DR. JOHN THOMPSON SULLEBARGER (NPI# 1679516728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679516728 |
| Entity Type | Individual |
| Full Name | DR. JOHN THOMPSON SULLEBARGER |
| Credential | M.D. |
| Practice Address |
4200 N Armenia Ave Suite 5 Tampa FL 33607-6438 |
| Mailing Address |
38135 Market Sq Zephyrhills FL 33542-7505 |
| Practice Telephone | 8132842200 |
| Practice Fax Number | 8133771700 |
| Mailing Telephone | 8135284975 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2017-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
ME62629 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 17787 | 01 |
| FL | 370815200 | 05 |
| Street Address |
4200 N ARMENIA AVE SUITE 5 |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053300723 | Sandra Lynn Snyder | Physician Assistant | 4200 N Armenia Ave, Suite 1, Tampa, FL 33607-6438 | 2005-10-17 |
| 1477935757 | Molly England | Audiologist | 4200 N Armenia Ave, Suite 5, Tampa, FL 33607-6438 | 2015-06-23 |
| 1851706048 | Troy Lam | Oral & Maxillofacial Surgery | 4200 N Armenia Ave, Tampa, FL 33607-6438 | 2014-06-25 |
| 1093061582 | Florida Dermatology and Skin Cancer Specialists Pl | Dermatology | 4200 N Armenia Ave, Ste 1, Tampa, FL 33607-6438 | 2012-08-02 |
| 1649553587 | Jessica M Hage | Physician Assistant | 4200 N Armenia Ave, Suite 1-2, Tampa, FL 33607-6438 | 2011-09-27 |
| 1295969830 | Joshua R Mitchell | Otolaryngology | 4200 N Armenia Ave, Suite 5, Tampa, FL 33607-6438 | 2009-05-12 |
| 1780715649 | Arthur Forman Md Pa | Psychiatry & Neurology | 4200 N Armenia Ave, Suite 4, Tampa, FL 33607-6438 | 2007-03-09 |
| 1376688218 | Alan Barry Applebaum | Counselor | 4200 N Armenia Ave, Suite 4, Tampa, FL 33607-6438 | 2007-02-20 |
| 1770551202 | Carole Stone Mazzone | Nurse Practitioner | 4200 N Armenia Ave, Suite 1, Tampa, FL 33607-6438 | 2006-03-10 |
| 1841267895 | Michael A. Scannon Md Pa | Dermatology | 4200 N Armenia Ave, Suite 1, Tampa, FL 33607-6438 | 2006-03-08 |
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467959668 | Cardiology Practice Pa | Internal Medicine | 5051 Ashington Landing Dr, Tampa, FL 33647-3515 | 2018-04-12 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| 1215256920 | Jesal V Popat | Internal Medicine | 2309 W Doctor M.l.k. Jr Blvd, Suite #1, Tampa, FL 33607 | 2010-05-19 |
| 1073838108 | Sachin Vijay Diwadkar | Internal Medicine | 2506 S Macdill Ave Ste A, Tampa, FL 33629-7261 | 2010-03-31 |
| 1720246242 | Bibhu Datta Mohanty | Internal Medicine | 2 Tampa General Cir Fl Circle5, Tampa, FL 33606-3603 | 2008-05-30 |
| 1235343997 | Firas Suleiman Almahasneh | Internal Medicine | 4612 N Habana Ave Fl 2, Tampa, FL 33614-7101 | 2007-05-10 |
| 1558846501 | Ascent Cardiology Group LLC | Internal Medicine | 2506 S Macdill Ave Ste A, Tampa, FL 33629-7261 | 2018-09-26 |
| 1184161150 | Care Cardiology and Vein Center | Internal Medicine | 13618 W Hillsborough Ave, Tampa, FL 33635-9638 | 2017-01-27 |
| 1346593621 | Ronald S Hulse IIi Md Pl | Internal Medicine | 5 Tampa General Cir, Suite 830, Tampa, FL 33606-3601 | 2012-10-24 |
| 1598054603 | Marc Victor Kaufman | Internal Medicine | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2011-03-30 |
| 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.