LEE SHETTLE DO PA (NPI# 1780981779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780981779 |
| Entity Type | Organization |
| Organization Name | LEE SHETTLE DO PA |
| Practice Address |
13113 66th St N Largo FL 33773-1812 |
| Practice Telephone | 7276742500 |
| Practice Fax Number | 7276742550 |
| Mailing Telephone | 7276742500 |
| Mailing Fax Number | 7276742550 |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-09-22 |
| Authorized Official Name | DR. PHILIP LEE SHETTLE (OWNER) |
| Authorized Official Telephone | 7276742500 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | OS6621 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FLORIDA | 80884 | 01 |
| FL | 378381200 | 05 | |
| FL | RAILROAD MEDICARE | 180045006 | 01 |
| Street Address |
13113 66TH ST N |
| City | LARGO |
| State | FL |
| Zip Code | 33773-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144719 | Rosabelle Magloire Chism | Nurse Practitioner | 11542 92nd Street North, Largo, FL 33773 | 2020-08-10 |
| 1265040976 | Gulf Coast Mental Health Services LLC | Clinic/Center | 10641 Whittngton Court, Largo, FL 33773 | 2020-07-20 |
| 1770930190 | Albert H Thurlow IIi | Nurse Practitioner | 10471 Whittington Ct, Largo, FL 33773 | 2016-05-16 |
| 1700264660 | Logan Kienholz | Behavioral Analyst | 12505 Sarky Rd, Suite G, Largo, FL 33773 | 2015-05-12 |
| 1093121998 | Dorit Morecraft | Nurse Practitioner | 10641 Whittington Court, Largo, FL 33773 | 2014-07-11 |
| 1891135281 | Shameka Jones | Pharmacist | 12091 Starkey Rd, Largo, FL 33773 | 2013-06-28 |
| 1427496942 | Kim Hoang T Vo | Podiatrist | 12685 Starkey Road, Largo, FL 33773 | 2013-06-06 |
| 1104165729 | Aaron Rigali | Pharmacist | 11701 S Belcher Rd Ste 126, Largo, FL 33773 | 2013-02-01 |
| 1518249648 | Jolynn Renee Dyer | Occupational Therapist | 8254 118th Ave Unit 100, Unit 100, Largo, FL 33773 | 2011-09-14 |
| 1366720161 | Sally Donna Plink | Massage Therapist | 10671 104th Ave N, Seminole, FL 33773 | 2011-07-27 |
| Find all providers in zip 33773 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649356775 | Philip L. Shettle D.o., P.a. | Ophthalmology | 670 N. Clearwater - Largo Road, Largo, FL 33770-2377 | 2006-10-31 |
| 1285644914 | Frank Seidl | Ophthalmology | 2770 E Bay Dr, Largo, FL 33771-2469 | 2006-08-08 |
| 1851353239 | John L. Michaelos | Ophthalmology | 1030 W Bay Dr, Largo, FL 33770-3225 | 2006-04-03 |
| 1023016243 | Philip Lee Shettle | Ophthalmology | 13113 66th St, Largo, FL 33773-1812 | 2005-07-12 |
| 1427056548 | Philip Leroy Shettle | Ophthalmology | 670 Clearwater Largo Rd N, Suite A, Largo, FL 33770-2377 | 2005-07-12 |
| 1033112156 | Stacia H Goldey | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2005-05-23 |
| 1679936991 | Kirkland Castellano | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2016-04-04 |
| 1225411622 | Maria L. Adams | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2015-07-02 |
| 1528440856 | Brandon Connor Clair | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2015-06-23 |
| 1043646672 | Bradley Philip Oneill | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2013-09-14 |
| Find all providers in LARGO | ||||
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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.