DR. IRA DAVID SHANDLES (NPI# 1770502015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770502015 |
| Entity Type | Individual |
| Full Name | DR. IRA DAVID SHANDLES |
| Credential | D.P.M. |
| Practice Address |
11809 N Dale Mabry Hwy Tampa FL 33618-3505 |
| Mailing Address |
Po Box 271490 Tampa FL 33688-1490 |
| Practice Telephone | 8132645100 |
| Practice Fax Number | 8132647476 |
| Mailing Telephone | 8132645100 |
| Mailing Fax Number | 8132647476 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POOOO1105 | FL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
11809 N DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33618-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770582355 | Frederick J Mcclimans | Neuromusculoskeletal Medicine, Sports Medicine | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2005-07-18 |
| 1295336196 | Garrett Adam Dietz | Physical Therapist | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2020-11-06 |
| 1972062685 | 360 Ortho and Spine LLC | Orthopaedic Surgery | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2019-03-13 |
| 1093214736 | Burke Collins Therapy, Inc | Physical Therapist | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2018-02-08 |
| 1952635724 | Megan M Kise | Physician Assistant | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2009-09-28 |
| 1861621583 | Katherine Ellen Holeman | Physical Therapist | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2009-07-02 |
| 1437342847 | Grace Angela Levy-clarke | Ophthalmology | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2007-08-20 |
| 1841354578 | Frederick J Mcclimans Do Pa | Orthopaedic Surgery | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2006-12-20 |
| 1689787160 | Tampa Bay Podiatry Associates Pa | Podiatrist | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2006-08-17 |
| 1962452649 | Stefan A Prada | Orthopaedic Surgery | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1801378252 | Leah Rae Petit | Nurse Practitioner | 3505, 11809 N Dale Mabry Hwy, Tampa, FL 33618 | 2018-09-02 |
| 1265921100 | Almighty Home Healthcare Services, Inc. | Home Health | 16614 N. Dale Mabry Hwy, Tampa, FL 33618 | 2018-05-07 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1760919179 | Sara Ashley Carr | Counselor | 10014 N Dale Mabry Hwy Ste 216, Tampa, FL 33618 | 2017-05-16 |
| 1073975231 | National Vision, Inc. | Technician/Technologist | 10934 N Dale Mabry Hwy, Carrollwood, FL 33618 | 2016-03-25 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1114205648 | Liberty Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3653 Madaca Ln, Tampa, FL 33618 | 2011-08-02 |
| 1386938215 | David Leonardo Higuera | Pharmacist | 2901 W Bush Blvd, Suite 104, Tampa, FL 33618 | 2011-06-08 |
| 1922303973 | Kimberly Lynne Little | Social Worker | 3044 W. Bearss Avenue, Tampa, FL 33618 | 2011-01-24 |
| Find all providers in zip 33618 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114211299 | Megan Brook Johnson | Podiatrist | 13019 W Linebaugh Ave Ste 101, Tampa, FL 33626 | 2011-06-06 |
| 1437207933 | All Podiatry Group Inc | Podiatrist | 2511 W. Dr Martin L. King Blvd., Tampa, FL 33607 | 2007-01-08 |
| 1225103260 | Richard Steven Salkowe | Podiatrist | 4130 Carrollwood Village Dr, Tampa, FL 33618-8626 | 2006-11-22 |
| 1831288554 | Bernard Goldstein | Podiatrist | 13615 Bruce B Downs Blvd, Suite 112, Tampa, FL 33613-4607 | 2006-10-12 |
| 1942238829 | Paul A Beyer | Podiatrist | 13349 N 56th St, Tampa, FL 33617-1161 | 2006-06-29 |
| 1124080866 | James Russell Lowrey | Podiatrist | 8583 W Linebaugh Ave, Tampa, FL 33625-3731 | 2006-04-06 |
| 1629573217 | Tidewater Foot & Ankle Associates, Inc. | Podiatrist | 13019 W Linebaugh Ave Ste 101, Tampa, FL 33626 | 2018-03-27 |
| 1831619956 | Michal Waldman Dpm Pa | Podiatrist | 1706 E Bearss Ave, Tampa, FL 33613-2451 | 2017-06-20 |
| 1043743800 | Michael Birau | Podiatrist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2017-04-09 |
| 1740726959 | Kussel & Associates | Podiatrist | 1302 W Swann Ave, Tampa, FL 33606-2531 | 2017-01-11 |
| 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.