WILLIAM P MACK (NPI# 1679570816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679570816 |
| Entity Type | Individual |
| Full Name | WILLIAM P MACK |
| Credential | M.D. |
| Practice Address |
3109 W. Azeele Street Tampa FL 33609 |
| Practice Telephone | 8138755437 |
| Practice Fax Number | 8138739373 |
| Mailing Telephone | 8138755437 |
| Mailing Fax Number | 8138739373 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2017-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | ME65603 | FL | Allopathic & Osteopathic Physicians |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
ME65603 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA | 2074423 | 01 |
| FL | BCBS FLORIDA | 31233 | 01 |
| FL | UNITED HEALTHCARE | 0805198 | 01 |
| FL | 250029900 | 05 | |
| FL | AETNA | 5204189 | 01 |
| NY | GHI | 6012101 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104475516 | William Mack IIi | Behavior Technician | 10353 Centrepark Dr, Houston, TX 77043-1349 | 2019-09-09 |
| 1811163793 | William Jacob Mack Iv | Neurological Surgery | 1520 San Pablo St Ste 3800, Los Angeles, CA 90033-5328 | 2008-05-01 |
| 1407990476 | William Melville Mack Jr. | Counselor | 1985 Tate Blvd Se, Suite 300, Hickory, NC 28602 | 2007-02-16 |
| 1598704736 | William Joseph Mack | Psychiatry & Neurology | 11111 Nall Ave, Suite 103, Leawood, KS 66211-1924 | 2006-06-05 |
| Street Address |
3109 W. AZEELE STREET |
| City | TAMPA |
| State | FL |
| Zip Code | 33609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669682399 | William Mack M D P A | Ophthalmology | 3109 W. Azeele Street, Tampa, FL 33609 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396137 | Kenneth Richard Kesty | Ophthalmology | 1395 Brightwaters Blvd Ne, St Petersburg, FL 33704-3807 | 2020-02-02 |
| 1356803167 | Westsite Management LLC | Ophthalmology | 10088 Indiantown Rd Ste B, Jupiter, FL 33478-4738 | 2019-04-01 |
| 1912456104 | Mitch Levin | Ophthalmology | 1402 Green Cove Rd, Winter Park, FL 32789-2551 | 2016-09-28 |
| 1457794935 | Kyle Fitzgerald Cox | Ophthalmology | 345 Clyde Morris Blvd Ste 330, Ormond Beach, FL 32174 | 2013-04-15 |
| 1619119948 | Crystal River Eye Center,llc | Ophthalmology | 295 Se Us Highway 19, Crystal River, FL 34429-4880 | 2009-04-01 |
| 1932292935 | James Randall Patrinely | Ophthalmology | 17 E Main St Ste 100, Pensacola, FL 32502-5998 | 2006-10-02 |
| 1275534182 | Karen L Chapman | Ophthalmology | 1750 S Osprey Ave, Sarasota, FL 34239-3511 | 2005-08-02 |
| 1831735224 | Mohadjer Consulting LLC | Ophthalmology | 8855 9th St N Ste 100, St Petersburg, FL 33702-3443 | 2019-11-21 |
| 1760911796 | Dr Dan Plastic Surgery | Ophthalmology | 1776 N Pine Island Rd Ste 218, Plantation, FL 33322-5223 | 2017-06-04 |
| 1619423845 | Gulfstream Eye, Pllc | Ophthalmology | 555 Nw Lake Whitney Pl Ste 105, Port Saint Lucie, FL 34986-1623 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
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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.