 | 2006-08-16 |
| 1629006259 | Bhanuprasad Patel | General Practice | 5520 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1204 | 2006-06-30 |
| 1386258127 | Suncoast Msk, LLC | General Practice | 6514 Central Ave, St Petersburg, FL 33707-1330 | 2020-08-31 |
| 1205347127 | Vein Institute of Pinellas LLC | General Practice | 5500 9th St N, St Petersburg, FL 33703-1204 | 2017-10-18 |
| 1215318936 | Noushin Yazdani | General Practice | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2015-06-18 |
| 1871986992 | Dennis Daake | General Practice | 6177 Sun Blvd, St Petersburg, FL 33715-1169 | 2015-03-13 |
| 1497189971 | Jorge Luis Torres | General Practice | 6703 38th Ave N, St Petersburg, FL 33710-1536 | 2013-09-03 |
| 1164703427 | John L. Shover D.o., P.a. | General Practice | 8133 54th Ave N, St Petersburg, FL 33709-1001 | 2011-08-31 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
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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.