ROMAN GIMPELEVICH (NPI# 1720284102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720284102 |
| Entity Type | Individual |
| Full Name | ROMAN GIMPELEVICH |
| Credential | M.D. |
| Practice Address |
1600 Lakeland Hills Blvd Lakeland FL 33805-3019 |
| Mailing Address |
Po Box 95004 Lakeland FL 33804-5004 |
| Practice Telephone | 8636807000 |
| Practice Fax Number | 8662648519 |
| Mailing Telephone | 8636807000 |
| Mailing Fax Number | 8636807420 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME101100 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1600 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940695 | Watson Clinic LLP | Internal Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2005-05-31 |
| 1134720261 | Hope Dukes | Family Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2020-11-04 |
| 1659994259 | Jessica Lynn Garber | Physician Assistant | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2020-05-19 |
| 1427681410 | Paula Suryani Wibowo | Nurse Practitioner | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2020-02-18 |
| 1932739828 | Ashley Duncan | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2020-01-21 |
| 1285273672 | Nicholas Skulimoski | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2020-01-02 |
| 1134779812 | Mallory Bastian | Physician Assistant | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2019-09-16 |
| 1730741356 | Kellie L. Smaidi | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2019-07-03 |
| 1982265864 | Alexandra Starzhevskiy | Nurse Practitioner | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2019-06-22 |
| 1548829666 | Ashley Nicole Craig | Nurse Practitioner | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2019-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1043215577 | Rahim Salari | Internal Medicine | 6563 Crescent Lake Dr, Lakeland, FL 33813-4654 | 2005-06-21 |
| 1548402712 | Nishant R Goel | Internal Medicine | 3030 Harden Blvd, Lakeland, FL 33803-7952 | 2009-04-02 |
| 1982864187 | Edwin Ashton Sammer | Internal Medicine | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2008-06-11 |
| 1861465262 | Richard Leslie Rutherford | Internal Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2006-02-08 |
| 1023081346 | Eric Lipson | Internal Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2006-02-08 |
| 1366414518 | Eric George Catz | Internal Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507431 | Tricounty Physicians, LLC | Internal Medicine | 1507 Buenos Aires Blvd Ste 102, The Villages, FL 32159-8974 | 2020-01-21 |
| 1104464262 | Naples Pulmonary LLC | Internal Medicine | 3021 Airport Pulling Rd N Ste 103, Naples, FL 34105-3077 | 2019-12-19 |
| 1245892611 | Blueapplecare, LLC. | Internal Medicine | 2625 Executive Park Dr Ste 101, Weston, FL 33331-3634 | 2019-07-05 |
| 1598321051 | South Broward Hospital District | Internal Medicine | 7369 Sheridan St Ste 302, Hollywood, FL 33024-2776 | 2019-05-10 |
| 1255800629 | Shiffa Medical Solutions LLC | Internal Medicine | 12144 Montalcino Circle, Windermere, FL 34780 | 2018-11-15 |
| 1538638853 | Arif Shakoor II LLC | Internal Medicine | 2257 Us Highway 441 N Ste C, Okeechobee, FL 34972-1943 | 2018-11-15 |
| 1396226304 | Adayiba Zamora | Internal Medicine | 10794 Pines Blvd Ste 205, Pembroke Pines, FL 33026-3920 | 2018-08-27 |
| 1366929465 | Ernesto E. Fonts, M.d, P.a. | Internal Medicine | 777 E 25th St Ste 512, Hialeah, FL 33013-3834 | 2018-07-23 |
| 1528552494 | Joseph C Daley IIi Md Fccp LLC | Internal Medicine | 1031 Se 9th Pl Unit 2, Cape Coral, FL 33990-3003 | 2018-06-14 |
| 1992200158 | James Lucio Md, Pa | Internal Medicine | 12627 Butler Bay Ct, Windermere, FL 34786-6102 | 2018-03-28 |
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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.