KOYO MEDICAL P A (NPI# 1679821474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679821474 |
| Entity Type | Organization |
| Organization Name | KOYO MEDICAL P A |
| Other Organization Name | KOYO MEDICAL P A |
| Practice Address |
19909 Tamiami Ave Tampa FL 33647-3366 |
| Practice Telephone | 8134681899 |
| Practice Fax Number | 8134285657 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-10-19 |
| Authorized Official Name | EDET ATING ELENSI (PRESIDENT) |
| Authorized Official Telephone | 8134681899 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
ME90895 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| KOYO MEDICAL P A | Doing Business As Name - Organization |
| Street Address |
19909 TAMIAMI AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33647-3366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952373474 | Edet Elensi | Internal Medicine | 19909 Tamiami Ave, Tampa, FL 33647-3366 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
| 1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
| 1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
| 1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
| 1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
| 1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821196163 | Hasan Medical Center, Plc | Internal Medicine | 5420 Webb Rd Ste B2, Tampa, FL 33615-3255 | 2006-09-20 |
| 1659477305 | R Maurice Bonilla | Internal Medicine | 905 W Platt St, Tampa, FL 33606-2113 | 2006-09-16 |
| 1669490587 | Inna Sheyner | Internal Medicine | 13000 Bruce B Downs Blvd # 118c, Tampa, FL 33612-4745 | 2006-07-18 |
| 1861434326 | William P Krockta Md Pa | Internal Medicine | 10905 Cliff Dr, Tampa, FL 33617-3202 | 2006-06-11 |
| 1235193384 | Navinchandra Virchand Patel | Internal Medicine | 4304 Gainesborough Ct, Tampa, FL 33624-2602 | 2006-04-14 |
| 1194706051 | Alpha Bridge Connections, LLC | Internal Medicine | 10150 Highland Manor Dr, Suite 300, Tampa, FL 33610-9712 | 2005-11-08 |
| 1104308170 | Blessedcare Center, Inc | Internal Medicine | 4710 N Habana Ave Ste 402, Tampa, FL 33614-7152 | 2018-09-05 |
| 1548656853 | Vianna Vadzhiya Broderick | Internal Medicine | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2015-04-13 |
| 1043557853 | Tampa General Medical Group Inc | Internal Medicine | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2013-01-14 |
| 1104050640 | Barbara Calderon-vizcarrondo | Internal Medicine | 8521 N Armenia Ave, Tampa, FL 33604-2540 | 2009-05-13 |
| 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.