DR. HENRY BUSHNELL CLARKE (NPI# 1891722583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891722583 |
| Entity Type | Individual |
| Full Name | DR. HENRY BUSHNELL CLARKE |
| Credential | M.D. |
| Practice Address |
603 7th St S Suite 540 St Petersburg FL 33701-4734 |
| Mailing Address |
Po Box 10744 Clearwater FL 33757-8744 |
| Practice Telephone | 7275537550 |
| Practice Fax Number | 7275537549 |
| Mailing Telephone | 7275320002 |
| Mailing Fax Number | 7272664943 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2017-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | ME0059894 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE PROVIDER NUMBER | P00647724 | 01 |
| FL | 054928200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609851310 | Henry D Clarke | Orthopaedic Surgery | 5779 E Mayo Blvd, Phoenix, AZ 85054 | 2005-12-14 |
| Street Address |
603 7TH ST S SUITE 540 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043208523 | Molly M Long | Obstetrics & Gynecology | 603 7th St S, Suite 300, St Petersburg, FL 33701-4719 | 2005-10-10 |
| 1144855883 | Tanya Askif | Nurse Practitioner | 603 7th St S, St Petersburg, FL 33701-4719 | 2020-03-03 |
| 1316497613 | Lindsay Armstrong | Physician Assistant | 603 7th St S, St Petersburg, FL 33701-4719 | 2016-10-11 |
| 1285188219 | Stefanie Marie Indellicati | Physician Assistant | 603 7th St S, Suite 360, St Petersburg, FL 33701-4719 | 2016-08-08 |
| 1184073371 | Bayfront Health | General Acute Care Hospital | 603 7th St S, #500, St Petersburg, FL 33701-4719 | 2016-06-08 |
| 1740639160 | Christina Ann Carlee | Surgery | 603 7th St S, Suite 500, St Petersburg, FL 33701-4719 | 2016-06-07 |
| 1407200108 | Nicholas Caswell | Physician Assistant | 603 7th St S, Suite 540, St Petersburg, FL 33701-4719 | 2016-04-19 |
| 1922481399 | Bayfront Health | Nurse Practitioner | 603 7th St S, Ste 500, St Petersburg, FL 33701-4719 | 2015-07-03 |
| 1962842963 | Bayfront Hma Wellness Center, LLC | Clinic/Center | 603 7th St S, Suite 350, St Petersburg, FL 33701-4719 | 2013-07-05 |
| 1477895761 | Abigail Shniter Blackman | Emergency Medicine | 603 7th St S, Suite 360, St Petersburg, FL 33701-4719 | 2013-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285765040 | Pinellas Medical Associates, Pa | Neurological Surgery | 5880 49th St N Ste 104, St Petersburg, FL 33709-2142 | 2007-03-07 |
| 1528004934 | Brain2spine Institute | Neurological Surgery | 603 7th St S Ste 540, St Petersburg, FL 33701-4734 | 2006-06-22 |
| 1487627873 | Casey N Gaines Md Pa | Neurological Surgery | 1761 Oceanview Dr, St Petersburg, FL 33715-2509 | 2006-02-08 |
| 1285010785 | John Drygas LLC | Neurological Surgery | 900 Carillon Pkwy, Suite 402a, St Petersburg, FL 33716-1115 | 2015-08-06 |
| 1649595182 | Adam Ross Befeler | Neurological Surgery | 603 7th St S, Suite 540, St Petersburg, FL 33701-4719 | 2010-03-27 |
| 1275778151 | Quality Neurosurgical Group Pl | Neurological Surgery | 1201 5th Ave N, Suite 210, St Petersburg, FL 33705-1400 | 2008-12-08 |
| 1992959399 | Jonathan S Hall Md Pa | Neurological Surgery | 6006 49th St N, Suite 330, St Petersburg, FL 33709-2148 | 2008-11-12 |
| 1376700393 | Bayfront Physician Speciality | Neurological Surgery | 700 6th St S, St Petersburg, FL 33701-4815 | 2008-05-19 |
| 1194936096 | Cedric D. Shorter | Neurological Surgery | 603 7th St S, Suite 540, St Petersburg, FL 33701-4734 | 2007-05-24 |
| 1073666095 | John Casimir Drygas | Neurological Surgery | 900 Carillon Pkwy, Suite 402a, St Petersburg, FL 33716-1115 | 2007-01-21 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
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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.