BAYCARE MEDICAL GROUP PEDIATRIC WALK-IN, LLC (NPI# 1679724488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679724488 |
| Entity Type | Organization |
| Organization Name | BAYCARE MEDICAL GROUP PEDIATRIC WALK-IN, LLC |
| Practice Address |
4902 Eisenhower Blvd Suite 300 Tampa FL 33634-6310 |
| Mailing Address |
Po Box 743409 Atlanta GA 30374-3409 |
| Practice Telephone | 8136362044 |
| Practice Fax Number | 8133216998 |
| Mailing Telephone | 7275320002 |
| Mailing Fax Number | 7275321325 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2017-01-06 |
| Authorized Official Name | MR. TOMMY INZENA (PRESIDENT/CEO) |
| Authorized Official Telephone | 8136362044 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAYCARE MEDICAL GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
4902 EISENHOWER BLVD SUITE 300 |
| City | TAMPA |
| State | FL |
| Zip Code | 33634-6310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881746543 | Families First of Florida | Community/Behavioral Health | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2007-01-16 |
| 1114429024 | Kellie Ann Kizis | Social Worker | 4902 Eisenhower Blvd, Tampa, FL 33634-6310 | 2018-03-06 |
| 1710338181 | Valarese Dailey | Community/Behavioral Health | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2016-06-28 |
| 1013396605 | Elyssa Liz Arevalo | Social Worker | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2015-05-28 |
| 1497141030 | Tisheila Sharee Justice | Social Worker | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2015-04-10 |
| 1942691738 | Shayna Sherie Siplin | Counselor | 4902 Eisenhower Blvd, 315, Tampa, FL 33634-6310 | 2015-02-15 |
| 1326454141 | Allison Mcleod Boutwell | Social Worker | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2014-07-02 |
| 1053724245 | Brittany Anne Stewart | Social Worker | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2014-06-05 |
| 1124453626 | Tania Lopez | Internal Medicine | 4902 Eisenhower Blvd, Suite 300, Tampa, FL 33634-6310 | 2013-09-04 |
| 1952649980 | Stacey Ann Singleton | Counselor | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2013-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729510 | Magaly Lozada | Pharmacist | 7011 West Waters Ave, Tampa, FL 33634 | 2020-10-27 |
| 1396223798 | Kayla Lashae Keaton | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-30 |
| 1396221008 | Hannah L. Fox | Developmental Therapist | 5091 Florida Mining Blvd., Suite 102, Tampa, FL 33634 | 2018-07-16 |
| 1417443623 | Leah Patrinostro | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-11 |
| 1265889208 | Shannon Stumbaugh | Specialist/Technologist, Other | 5224 Net Drive Apt 315, Tampa, FL 33634 | 2016-05-19 |
| 1487024469 | Brenda I Bryant | Counselor | 4902 Eisenhower Blvd Ste 295, Tampa, FL 33634 | 2015-10-02 |
| 1548697790 | Arlene A. Laing | Nurse Practitioner | 9009 Corporate Lake Drive, Suite 200, Tampa, FL 33634 | 2013-10-02 |
| 1942642301 | Yanet D. Perez Parra | Registered Nurse | 6821 W Hillsborough Ave Ste 10-11, Tampa, FL 33634 | 2013-07-25 |
| 1467794784 | Deanna Lynn Marr | Occupational Therapist | 6169 Lanshire Dr, Tampa, FL 33634 | 2013-03-25 |
| 1336489442 | Elbert Jamaal Taylor | Technician, Other | 8905 Benjamin Road, Tampa, FL 33634 | 2013-02-26 |
| Find all providers in zip 33634 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144742396 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 7444 Palm River Dr, Tampa, FL 33619 | 2017-07-10 |
| 1619498581 | Roger Avon Hughes IIi | Pediatrics | 4444 E Fletcher Ave Ste C, Tampa, FL 33613-4905 | 2017-06-30 |
| 1386178739 | The Childrens Doctor of Tampabay, Jacquelin Eniebles Md, Pllc | Pediatrics | 14499 North Dale Mabry Hwy, Suite 180-s, Tampa, FL 34683 | 2017-04-12 |
| 1962933598 | Shaara Katherine Barron | Pediatrics | 17 Davis Blvd # 259-8725, Suite 308, Tampa, FL 33606-3475 | 2017-03-24 |
| 1194106203 | Luisa Gomez Mcelroy Md Pl | Pediatrics | 10860 Sheldon Rd, Tampa, FL 33626-5117 | 2015-06-15 |
| 1467857268 | Children Health Center | Pediatrics | 11464 N 53rd St, Tampa, FL 33617-2216 | 2014-10-23 |
| 1407250996 | Pediatric & Adolescent Health Associates, LLC | Pediatrics | 3709 W Hamilton Ave Ste 4, Tampa, FL 33614-4015 | 2014-10-13 |
| 1215268370 | Barbara Anne Nabrit-stephens | Pediatrics | 4704 Dunnie Dr, Tampa, FL 33614-1496 | 2010-01-28 |
| 1467685693 | Anecita Tan-donahue | Pediatrics | 13610 South Village Drive, Unit #312, Tampa, FL 33618 | 2009-09-04 |
| 1134363542 | Juliet Soscia Collins | Pediatrics | 10909 W. Linebaugh Avenue, Suite 100, Tampa, FL 33626-1741 | 2009-04-29 |
| 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.