DR. THOMAS R CIVITELLA (NPI# 1851310080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851310080 |
| Entity Type | Individual |
| Full Name | DR. THOMAS R CIVITELLA |
| Credential | M.D. |
| Practice Address |
2595 Harbor Blvd Suite 207 Port Charlotte FL 33952-6724 |
| Practice Telephone | 9416293937 |
| Practice Fax Number | 9416272281 |
| Mailing Telephone | 9416293937 |
| Mailing Fax Number | 9416272281 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME17673 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2595 HARBOR BLVD SUITE 207 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-6724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871006734 | Parkside Assisted Living and Memory Cottage | Assisted Living Facility | 2595 Harbor Blvd, Port Charlotte, FL 33952-6724 | 2017-11-14 |
| 1790707024 | Eric Allan Nash | Ophthalmology | 2595 Harbor Blvd, Suite 207, Port Charlotte, FL 33952-6724 | 2006-07-24 |
| 1487676714 | James H Tietsworth | Ophthalmology | 2595 Harbor Blvd, Suite 207, Port Charlotte, FL 33952-6724 | 2006-07-24 |
| 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 | 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 |
|---|---|---|---|---|
| 1740888353 | Jonathan M Frantz, Md Pa | Ophthalmology | 18500 Veterans Blvd Unit 4, Port Charlotte, FL 33954-1035 | 2020-10-15 |
| 1912367541 | Daniel Solano | Ophthalmology | 3430 Tamiami Trl Ste A, Port Charlotte, FL 33952-8148 | 2016-02-24 |
| 1710256110 | David M Klein, M.d., Ophthalmologist, P.a. | Ophthalmology | 1600 Tamiami Trl, Suite 101, Port Charlotte, FL 33948-1017 | 2011-12-14 |
| 1871609701 | David M Klein | Ophthalmology | 1600 Tamiami Tr, Suite 101, Port Charlotte, FL 33948 | 2006-08-22 |
| 1386637387 | Joseph A Hegleh | Ophthalmology | 3195 Tamiami Trl, Suite B, Port Charlotte, FL 33952-8029 | 2005-08-24 |
| 1245238526 | Eric Richard Schaible | Ophthalmology | 21275 Olean Blvd, Port Charlotte, FL 33952-6704 | 2005-07-12 |
| 1225477748 | Eric Alexander Liss | Ophthalmology | 21275 Olean Blvd, Port Charlotte, FL 33952-6704 | 2013-06-18 |
| 1962699538 | Neil B. Zusman, M.d., P.a. | Ophthalmology | 3430 Tamiami Trl, Suite A, Port Charlotte, FL 33952-8127 | 2007-09-27 |
| 1215123831 | Florida Eye and Laser Institute LLC | Ophthalmology | 3195 Tamiami Trl, Port Charlotte, FL 33952-8034 | 2007-09-18 |
| 1205043684 | Craig Czyz | Ophthalmology | 21178 Olean Blvd, Port Charlotte, FL 33952-6728 | 2007-05-17 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
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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.