DR. WILLIAM O DEWEESE (NPI# 1629061122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629061122 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM O DEWEESE |
| Other Name | WILLIAM O DEWEESE |
| Credential | M.D. |
| Practice Address |
13801 Bruce B Downs Blvd Suite 403 Tampa FL 33613-3946 |
| Practice Telephone | 8139718101 |
| Practice Fax Number | 8139713172 |
| Mailing Telephone | 8139718101 |
| Mailing Fax Number | 8139713172 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2007-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | ME0025687 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS PROVIDER NUMBER | 29889 | 01 |
| FL | CIGNA | 1508416-002 | 01 |
| FL | AETNA PROVIDER NUMBER | 4129349 | 01 |
| Street Address |
13801 BRUCE B DOWNS BLVD SUITE 403 |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265425904 | Stephen Niles | Family Medicine | 13801 Bruce B Downs Blvd, Ste 201, Tampa, FL 33613-3946 | 2005-08-29 |
| 1255798005 | Kelly Elizabeth Clausing | Physician Assistant | 13801 Bruce B Downs Blvd, Suite 406, Tampa, FL 33613-3946 | 2016-01-25 |
| 1629493085 | Internal Medicine Clinic | Pharmacy | 13801 Bruce B Downs Blvd, Tampa, FL 33613-3946 | 2014-02-21 |
| 1750641494 | Mcilwain Medical Group, Pa | Internal Medicine | 13801 Bruce B Downs Blvd, Suite 406, Tampa, FL 33613-3946 | 2012-05-28 |
| 1598066789 | Stanley A Rosenthal, D.o., P.a. | Pediatrics | 13801 Bruce B Downs Blvd, Suite 301, Tampa, FL 33613 | 2010-11-04 |
| 1316258627 | Todd J Brennan | Podiatrist | 13801 Bruce B Downs Blvd, Suite 205, Tampa, FL 33613-3946 | 2010-07-01 |
| 1962721761 | Edmund G Grant Md Pa | Psychiatry & Neurology | 13801 Bruce B Downs Blvd, Suite 401, Tampa, FL 33613-3946 | 2010-05-19 |
| 1134365034 | Womens Care Florida LLP | Obstetrics & Gynecology | 13801 Bruce B Downs Blvd, Suite 201, Tampa, FL 33613-3946 | 2008-12-23 |
| 1629213426 | Florida Cancer Specialists P L | Internal Medicine | 13801 Bruce B Downs Blvd, Unit 106, Tampa, FL 33613-3946 | 2008-12-08 |
| 1356509863 | Tariq Salman | Internal Medicine | 13801 Bruce B Downs Blvd, Suite 104, Tampa, FL 33613-3946 | 2008-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853584 | Brain and Spine Neuroscience Institute, LLC | Neurological Surgery | 4728 N Habana Ave Ste 202, Tampa, FL 33614-7147 | 2017-10-27 |
| 1487908893 | Spine Injury Physicians LLC | Neurological Surgery | 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 | 2012-11-07 |
| 1164702585 | Thuy Minh Nguyen | Neurological Surgery | 2727 W Doctor Martin Luther King Jr Blvd #590, Tampa, FL 33607 | 2011-08-17 |
| 1558664144 | Jorge J. Inga, M.d. P.a. | Neurological Surgery | 6701 Hanley Rd, Tampa, FL 33634-4742 | 2010-12-21 |
| 1508174038 | Ralph E Rydell, M.d.p.a. | Neurological Surgery | 5106 N Armenia Ave Ste 1, Tampa, FL 33603-1433 | 2010-09-17 |
| 1689728289 | Scott G. Cutler | Neurological Surgery | 4321 N. Macdill Ave, Suite 303, Tampa, FL 33607-6390 | 2007-01-22 |
| 1326124231 | Jorge Jaime Inga | Neurological Surgery | 6701 Hanley Road, Tampa, FL 33634-4742 | 2006-10-31 |
| 1548355779 | Terrence D Julien | Neurological Surgery | 2727 W Dr Martin Luther King Jr Blvd Ste 460, Tampa, FL 33607 | 2006-10-04 |
| 1689682825 | Ralph E Rydell | Neurological Surgery | 5106 N Armenia Avenue, Suite #1, Tampa, FL 33603 | 2006-08-03 |
| 1053344127 | Lucy C Love Md Pa | Neurological Surgery | 3000 E Fletcher Ave Ste 230, Tampa, FL 33613-4644 | 2006-07-09 |
| 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.