DR. SHEA MICHAEL ECKARDT (NPI# 1730363912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730363912 |
| Entity Type | Individual |
| Full Name | DR. SHEA MICHAEL ECKARDT |
| Credential | M.D. |
| Practice Address |
430 Morton Plant St Suite 405 Clearwater FL 33756-3398 |
| Practice Telephone | 7274430611 |
| Practice Fax Number | 7274615493 |
| Mailing Telephone | 7274430611 |
| Mailing Fax Number | 7274615493 |
| Enumeration Date | 2007-12-23 |
| Last Update Date | 2012-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 247067-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME 106174 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001992800 | 05 | |
| RR MCARE | P01024473 | 01 |
| Street Address |
430 MORTON PLANT ST SUITE 405 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896699 | Thurman Johnson Ross | Specialist | 430 Morton Plant St, Suite 206, Clearwater, FL 33756-3398 | 2005-10-25 |
| 1346693231 | Jacqueline Brooke Johnson | Physician Assistant | 430 Morton Plant St, Suite 301, Clearwater, FL 33756-3395 | 2016-07-15 |
| 1366898108 | Advanced Urology Institute | Non-Pharmacy Dispensing Site | 430 Morton Plant St, Suite 206, Clearwater, FL 33756-3398 | 2016-05-11 |
| 1487014171 | Kristen Hicks | Occupational Therapist | 430 Morton Plant St, Clearwater, FL 33756-3398 | 2016-02-24 |
| 1073998985 | Adam Pignon | Physical Therapist | 430 Morton Plant St, 206, Clearwater, FL 33756-3398 | 2015-07-22 |
| 1639426810 | Christopher Michael Edelman | Physician Assistant | 430 Morton Plant St, Suite 301, Clearwater, FL 33756-3398 | 2012-08-07 |
| 1104180280 | Shannon Marie Barsema | Clinical Neuropsychologist | 430 Morton Plant St, Suite 402, Clearwater, FL 33756-3398 | 2012-07-03 |
| 1083980767 | Antonia M Favacho | Physical Therapy Assistant | 430 Morton Plant St, Clearwater, FL 33756-3398 | 2012-03-28 |
| 1881968873 | Nancy Carol Blair | Speech-Language Pathologist | 430 Morton Plant St, Clearwater, FL 33756-3398 | 2012-03-08 |
| 1275807570 | Carly Runkles | Physical Therapist | 430 Morton Plant St, Suite 101, Clearwater, FL 33756-3398 | 2012-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| 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 |
|---|---|---|---|---|
| 1033379649 | Sanjiva Michael Lutchmedial | Internal Medicine | 430 Morton Plant St Ste 405, Clearwater, FL 33756 | 2008-06-17 |
| 1629005020 | Francis J Averill | Internal Medicine | 802 N Belcher Rd, Clearwater, FL 33765-2103 | 2006-06-28 |
| 1831133446 | Lisa A Whims-squires | Internal Medicine | 1305 South Ft. Harrison Ave., Bldg. G, Clearwater, FL 33756 | 2006-06-15 |
| 1891741708 | Berc Sarafian | Internal Medicine | 1518 S Missouri Ave, Clearwater, FL 33756-2237 | 2006-05-25 |
| 1285630806 | Dennis L College | Internal Medicine | 1305 S Fort Harrison Ave, Ste C, Clearwater, FL 33756-3301 | 2005-06-28 |
| 1952656274 | Brian G Salisbury Md Pa | Internal Medicine | 1305 S Fort Harrison Ave, Bldg D, Clearwater, FL 33756-3301 | 2012-07-24 |
| 1093004160 | Kenneth Cerreta | Internal Medicine | 430 Morton Plant St Ste 405, Clearwater, FL 33756-3394 | 2011-03-29 |
| 1093998742 | Lucas Alejandro Mikulic | Internal Medicine | 430 Morton Plant Street, Suite 405, Clearwater, FL 33756-3394 | 2007-12-17 |
| 1447369954 | Pulmonary Function Readers of Clearwater | Internal Medicine | 613 S Myrtle Ave, Clearwater, FL 33756-5615 | 2006-08-29 |
| 1477592426 | Lisa Whims-squires, D.o., Pa | Internal Medicine | 1305 S Fort Harrison Ave, Bldg. G, Clearwater, FL 33756-3301 | 2006-06-05 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
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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.