JEFFERSON MASON TRUPP (NPI# 1871552638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871552638 |
| Entity Type | Individual |
| Full Name | JEFFERSON MASON TRUPP |
| Credential | MD |
| Practice Address |
2900 S Highway 77 Lynn Haven FL 32444-5612 |
| Mailing Address |
8203 N Lagoon Dr Panama City FL 32408-5267 |
| Practice Telephone | 8504811687 |
| Practice Fax Number | 8506400761 |
| Mailing Telephone | 8508960773 |
| Mailing Fax Number | 8502349272 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME40682 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000014577 | 05 | |
| FL | 266076800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Doctors Dr, Panama City, FL 324057608 | 8508960773 | 8502349272 |
| Street Address |
2900 S HIGHWAY 77 |
| City | LYNN HAVEN |
| State | FL |
| Zip Code | 32444-5612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568983781 | Jefferson M Trupp Md Pa | Radiology | 2900 S Highway 77, Lynn Haven, FL 32444-5612 | 2017-06-28 |
| 1669599296 | Jagjit Singh Tandon | Internal Medicine | 2900 S Highway 77, Lynn Haven, FL 32444 | 2007-03-26 |
| 1326162470 | Radiation Oncology Specialists LLC | Radiology | 2900 S Highway 77, Lynn Haven, FL 32444-5612 | 2007-03-16 |
| 1457386104 | Robert A Bloom | Urology | 2900 S Highway 77, Lynn Haven, FL 32444-5612 | 2006-07-11 |
| 1447210927 | Hasan Murshed | Radiology | 2900 S Highway 77, Lynn Haven, FL 32444-5612 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508404062 | Anthony Briel | Military Health Care Provider | 305 S Crag Road, Panama City, FL 32444 | 2019-12-16 |
| 1487155149 | Hope Abigail Koller | Behavior Technician | 2007 Brenda Circle, Lynn Haven, FL 32444 | 2018-02-27 |
| 1871849836 | Kristopher D Isenberg | Physical Therapy Assistant | 307 Geralo Lane, Lynn Haven, FL 32444 | 2012-07-27 |
| 1699067942 | Nation's Best Family Health Care Pllc | Family Medicine | 817 Ohio Avenue, Lynn Haven, FL 32444 | 2011-05-04 |
| 1992989883 | Medstop Pl LLC | Family Medicine | 3003 State Highway 77, Suite A, Lynn Haven, FL 32444 | 2007-12-27 |
| 1407062508 | Dianne Basford Ray | Pharmacist | 1812 Hwy 77 So, Unit #119, Lynn Haven, FL 32444 | 2007-05-15 |
| 1467679142 | St. Andrew Bay Center, Inc. | Day Training, Developmentally Disabled Services | 1804 Carolina Avenue, Lynn Haven, FL 32444 | 2007-04-20 |
| 1003030412 | Velma L Murphy | Case Manager/Care Coordinator | 1312 Virginia Avenue, Lynn Haven, FL 32444 | 2007-04-13 |
| 1437285087 | Fred William Werner | Pharmacist | 1812 Hwy 77 South, Lynn Haven, FL 32444 | 2007-02-26 |
| 1689746588 | Shawn Dey Walker | Massage Therapist | 1405 Wyoming Ave, Lynn Haven, FL 32444 | 2006-11-15 |
| Find all providers in zip 32444 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568983781 | Jefferson M Trupp Md Pa | Radiology | 2900 S Highway 77, Lynn Haven, FL 32444-5612 | 2017-06-28 |
| 1326162470 | Radiation Oncology Specialists LLC | Radiology | 2900 S Highway 77, Lynn Haven, FL 32444-5612 | 2007-03-16 |
| 1447210927 | Hasan Murshed | Radiology | 2900 S Highway 77, Lynn Haven, FL 32444-5612 | 2006-03-27 |
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|---|---|---|---|---|
| 1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
| 1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
| 1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
| 1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
| 1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
| 1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
| Find all providers with the same taxonomy | ||||
| City | LYNN HAVEN |
| Zip Code | 32444 |
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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.