MR. MARKO TRKULJA (NPI# 1760815526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760815526 |
| Entity Type | Individual |
| Full Name | MR. MARKO TRKULJA |
| Credential | AA-C |
| Practice Address |
2500 Harbor Blvd Port Charlotte FL 33952 |
| Mailing Address |
134 Winston Manor Cir Seffner FL 33584-4180 |
| Practice Telephone | 9412067251 |
| Mailing Telephone | 8137664842 |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2018-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367H00000X | Anesthesiologist Assistant | AA179 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016735800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Sw Archer Rd, Gainesville, FL 326100254 | 3522738610 |
| Street Address |
2500 HARBOR BLVD |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043282049 | Fernando Luis Lomba | Pathology | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 2006-02-03 |
| 1265030928 | Christine Lynn Henson | Nurse Practitioner | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 2020-10-15 |
| 1902429590 | Port Charlotte Hma LLC | Medicare Defined Swing Bed Unit | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 2020-05-19 |
| 1932720596 | Swaroop Muppavarapu, M.d., P.a. | Nurse Anesthetist, Certified Registered | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 2020-05-05 |
| 1932754868 | Laura Frances Hollenbeck | Nurse Practitioner | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 2019-08-07 |
| 1063980647 | Bridgett V Donalson | Registered Nurse | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 2018-11-13 |
| 1386147122 | Christina Samale | Pharmacist | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 2018-03-16 |
| 1902261241 | Port Charlotte Radiology Consultants Pa | Radiology | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 2015-12-30 |
| 1770996977 | Paulla Massie | Perfusionist | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 2014-06-05 |
| 1386062420 | Sophia Kuma | Pharmacist | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 2014-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761798 | Wayleniz Rosario Falero | Anesthesiologist Assistant | 331 Sw 19th Ln, Cape Coral, FL 33991-3784 | 2020-08-18 |
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1992327308 | Daniel Le Phan | Anesthesiologist Assistant | 800 Prudential Dr Fl 32207, Jacksonville, FL 32207-8202 | 2020-05-08 |
| 1497395412 | Charles Joshua Thrower | Anesthesiologist Assistant | 1 Shircliff Way # Wat, Jacksonville, FL 32204-4748 | 2020-01-07 |
| 1194372227 | Matthew Zachary Laribee | Anesthesiologist Assistant | 7900 N Kendall Dr, Miami, FL 33156-7457 | 2019-08-22 |
| 1659856862 | Ian Michael Durham | Anesthesiologist Assistant | 1 Shircliff Way Fl 32204, Jacksonville, FL 32204-4748 | 2018-10-03 |
| 1386138287 | Stephen Johnson | Anesthesiologist Assistant | 157 Dawn Lauren Ln, Tallahassee, FL 32301-3415 | 2018-06-15 |
| 1164910691 | Heather Berman | Anesthesiologist Assistant | 209 Bristol Ct, Tavernier, FL 33070-2838 | 2018-04-30 |
| 1710437561 | Alyssa Scheidecker | Anesthesiologist Assistant | 12305 Hawthorne View Court, Tampa, FL 33626 | 2016-10-05 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
Please comment or provide details below to improve the information on MR. MARKO TRKULJA.
| 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.