JERRY A WISHIK, M.D., P.A. (NPI# 1699710467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699710467 |
| Entity Type | Organization |
| Organization Name | JERRY A WISHIK, M.D., P.A. |
| Other Organization Name | PHYSICIAN CARE WALK-IN CLINIC |
| Practice Address |
620 Vonderburg Dr Brandon FL 33511-5971 |
| Practice Telephone | 8136841777 |
| Practice Fax Number | 8136899559 |
| Mailing Telephone | 8136841777 |
| Mailing Fax Number | 8136899559 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JERRY A WISHIK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8136841777 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PHYSICIAN CARE WALK-IN CLINIC | Doing Business As Name - Organization |
| Street Address |
620 VONDERBURG DR |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396772190 | Jerry A Wishik | Internal Medicine | 620 Vonderburg Dr, Brandon, FL 33511-5971 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003392390 | Verimed Health Group Brandon, LLC | Clinic/Center | 500 Vonderburg Dr Ste 310, Brandon, FL 33511-5978 | 2018-07-19 |
| 1225580558 | Preferred Injury Physicians of Brandon Inc. | Clinic/Center | 1355 Oakfield Drive, Brandon, FL 33511 | 2016-11-03 |
| 1710460175 | Florida Medical Clinic LLC | Clinic/Center | 2020 Town Center Blvd Ste D, Brandon, FL 33511-2906 | 2018-09-12 |
| 1124500335 | Tampa General Medical Group Inc | Clinic/Center | 799 W Lumsden Rd, Brandon, FL 33511-6261 | 2018-09-04 |
| 1831683036 | Olive Verde Company LLC | Clinic/Center | 859 W Lumsden Rd, Brandon, FL 33511-6280 | 2018-06-20 |
| 1487155537 | Dhb Therapy, Corp | Clinic/Center | 1604 Harvard Woods Dr Apt 2414, Brandon, FL 33511-2080 | 2018-02-23 |
| 1265972103 | Healthy Bodies Medical Center | Clinic/Center | 3415 Brook Crossing Dr, Brandon, FL 33511-8181 | 2017-02-25 |
| 1386007474 | Florida Medical Clinic LLC | Clinic/Center | 2020 Town Center Blvd, Suite B, Brandon, FL 33511-2906 | 2016-04-05 |
| 1821477167 | Biogenics, LLC | Clinic/Center | 307 Chartrese Dr, Brandon, MS 39047-8779 | 2015-05-19 |
| 1912390212 | Brandon Comprehensive Dermatology | Clinic/Center | 116 S Montclair Ave, Brandon, FL 33511-5322 | 2015-03-10 |
| Find all providers in BRANDON | ||||
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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.