MANATEE PHYSICIAN ALLIANCE, LLC (NPI# 1831654771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831654771 |
| Entity Type | Organization |
| Organization Name | MANATEE PHYSICIAN ALLIANCE, LLC |
| Other Organization Name | MANATEE URGENT CARE |
| Practice Address |
4647 Manatee Ave W Bradenton FL 34209-3816 |
| Mailing Address |
367 S Gulph Rd King of Prussia PA 19406-3121 |
| Practice Telephone | 9417455999 |
| Practice Fax Number | 9417453555 |
| Mailing Telephone | 6103824943 |
| Mailing Fax Number | 6108783965 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | TODD EVANS (VP) |
| Authorized Official Telephone | 6107683300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Manatee Urgent Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6272 Lake Osprey Dr, Lakewood Ranch, FL 342408425 | 9419072800 | 9419079434 |
| 9908 Sr 64, Bradenton, FL 342125303 | 9417478600 | 9417495915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588970446 | Manatee Physician Alliance, LLC | Dietitian, Registered | 206 2nd St E, Bradenton, FL 34208-1042 | 2010-08-28 |
| Street Address |
4647 MANATEE AVE W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-3816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346271699 | Asha Munshi | Family Medicine | 4647 Manatee Ave W, Bradenton, FL 34209-3816 | 2006-07-05 |
| 1477174456 | Manatee Urgent Care LLC | Clinic/Center | 4647 Manatee Ave W, Bradenton, FL 34209-3816 | 2020-05-01 |
| 1881240273 | Marilyn Leann Waters | Nurse Practitioner | 4647 Manatee Ave W, Bradenton, FL 34209-3816 | 2019-08-13 |
| 1689148306 | Victoria Crittenden | Physician Assistant | 4647 Manatee Ave W, Bradenton, FL 34209-3816 | 2019-01-15 |
| 1982144242 | Angel Wasson | Nurse Practitioner | 4647 Manatee Ave W, Bradenton, FL 34209-3816 | 2017-03-06 |
| 1194120535 | Lucas W Maliwacki | Physician Assistant | 4647 Manatee Ave W, Bradenton, FL 34209-3816 | 2014-10-28 |
| 1437595782 | Guy Guimond | Physician Assistant | 4647 Manatee Ave W, Bradenton, FL 34209 | 2013-05-14 |
| 1396997532 | Lakewood Ranch Urgent Care, Pa | Clinic/Center | 4647 Manatee Ave W, Bradenton, FL 34209-3849 | 2008-10-21 |
| 1154513364 | Michael John Austen | Family Medicine | 4647 Manatee Ave W, Bradenton, FL 34209-3816 | 2007-08-11 |
| 1053453878 | Kathleen M Welch-wilson | Family Medicine | 4647 Manatee Ave W, Bradenton, FL 34209-3816 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797737 | Rhc Bradenton LLC | Family Medicine | 4502 Cortez Rd W Ste 301a, Bradenton, FL 34210-3124 | 2020-10-13 |
| 1265075261 | Lifestream Family Medicine P.a. | Family Medicine | 1957 Worth Court, Bradenton, FL 34211 | 2019-10-22 |
| 1386201408 | Amado Castellon | Family Medicine | 822 62nd Street Cir E Ste 102, Bradenton, FL 34208-6208 | 2019-05-23 |
| 1316410475 | Open Access Urgent Care | Family Medicine | 1838 Rye Rd Ste 107, Bradenton, FL 34212-9038 | 2019-01-10 |
| 1699219113 | Lakewood Ranch Primary Care Associates | Family Medicine | 822 62nd Street Cir E, Suite 102, Bradenton, FL 34208-6208 | 2016-12-19 |
| 1346633708 | Cortez Knee and Sports Medicine, LLC | Family Medicine | 6203 Cortez Rd W, Bradenton, FL 34210-2602 | 2015-03-10 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1679984561 | Ofelia Alessandra Lopez | Family Medicine | 1911 83rd St Nw, Bradenton, FL 34209-9753 | 2014-05-13 |
| 1558655191 | Victor Lee Kim | Family Medicine | 8614 E State Road 70 Ste 200, Bradenton, FL 34202-3710 | 2011-05-31 |
| 1255663126 | Mcr Health, Inc. | Family Medicine | 1649 1st St, Bradenton, FL 34208-3231 | 2010-02-03 |
| Find all providers in BRADENTON | ||||
Please comment or provide details below to improve the information on MANATEE PHYSICIAN ALLIANCE, LLC.
| 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.