STEPHEN BROCK (NPI# 1700361797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700361797 |
| Entity Type | Individual |
| Full Name | STEPHEN BROCK |
| Practice Address |
3250 Zemke Ave Tampa FL 33621-5023 |
| Practice Telephone | 8138278329 |
| Mailing Telephone | 8138278329 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3250 ZEMKE AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33621-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621856 | Michael Andre Couvillon | Nurse Practitioner | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2005-07-07 |
| 1437756343 | Molly Buchanan | Optometrist | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-10-04 |
| 1851917967 | Cristina Brock De Jesus | Nurse Practitioner | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-06-24 |
| 1588283188 | Echo Sims | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-04-13 |
| 1275152852 | Kimberley Nichole Wissner | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-04-13 |
| 1275171233 | Michael David Jensen | Nurse Practitioner | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-12-20 |
| 1023661196 | Jazzy-mae Nieto | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-07-18 |
| 1588227243 | Max E Lindgren | Physician Assistant | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-04-18 |
| 1366904948 | Sindy Johanna Maldonado | Physician Assistant | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-04-03 |
| 1164993135 | Jessica Hague | Psychologist | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134644750 | Kwanza Lincoln | Military Health Care Provider | 3520 Zemke Ave, Tampa, FL 33621 | 2017-08-04 |
| 1922407659 | Michelle Lind | Social Worker | 8126 Hangar Loop Dr, 927the Arw - Bldg 296, Room 231, Tampa, FL 33621 | 2014-08-19 |
| 1588932768 | Katherine Holmes | Physician Assistant | 6th Medical Group, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2011-12-02 |
| 1558378273 | Graeme Charles Bicknell | Social Worker | 4815 Bayshore Blvd, 6th Medical Group, Tampa, FL 33621 | 2006-08-02 |
| 1659346146 | Laura Umfer | Psychologist | 4515 Bayshore Blvd, Tampa, FL 33621 | 2006-02-20 |
| 1205808516 | Kenneth Joseph Baron | Physician Assistant | 3250 Zemke Ave #1078, 6th Medical Group, Macdill Afb, FL 33621 | 2006-02-02 |
| 1760478044 | Michael Glenn Hodges | Family Medicine | 3250 Zerkle Avenue, Macdill Afb, FL 33621 | 2005-09-22 |
| 1003801242 | Heather Ann Newman | Nurse Anesthetist, Certified Registered | 6th Medical Group/sghc, 8415 Bayshore Blvd, Macdill Afb, FL 33621 | 2005-09-14 |
| 1861486789 | Daniel N. Park | Physician Assistant | Ussocom Clinic, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2005-09-07 |
| 1164675070 | 6 Medical Group | Military Hospital | 8415 Bayshore Blvd, Macdill Base, Tampa, FL 33621 | 2008-10-23 |
| Find all providers in zip 33621 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044590 | Prestige Health & Performance | Physical Therapist | 20354 Chestnut Grove Dr, Tampa, FL 33647-3344 | 2020-05-07 |
| 1710519806 | Shawna Rae Sprout | Physical Therapist | 6417 E County Line Rd Ste 100, Tampa, FL 33647-1855 | 2020-02-07 |
| 1992211767 | Jesse Polanco | Physical Therapist | 4019 Henderson Blvd, Tampa, FL 33629-4939 | 2017-12-15 |
| 1922556448 | Richard Scafidi | Physical Therapist | 1175 E Kennedy Blvd, Apt 843, Tampa, FL 33602-3545 | 2016-09-13 |
| 1477984896 | Gulfcoast Spine Institute Pa | Physical Therapist | 6101 Webb Rd., Suite 304, Tampa, FL 33615-2866 | 2013-12-11 |
| 1659622496 | Maria Ann Silverberg | Physical Therapist | 10414 Butia Pl, Tampa, FL 33618-4118 | 2012-09-19 |
| 1215064944 | Sarah E Swigart | Physical Therapist | 17200 Commerce Park Blvd, Tampa, FL 33647-2600 | 2007-02-28 |
| 1407929359 | Sherrice Broussard Rose | Physical Therapist | 2307 S Dale Mabry Hwy Ste F, Tampa, FL 33629-6322 | 2006-11-16 |
| 1164412805 | Cynthia Goode | Physical Therapist | 2106 S Lois Ave, Tampa, FL 33629-5602 | 2005-10-25 |
| 1508856261 | David Newman | Physical Therapist | 3515 E Fletcher Ave, Mdc 90, Tampa, FL 33613-4706 | 2005-10-25 |
| 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.