DR. MARCUS MATTHEW JANICKI (NPI# 1609189240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609189240 |
| Entity Type | Individual |
| Full Name | DR. MARCUS MATTHEW JANICKI |
| Credential | D.O. |
| Practice Address |
3030 North Rocky Point Drive West Suite 670 Tampa FL 33607-5906 |
| Practice Telephone | 8132896597 |
| Practice Fax Number | 8132896592 |
| Mailing Telephone | 8132896597 |
| Mailing Fax Number | 8132896592 |
| Enumeration Date | 2010-07-25 |
| Last Update Date | 2015-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS12477 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | DO.1240 | AL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | OS12477 | FL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | DO.1240 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 134283 | 05 |
| Street Address |
3030 NORTH ROCKY POINT DRIVE WEST SUITE 670 |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760462055 | Robert J Kitos | Internal Medicine | 3030 North Rocky Point Drive West, Suite 670, Tampa, FL 33607-5906 | 2006-01-20 |
| 1407122484 | Ryan Taboada Capahi | Internal Medicine | 3030 North Rocky Point Drive West, Suite 670, Tampa, FL 33607-5906 | 2012-03-23 |
| 1952675811 | Romeo Saliba | Internal Medicine | 3030 North Rocky Point Drive West, Suite 670, Tampa, FL 33607-5906 | 2012-02-23 |
| 1033486766 | Lauren Susan Hendrix | General Practice | 3030 North Rocky Point Drive West, Suite 670, Tampa, FL 33607-5906 | 2011-11-23 |
| 1447527692 | Timothy Judge Frost | Physician Assistant | 3030 North Rocky Point Drive West, Suite 670, Tampa, FL 33607-5906 | 2011-11-16 |
| 1528361532 | Rita Maria Wilson | Nurse Practitioner | 3030 North Rocky Point Drive West, Suite 670, Tampa, FL 33607-5906 | 2010-12-13 |
| 1760611172 | Patricia Cueto-lithgow | Internal Medicine | 3030 North Rocky Point Drive West, Suite 670, Tampa, FL 33607-5906 | 2009-07-07 |
| 1134301914 | Ramon Guerrero Cueto | Internal Medicine | 3030 North Rocky Point Drive West, Suite 670, Tampa, FL 33607-5906 | 2007-12-03 |
| 1821186685 | Nadia Noor | Internal Medicine | 3030 North Rocky Point Drive West, Suite 670, Tampa, FL 33607-5906 | 2006-10-10 |
| 1508968488 | Frank David Fidler | Internal Medicine | 3030 North Rocky Point Drive West, Suite 670, Tampa, FL 33607-5906 | 2006-09-02 |
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| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909212 | Stefanny Molina Mesa | Family Medicine | 3016 W Kirby St, Tampa, FL 33614-3303 | 2020-07-21 |
| 1245869015 | Zenlifemd Pa | Family Medicine | 18101 Highwoods Preserve Pkwy Ste 120, Tampa, FL 33647-1791 | 2020-04-03 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1447898101 | Palms Clinical Services Inc | Family Medicine | 17008 Palm Pointe Dr Ste 101, Tampa, FL 33647-3504 | 2019-12-12 |
| 1396382545 | Advanced Medical Treatments, LLC | Family Medicine | 4401 W Kennedy Blvd Fl 3, Tampa, FL 33609-2058 | 2019-12-06 |
| 1528604204 | Amarillys Alvarado-sojo | Family Medicine | 10306 Manta Way, Tampa, FL 33615-4252 | 2019-11-18 |
| 1891345138 | Adeel Farooqi | Family Medicine | 3905 W Sevilla St, Tampa, FL 33629-8604 | 2019-09-18 |
| 1003464074 | Leslie Kapp-jones | Family Medicine | 3100 E Fletcher Ave Ste 126, Tampa, FL 33613-4613 | 2019-09-03 |
| 1053895375 | Barbara Pierre-louis | Family Medicine | 12552 Castle Hill Dr, Tampa, FL 33624-4183 | 2018-09-21 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
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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.