GARREN DIAL (NPI# 1548884364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548884364 |
Entity Type | Individual |
Full Name | GARREN DIAL |
Practice Address |
4211 Van Dyke Rd Lutz FL 33558-8005 |
Mailing Address |
22031 Hidden Oak Pl Land O Lakes FL 34639-4557 |
Practice Telephone | 8134437000 |
Mailing Telephone | 8134698301 |
Enumeration Date | 2020-06-08 |
Last Update Date | 2020-06-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4211 VAN DYKE RD |
City | LUTZ |
State | FL |
Zip Code | 33558-8005 |
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 |
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 |
1457623233 | St Josephs Hopsital | Nurse Practitioner | 4211 Van Dyke Rd, Lutz, FL 33558-8002 | 2012-02-08 |
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 |
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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 |
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Taxonomy Code | 367H00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Anesthesiologist Assistant |
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871119008 | Jeysi Alvarez | Anesthesiologist Assistant | 4211 Van Dyke Rd, Lutz, FL 33558-8005 | 2020-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437761798 | Wayleniz Rosario Falero | Anesthesiologist Assistant | 331 Sw 19th Ln, Cape Coral, FL 33991-3784 | 2020-08-18 |
1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
1992327308 | Daniel Le Phan | Anesthesiologist Assistant | 800 Prudential Dr Fl 32207, Jacksonville, FL 32207-8202 | 2020-05-08 |
1497395412 | Charles Joshua Thrower | Anesthesiologist Assistant | 1 Shircliff Way # Wat, Jacksonville, FL 32204-4748 | 2020-01-07 |
1194372227 | Matthew Zachary Laribee | Anesthesiologist Assistant | 7900 N Kendall Dr, Miami, FL 33156-7457 | 2019-08-22 |
1659856862 | Ian Michael Durham | Anesthesiologist Assistant | 1 Shircliff Way Fl 32204, Jacksonville, FL 32204-4748 | 2018-10-03 |
1386138287 | Stephen Johnson | Anesthesiologist Assistant | 157 Dawn Lauren Ln, Tallahassee, FL 32301-3415 | 2018-06-15 |
1164910691 | Heather Berman | Anesthesiologist Assistant | 209 Bristol Ct, Tavernier, FL 33070-2838 | 2018-04-30 |
1710437561 | Alyssa Scheidecker | Anesthesiologist Assistant | 12305 Hawthorne View Court, Tampa, FL 33626 | 2016-10-05 |
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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.