NANA MIMURA (NPI# 1568563625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568563625 |
| Entity Type | Individual |
| Full Name | NANA MIMURA |
| Credential | MD |
| Practice Address |
3030 N Rocky Point Dr W Ste 670 Tampa FL 33607-5803 |
| Practice Telephone | 2395970583 |
| Practice Fax Number | 2395975628 |
| Mailing Telephone | 8132896597 |
| Mailing Fax Number | 8132896592 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2016-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME111706 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 4301065734 | MI | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | ME111706 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4216940 | 05 | |
| MI | WARREN TAX ID | 200158731 | 01 |
| MI | 4749053 | 05 | |
| MA | BCBSMI PERSONAL PIN | 1105009572 | 01 |
| FL | FLORIDA MEDICAL LICENSE | ME111706 | 01 |
| MI | SCHOENHERR BCBS GR PIN | 110E011830 | 01 |
| MI | SCHOENHERR TAX ID | 381898230 | 01 |
| MI | WARREN BCBS GR PIN | 700E001650 | 01 |
| Street Address |
3030 N ROCKY POINT DR W STE 670 |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255325833 | Stephen P Thomason | Internal Medicine | 3030 N Rocky Point Dr W, Ste 670, Tampa, FL 33607-5803 | 2005-09-09 |
| 1578013181 | The Cataract Vision Institute LLC | Clinic/Center | 3030 N Rocky Point Dr W, Suite 170, Tampa, FL 33607-5803 | 2016-10-06 |
| 1144778929 | Terra Jones | Nurse Practitioner | 3030 N Rocky Point Dr W, Ste 670, Tampa, FL 33607-5803 | 2016-09-21 |
| 1306294517 | Ashley Micciche Cain | Physician Assistant | 3030 N Rocky Point Dr W, Ste 670, Tampa, FL 33607-5803 | 2016-05-27 |
| 1982061883 | Teress Monroe | Developmental Therapist | 3030 N Rocky Point Dr W, Suite 150a, Tampa, FL 33607-5803 | 2016-01-22 |
| 1962868794 | Vanessa Davis | Developmental Therapist | 3030 N Rocky Point Dr W, Tampa, FL 33607-5803 | 2016-01-08 |
| 1427413640 | Ashlea Marie Albright | Developmental Therapist | 3030 N Rocky Point Dr W, Suite 150a, Tampa, FL 33607-5803 | 2015-12-15 |
| 1427421213 | Alexis Michelle Ferreira | Developmental Therapist | 3030 N Rocky Point Dr W, Ste 150a, Tampa, FL 33607-5803 | 2015-11-03 |
| 1386016517 | Jennifer Peoples | Developmental Therapist | 3030 N Rocky Point Dr W, Suite 150a, Tampa, FL 33607-5803 | 2015-10-27 |
| 1184093866 | Jeana Him | Specialist/Technologist | 3030 N Rocky Point Dr W, Suite 150, Tampa, FL 33607-5803 | 2015-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519224 | Health & Glow Primary Care & Med Spa LLC | Internal Medicine | 4331 S Manhattan Ave, Tampa, FL 33611 | 2020-08-18 |
| 1326665779 | Complete Integrative Medical Clinic, LLC. | Internal Medicine | 2835 W De Leon St Ste 102, Tampa, FL 33609-4130 | 2020-07-01 |
| 1649807553 | Physician Partners Associated, LLC | Internal Medicine | 4704 N Armenia Ave, Tampa, FL 33603-2619 | 2020-03-23 |
| 1417583956 | William F Mcgrogan Md Pllc | Internal Medicine | 2919 W Swann Ave Ste 402, Tampa, FL 33609-4083 | 2020-03-17 |
| 1679120471 | Printha Md Internal Medicine Inc | Internal Medicine | 5420 Webb Rd Ste B1, Tampa, FL 33615-3255 | 2019-08-26 |
| 1184185001 | A Plus Medcare LLC | Internal Medicine | 7211 N Dale Mabry Hwy Ste 100, Tampa, FL 33614-2669 | 2019-03-26 |
| 1770040685 | Skalan LLC | Internal Medicine | 14917 Smitter Reserve Dr, Tampa, FL 33618-2205 | 2019-02-27 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1568926038 | Karadayi Health Inc | Internal Medicine | 2916 W Bayshore Ct, Tampa, FL 33611-2808 | 2019-01-29 |
| 1881178242 | Angel Medical Clinic, LLC | Internal Medicine | 8001 N Dale Mabry Hwy Ste 701, Tampa, FL 33614-3218 | 2018-09-21 |
| 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.