DELTA MEDICAL ASSOCIATES, LLC (NPI# 1902281264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902281264 |
| Entity Type | Organization |
| Organization Name | DELTA MEDICAL ASSOCIATES, LLC |
| Practice Address |
4606 62nd Ave E Bradenton FL 34203-6306 |
| Practice Telephone | 8562871775 |
| Mailing Telephone | 8562871775 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |
| Authorized Official Name | DENNIS DEMARIA (OWNER) |
| Authorized Official Telephone | 8562871775 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME116794 | FL | Allopathic & Osteopathic Physicians |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9338988 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4606 62ND AVE E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34203-6306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069268 | Mcr Health, Inc. | Clinic/Center | 6040 Sr 70 E, Bradenton, FL 34203 | 2019-08-22 |
| 1053814251 | Oneco Smiles Inc | Dentist | 1612 53rd Ave East, Oneco, FL 34203 | 2018-03-14 |
| 1811404908 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1505 53rd Ave, Bradenton, FL 34203 | 2018-01-10 |
| 1871003632 | Linda J Campbell | Dietitian, Registered | 6610 68th Street East, Bradenton, FL 34203 | 2017-10-06 |
| 1710430988 | Crystal Camden | Dentist | 5205 Office Park Blvd, Bradenton, FL 34203 | 2016-07-25 |
| 1104214865 | Sea of Smiles, Inc. | Dentist | 6060 State Road 70, Suite A, Bradenton, FL 34203 | 2015-01-05 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1881090025 | Lockwood Commons Dental Care | Dentist | 4222 53rd Ave E, Bradenton, FL 34203 | 2014-11-17 |
| 1447661418 | David W Heaton | Dentist | 1612 53rd Avenue East, Bradenton, FL 34203 | 2014-05-13 |
| 1346688066 | Joshua Donald Hogan | Pharmacist | 7290 55th Avenue East, Bradenton, FL 34203 | 2013-06-05 |
| Find all providers in zip 34203 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639587728 | Debbie C. Sheneman Np-c Inc | Nurse Practitioner | 926 14th St W, Bradenton, FL 34205-6646 | 2014-08-01 |
| 1689012163 | Sophia B Moorjani | Nurse Practitioner | 12809 Kite Drive, Bradenton, FL 34212 | 2013-06-06 |
| 1942316922 | Susan L Gaida | Nurse Practitioner | 202 Sherwood Dr, Bradenton, FL 34210-4516 | 2006-08-22 |
| 1700820958 | Kimberly A Sand | Nurse Practitioner | 1105 53rd Ave E, Building A, Bradenton, FL 34203-4897 | 2006-06-16 |
| 1407819477 | Janene Mary Diekmann | Nurse Practitioner | 5520 State Road 64, Bradenton Cboc, Bradenton, FL 34208 | 2006-04-10 |
| 1609838119 | Catherine I Mcdermott | Nurse Practitioner | 3914 East State Road 64, Bradenton, FL 34208-9095 | 2006-04-03 |
| 1922091396 | Jill M Heringhaus | Nurse Practitioner | 201 4th Ave E, Suite 1, Bradenton, FL 34208 | 2005-08-31 |
| 1689139297 | Autumn Nicole Stevanus | Nurse Practitioner | 8614 State Road 70 E Ste 104, Bradenton, FL 34202-3710 | 2019-02-07 |
| 1851855050 | Charles Kasten | Nurse Practitioner | 2401 Manatee Ave W, Bradenton, FL 34205-4933 | 2019-01-22 |
| 1104345750 | Andrea Marie Bell | Nurse Practitioner | 101 Riverfront Blvd Ste 700, Bradenton, FL 34205-8823 | 2017-09-14 |
| Find all providers in BRADENTON | ||||
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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.