DR. KENNETH IYAMU (NPI# 1922104835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922104835 |
| Entity Type | Individual |
| Full Name | DR. KENNETH IYAMU |
| Credential | M.D |
| Practice Address |
1700 N Mcmullen Booth Rd D1 Clearwater FL 33759-2130 |
| Practice Telephone | 7276693800 |
| Practice Fax Number | 7276695600 |
| Mailing Telephone | 7276693800 |
| Mailing Fax Number | 7276695600 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2013-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME0090707 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 271917700 | 05 |
| Street Address |
1700 N MCMULLEN BOOTH RD D1 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33759-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619967528 | William Alvarez | Family Medicine | 1700 N Mcmullen Booth Rd, Suite C3, Clearwater, FL 33759-2130 | 2005-10-24 |
| 1356743207 | Elite Sports Podiatry, Pa | Podiatrist | 1700 N Mcmullen Booth Rd, Suite C-2, Clearwater, FL 33759-2130 | 2014-09-23 |
| 1922438498 | Lisa Cozzini | Nurse Practitioner | 1700 N Mcmullen Booth Rd, Suite D1, Clearwater, FL 33759-2130 | 2013-11-20 |
| 1386080612 | Vyacheslav Scott Gutkin | Family Medicine | 1700 N Mcmullen Booth Rd, Suite D1, Clearwater, FL 33759-2130 | 2013-05-14 |
| 1104166057 | Emma Zainabu Sandi | Nurse Practitioner | 1700 N Mcmullen Booth Rd, Suite D1, Clearwater, FL 33759-2130 | 2013-02-28 |
| 1184975492 | Saigi P Simon | Nurse Practitioner | 1700 N Mcmullen Booth Rd, Suite D1, Clearwater, FL 33759-2130 | 2012-09-26 |
| 1326315987 | Lucinda J Rau | Nurse Practitioner | 1700 N Mcmullen Booth Rd, D1, Clearwater, FL 33759-2130 | 2011-11-28 |
| 1932484367 | Innovative Spine Care, Inc. | Pain Medicine | 1700 N Mcmullen Booth Rd, Suite A2-1, Clearwater, FL 33759-2130 | 2011-10-17 |
| 1346560422 | Alcrista Investments, Inc. | Home Health | 1700 N Mcmullen Booth Rd, Suite B-3, Clearwater, FL 33759-2130 | 2010-06-11 |
| 1235369174 | Donna Faye Theiss | Nurse Practitioner | 1700 N Mcmullen Booth Rd, Suite D1, Clearwater, FL 33759-2130 | 2009-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487163119 | Neil Hook, O.d. and Associates, P.a. | Optometrist | 2679 Gulf To Bay Blvd # 560-570, Clearwater, FL 33759 | 2017-09-26 |
| 1306366224 | Caitlin Elise Sullivan | Chiropractor | 3000 Gulf To Bay Blvd Ste 201, Clearwater, FL 33759 | 2017-06-21 |
| 1881018851 | Monica Adam | Counselor | 3491 Gandy Blvd., Suite 201, Pinellas Park, FLORIDA 33759 | 2014-02-12 |
| 1174868509 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Dr, Bldg 31, Clearwater, FL 33759 | 2012-12-12 |
| 1336485762 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Drive, Clearwater, FL 33759 | 2012-12-12 |
| 1710245279 | Allison H Aschenbrenner | Physical Therapist | 2790 Gulf To Bay Boulevard, Suite C, Clearwater, FL 33759 | 2012-05-02 |
| 1538454954 | Elizabeth M Smith | Occupational Therapist | 4902 Creekside Drive Suite A, Clearwater, FL 33759 | 2011-06-14 |
| 1487886164 | Christina D Brown | Psychologist | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759 | 2009-08-14 |
| 1548408248 | Len F. Leeb | Counselor | 2641 Harbor Circle, Clearwater, FL 33759 | 2009-02-03 |
| 1750544615 | Dolphin II Diagostics Inc. | Contractor | 1700 N. Mcmullen Booth Rd Unit B-3, Clearwater, FL 33759 | 2008-07-09 |
| Find all providers in zip 33759 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568923472 | A Plus Medcare LLC | Internal Medicine | 3190 N Mcmullen Booth Rd Ste 201, Clearwater, FL 33761-2013 | 2019-03-26 |
| 1306302260 | Evolution Medical Associates | Internal Medicine | 604 Druid Rd E, Clearwater, FL 33756-3912 | 2019-02-15 |
| 1114450939 | Brittany Worthington | Internal Medicine | 1800 Magnolia Dr, Clearwater, FL 33764-4658 | 2017-04-08 |
| 1982055711 | Lorynn Ashley Hunter | Internal Medicine | 4500 140th Ave N Ste 101, Clearwater, FL 33762-3848 | 2016-06-22 |
| 1033537105 | Daniel Lee Thorngren IIi | Internal Medicine | 5771 Roosevelt Blvd Bldg 200, Clearwater, FL 33760-3407 | 2014-04-04 |
| 1689992893 | Marivette Machado Cortes | Internal Medicine | 1106 Druid Rd S Ste 101, Clearwater, FL 33756-3800 | 2010-05-12 |
| 1730341199 | Elizabeth Anne Rommel | Internal Medicine | 3251 N Mcmullen Booth Rd Ste 104, Clearwater, FL 33761 | 2008-06-27 |
| 1669632394 | Ask Medical Group Pa | Internal Medicine | 2707 E Grand Reserve Cir Apt 1422, Clearwater, FL 33759-4908 | 2008-06-16 |
| 1528286127 | Maria Soledad Perea Barbosa | Internal Medicine | 1243 S Myrtle Ave, Clearwater, FL 33756-3469 | 2007-04-22 |
| 1699895292 | Miguel Fleischman | Internal Medicine | 1710 Drew St, Suite 2, Clearwater, FL 33755-6213 | 2007-03-29 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33759 |
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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.