PREMIER OB GYN OF TAMPA LLP (NPI# 1609101641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609101641 |
| Entity Type | Organization |
| Organization Name | PREMIER OB GYN OF TAMPA LLP |
| Practice Address |
2727 W Dr Mlk Blvd Suite 630 Tampa FL 33607-6383 |
| Practice Telephone | 8139358998 |
| Practice Fax Number | 8139350987 |
| Mailing Telephone | 8139358998 |
| Mailing Fax Number | 8139350987 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | MARK R DAVIS (AUTHORIZED SIGNER) |
| Authorized Official Telephone | 8138766000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
2727 W DR MLK BLVD SUITE 630 |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073571188 | Yvonne Zakkay | Internal Medicine | 2727 W Dr Mlk Blvd, Ste 630, Tampa, FL 33607-6383 | 2006-05-01 |
| 1043687072 | Optumcare Florida, LLC | Non-Pharmacy Dispensing Site | 2727 W Dr Mlk Blvd, Suite 850, Tampa, FL 33607-6383 | 2015-08-25 |
| 1659625945 | John Steven Coffman | Anesthesiologist Assistant | 2727 W Dr Mlk Blvd, Suite 310, Tampa, FL 33607-6383 | 2012-11-08 |
| 1225290851 | Behavioral Health Management Services, Inc. | Clinic/Center | 2727 W Dr Mlk Blvd, Suite 640, Tampa, FL 33607-6383 | 2008-06-25 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811459563 | Tampa Bay Premier Obgyn Pllc | Obstetrics & Gynecology | 2727 W Dr Mlk Blvd Ste 630, Tampa, FL 33607-6399 | 2019-04-02 |
| 1033512264 | Tampa Obstetrics, P.a. | Obstetrics & Gynecology | 4503 North 22nd Street, Tampa, FL 33610-6201 | 2014-10-02 |
| 1902209257 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 4503 N 22nd St, Tampa, FL 33610-6201 | 2014-10-01 |
| 1710388814 | Ana Maria Fraguada | Obstetrics & Gynecology | 3450 E Fletcher Ave Ste 110, Tampa, FL 33613-4603 | 2014-09-08 |
| 1245659010 | Pawan Kumar Rattan | Obstetrics & Gynecology | 612 E Davis Blvd, Tampa, FL 33606-3922 | 2014-04-09 |
| 1356760359 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 5537 Sheldon Rd Ste N, Tampa, FL 33615-3167 | 2014-04-08 |
| 1124459326 | Michael Fernandez | Obstetrics & Gynecology | 13806 Khilani Ct, Tampa, FL 33624-6919 | 2013-12-12 |
| 1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
| 1992140677 | Wilfredo Nicolas Herrera | Obstetrics & Gynecology | 2727 W Dr. Mlk Jr Blvd, Ste 630, Tampa, FL 33607 | 2013-05-08 |
| 1912244831 | William Larry Capps | Obstetrics & Gynecology | 577 Luzon Ave, Tampa, FL 33606-3623 | 2013-01-11 |
| 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.