DR. WILLIAM MAURICE BLACKSHEAR JR. (NPI# 1619080793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619080793 |
Entity Type | Individual |
Full Name | DR. WILLIAM MAURICE BLACKSHEAR JR. |
Credential | M.D. |
Practice Address |
7292 4th St N Suite B St Petersburg FL 33702-5813 |
Practice Telephone | 7278968149 |
Practice Fax Number | 7278238606 |
Mailing Telephone | 7278968149 |
Mailing Fax Number | 7278238606 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2011-08-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME0035320 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 038919600 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346430055 | William Scott Blackshear | Anesthesiology | 2100 Via Bella Blvd, Suite 103, Land O Lakes, FL 34639-5429 | 2007-07-30 |
Street Address |
7292 4TH ST N SUITE B |
City | ST PETERSBURG |
State | FL |
Zip Code | 33702-5813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669927109 | Daniel Louis Morales | Physical Therapist | 7292 4th St N, St Petersburg, FL 33702-5813 | 2016-08-24 |
1346795499 | Select Physical Therapy | Clinic/Center | 7292 4th St N, Suite A, St Petersburg, FL 33702-5813 | 2016-08-18 |
1336517200 | Kristina Terrana Rakhshani | Physical Therapist | 7292 4th St N, Suite A, St Petersburg, FL 33702 | 2015-09-09 |
1568731958 | William M Blackshear Jr Md Pa | Surgery | 7292 4th St N, Suite B, St Petersburg, FL 33702-5813 | 2011-12-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700419637 | Lea Diana Stemplewski | Occupational Therapist | 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 | 2020-02-19 |
1366919557 | Svetlana Nagle | Nurse Practitioner | 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 | 2018-10-25 |
1457835613 | Joseph Kirchmer | Physical Therapy Assistant | 7101 9th St N, St Petersburg, FL 33702 | 2018-09-23 |
1386135176 | Valencia Gibson | Behavior Technician | 8950 Doctor Martin Luther King Jr Street North, 190, Saint Petersburg, FL 33702 | 2018-05-29 |
1740778760 | Nicole S Kapr | Behavior Technician | 8950 Doctor Mlk Street North, 190, St. Petersburg, FL 33702 | 2018-04-25 |
1003316050 | Sonya Lesnefsky | Behavior Technician | 8950 Dr Mlk St N #190, Saint Petersburg, FL 33702 | 2018-02-16 |
1003315086 | Erin Nicole Rogers | Behavior Technician | 8950 Dr Mlk Jr St N, #190, St Petersburg, FL 33702 | 2018-02-06 |
1881192482 | Carrie Langbo | Genetic Counselor, MS | Informeddna, 877 Executive Center Drive W, Suite 206, St. Petersburg, FL 33702 | 2018-01-29 |
1891203485 | Healthy Lifestyles Tampa Bay LLC | Psychologist | 8479 Dr Martin Luther King Jr St N, St Petersburg, FL 33702 | 2018-01-17 |
1649787235 | Gurdeep Singh | Behavior Technician | 8950 Dr Mlk Street N, Suite 190, Saint Petersburg, FL 33702 | 2018-01-04 |
Find all providers in zip 33702 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780746008 | Jeff Mathew | Surgery | 5880 49th St N Ste 206, St Petersburg, FL 33709-2147 | 2006-12-14 |
1033205356 | George R Daicoff | Surgery | 4950 28th Ave N, St Petersburg, FL 33710-2742 | 2006-10-05 |
1174173421 | Pinellas Vascular LLC | Surgery | 5880 49th St N Ste 206, St Petersburg, FL 33709-2147 | 2019-09-18 |
1427390608 | Vascular Interventional Pavilion, LLC | Surgery | 3500 38th Ave N, St Petersburg, FL 33713-1448 | 2013-03-26 |
1568731958 | William M Blackshear Jr Md Pa | Surgery | 7292 4th St N, Suite B, St Petersburg, FL 33702-5813 | 2011-12-14 |
1083904593 | Chun Kevin Yang | Surgery | 960 7th Ave N, St Petersburg, FL 33705-1347 | 2011-04-18 |
1871810655 | Benjamin Edward Szpila | Surgery | 960 7th Ave N, St Petersburg, FL 33705-1347 | 2010-05-03 |
1346219698 | Ralph Angelo Dematteis | Surgery | 2191 9th Ave N, Suite 110, St Petersburg, FL 33713-7146 | 2006-03-17 |
1962499715 | Paul Steven Collins | Surgery | 960 7th Ave N, St Petersburg, FL 33705-1347 | 2005-10-05 |
1013903244 | Eugene A Murphy | Surgery | 620 10th Street N., St Petersburg, FL 33705-1407 | 2005-09-22 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33702 |
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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.