MARK SHERBERG (NPI# 1770023277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770023277 |
| Entity Type | Individual |
| Full Name | MARK SHERBERG |
| Credential | ARNP |
| Practice Address |
3301 W Gandy Blvd Tampa FL 33611-2931 |
| Practice Telephone | 8139951903 |
| Mailing Telephone | 8139251903 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9359184 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3301 W GANDY BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33611-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568456697 | Daron G. Diecidue | Family Medicine | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2005-09-05 |
| 1295357051 | Jason Lee Kissick | Registered Nurse | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2020-05-14 |
| 1588225999 | Katina Kokkinos | Nurse Practitioner | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2019-06-26 |
| 1487139077 | Sydnee Prince Simpson | Physician Assistant | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2018-09-28 |
| 1700320959 | Murilo Da Silveira | Nurse Practitioner | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2016-12-07 |
| 1710331889 | Christina Mary Tanaka | Physician Assistant | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2016-04-14 |
| 1891151387 | Megan Uribe | Physician Assistant | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2016-01-13 |
| 1063718013 | Synergic Healthcare Solutions LLC | Clinic/Center | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2011-02-08 |
| 1154634327 | Zachary Chase Thompson | Family Medicine | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2010-07-16 |
| 1235391483 | Nicole Marie Wilson Hall | Family Medicine | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2008-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519224 | Health & Glow Primary Care & Med Spa LLC | Internal Medicine | 4331 S Manhattan Ave, Tampa, FL 33611 | 2020-08-18 |
| 1245867597 | Susannah M Bultron | Home Health | 1663 Williambrg Sq, 1663 Williambrg Sq, Tampa, FL 33611 | 2020-03-26 |
| 1265077499 | Jenna Davis | Counselor | 4517 S Shamrock Rd, Tampa, FL 33611 | 2019-11-12 |
| 1023585114 | Samantha Lee Hamlin | Dietitian, Registered | 4003 S West Shore Blvd, Apt 4810, Tampa, FL 33611 | 2018-10-27 |
| 1023502572 | Sunset Chiropractic P.a. | Chiropractor | 3826 South Dale Mabry Hwy, South Tampa, FL 33611 | 2018-06-19 |
| 1033654843 | Nicole A Devlieger | Specialist/Technologist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611 | 2017-01-03 |
| 1740633064 | Charles Lindsey | Case Manager/Care Coordinator | 5215 South Westshore Blvd. #31, Tampa, FL 33611 | 2016-07-21 |
| 1699145078 | Sarah Milam | Physical Therapist | 3111 W.martin Luther King Jr Blvd, Suite # 500, Tampa, FL 33611 | 2015-09-29 |
| 1912399163 | Robert Robertson | Pharmacist | 4317 Gandy Blvd, Tampa, FL 33611 | 2015-02-25 |
| 1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
| Find all providers in zip 33611 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153278 | Desirae A. Segura | Nurse Practitioner | 8218 Marauder Dr, Tampa, FL 33621-1426 | 2020-10-29 |
| 1750980173 | Vanessa P Criales | Nurse Practitioner | 4708 Pebblepointe Pl, Tampa, FL 33634-6271 | 2020-10-19 |
| 1023616778 | Latoya Tanique Sinclair | Nurse Practitioner | 4121 E Busch Blvd Apt 804, Tampa, FL 33617-5970 | 2020-10-14 |
| 1801403068 | Krystal G Solie | Nurse Practitioner | 14105 Mccormick Dr, Tampa, FL 33626-3019 | 2020-09-30 |
| 1578179784 | Brooke Sliman | Nurse Practitioner | 403 S Albany Ave Unit 2, Tampa, FL 33606-2180 | 2020-09-22 |
| 1538773791 | Cindy Irene Gearheart | Nurse Practitioner | 7712 W Powhatan Ave, Tampa, FL 33615-4133 | 2020-09-04 |
| 1447864921 | Kimberly Marie Hymiller | Nurse Practitioner | 4600 N Habana Ave Ste 13, Tampa, FL 33614-7123 | 2020-09-02 |
| 1508479841 | Andrea Mole | Nurse Practitioner | 5035 E Busch Blvd Ste 1a&1b, Tampa, FL 33617-5310 | 2020-08-26 |
| 1467065896 | Cho Yee Mon Maung | Nurse Practitioner | 2606 W Waters Ave, Tampa, FL 33614-1835 | 2020-08-25 |
| 1235741141 | Luis V Amat | Nurse Practitioner | 2301 W Clifton St, Tampa, FL 33603-1027 | 2020-08-21 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on MARK SHERBERG.
| 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.