MS. OMNI MCCLUNEY (NPI# 1689005860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689005860 |
| Entity Type | Individual |
| Full Name | MS. OMNI MCCLUNEY |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
4620 N 22nd St Tampa FL 33610-6205 |
| Mailing Address |
Po Box 82969 Tampa FL 33682-2969 |
| Practice Telephone | 8132726240 |
| Practice Fax Number | 8132475591 |
| Mailing Telephone | 8138660930 |
| Mailing Fax Number | 8134053924 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2014-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9107798 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4620 N 22ND ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33610-6205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942840 | Tampa Family Health Centers Inc | Clinic/Center | 4620 N 22nd St, Tampa, FL 33610-6205 | 2005-06-21 |
| 1699246405 | Jean Marie Donohue | Registered Nurse | 4620 N 22nd St, Tampa, FL 33610-6205 | 2018-12-06 |
| 1700398120 | Christina Stair | Nurse Practitioner | 4620 N 22nd St, Tampa, FL 33610-6205 | 2017-10-25 |
| 1558899658 | Ion Rotaru | Dentist | 4620 N 22nd St, Tampa, FL 33610-6205 | 2017-06-01 |
| 1437520897 | Bonnie J Burich | Physician Assistant | 4620 N 22nd St, Tampa, FL 33610 | 2015-10-12 |
| 1912310665 | Raquel Pino | Dentist | 4620 N 22nd St, Tampa, FL 33610-6205 | 2014-06-10 |
| 1740603547 | Gaelle Laurore-fray | Family Medicine | 4620 N 22nd St, Tampa, FL 33610-6205 | 2014-01-29 |
| 1235473638 | Latisa Tiana Lynch | Nurse Practitioner | 4620 N 22nd St, Tampa, FL 33610-6205 | 2012-11-26 |
| 1437415924 | Tina Marie Thomson | Pediatrics | 4620 N 22nd St, Tampa, FL 33610-6205 | 2012-04-09 |
| 1255648945 | Indira Maurer | Nurse Practitioner | 4620 N 22nd St, Tampa, FL 33610-6205 | 2010-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
| 1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
| 1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
| 1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
| 1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
| 1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
| Find all providers in zip 33610 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762046 | Samantha Martin | Physician Assistant | 12950 Race Track Rd Ste 106, Tampa, FL 33626-1304 | 2020-05-28 |
| 1124648159 | Christian Otero | Physician Assistant | 311 W Palm Ave, Tampa, FL 33602-2029 | 2020-04-20 |
| 1487219036 | Vanessa Natasha White | Physician Assistant | 10205 W Hillsborough Ave Ste B, Tampa, FL 33615-3671 | 2019-05-08 |
| 1518520873 | Zachary Luke Ulshafer | Physician Assistant | 12901 Bruce B Downs Blvd # 05, Tampa, FL 33612-4742 | 2019-04-22 |
| 1548756893 | Christopher Jacob Bordelon | Physician Assistant | 2550 W Dr Martin Luther King Jr Blvd Ste B, Tampa, FL 33607-6302 | 2018-07-10 |
| 1871033340 | Amanda Lins Chissell | Physician Assistant | 13801 Bruce B Downs Blvd Ste 231, Tampa, FL 33613-3946 | 2017-03-03 |
| 1669839767 | Barbara N Vargas | Physician Assistant | 12500 N Dale Mabry Hwy Ste A, Tampa, FL 33618-2809 | 2016-01-20 |
| 1215305776 | Amber Lubas | Physician Assistant | 401 N Rome Ave, Apt: 4314, Tampa, FL 33606-0009 | 2015-09-14 |
| 1972988467 | Karla Michelle Mincone | Physician Assistant | 3040 W Cypress St # 103, Tampa, FL 33609-1615 | 2015-07-25 |
| 1326441767 | Brigett Brandjes | Physician Assistant | 2902 Usf Magnolia Drive, Tampa, FL 33612 | 2014-09-30 |
| 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.