MS. MEGAN M KISE (NPI# 1952635724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952635724 |
| Entity Type | Individual |
| Full Name | MS. MEGAN M KISE |
| Credential | PA-C |
| Practice Address |
11809 N Dale Mabry Hwy Tampa FL 33618-3505 |
| Practice Telephone | 8139603228 |
| Practice Fax Number | 8139630249 |
| Mailing Telephone | 8139603228 |
| Mailing Fax Number | 8139630249 |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2017-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 9105153 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11809 N DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33618-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770582355 | Frederick J Mcclimans | Neuromusculoskeletal Medicine, Sports Medicine | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2005-07-18 |
| 1295336196 | Garrett Adam Dietz | Physical Therapist | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2020-11-06 |
| 1972062685 | 360 Ortho and Spine LLC | Orthopaedic Surgery | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2019-03-13 |
| 1093214736 | Burke Collins Therapy, Inc | Physical Therapist | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2018-02-08 |
| 1861621583 | Katherine Ellen Holeman | Physical Therapist | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2009-07-02 |
| 1437342847 | Grace Angela Levy-clarke | Ophthalmology | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2007-08-20 |
| 1841354578 | Frederick J Mcclimans Do Pa | Orthopaedic Surgery | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2006-12-20 |
| 1689787160 | Tampa Bay Podiatry Associates Pa | Podiatrist | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2006-08-17 |
| 1770502015 | Ira David Shandles | Podiatrist | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2006-07-18 |
| 1962452649 | Stefan A Prada | Orthopaedic Surgery | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1801378252 | Leah Rae Petit | Nurse Practitioner | 3505, 11809 N Dale Mabry Hwy, Tampa, FL 33618 | 2018-09-02 |
| 1265921100 | Almighty Home Healthcare Services, Inc. | Home Health | 16614 N. Dale Mabry Hwy, Tampa, FL 33618 | 2018-05-07 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1760919179 | Sara Ashley Carr | Counselor | 10014 N Dale Mabry Hwy Ste 216, Tampa, FL 33618 | 2017-05-16 |
| 1073975231 | National Vision, Inc. | Technician/Technologist | 10934 N Dale Mabry Hwy, Carrollwood, FL 33618 | 2016-03-25 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1114205648 | Liberty Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3653 Madaca Ln, Tampa, FL 33618 | 2011-08-02 |
| 1386938215 | David Leonardo Higuera | Pharmacist | 2901 W Bush Blvd, Suite 104, Tampa, FL 33618 | 2011-06-08 |
| 1922303973 | Kimberly Lynne Little | Social Worker | 3044 W. Bearss Avenue, Tampa, FL 33618 | 2011-01-24 |
| Find all providers in zip 33618 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| 1144839796 | Alana Marie Arcese | Physician Assistant | 10401 Villa View Cir, Tampa, FL 33647-2598 | 2020-07-29 |
| 1437768512 | Jessica Lynn Flores-mcgrath | Physician Assistant | 14411 Audubon Trce Apt 912, Tampa, FL 33613-5402 | 2020-07-24 |
| 1417574104 | Hunter Vila | Physician Assistant | 5033 W Laurel St Ste 100, Tampa, FL 33607-3855 | 2020-06-29 |
| 1003432360 | Jennifer Rose Baker Koebert | Physician Assistant | 4001 E Fletcher Ave Fl 6, Tampa, FL 33613-4808 | 2020-06-23 |
| 1487277109 | Victoria Mahi Verzwyvelt | Physician Assistant | 4714 N Habana Ave Apt 510, Tampa, FL 33614-7126 | 2020-05-28 |
| 1538780853 | Lexy Hazle | Physician Assistant | 2715 W Mississippi Ave, Tampa, FL 33629-6131 | 2020-04-27 |
| 1619509494 | Amy Sullinger | Physician Assistant | 207 S Occident St, Tampa, FL 33609-2526 | 2020-02-10 |
| 1225668122 | Michelle Korthauer | Physician Assistant | 1531 W Lemon St Apt 1101, Tampa, FL 33606-1014 | 2020-01-20 |
| 1992344360 | Marisa Ehrlich Berger | Physician Assistant | 311 W Idlewild Ave, Tampa, FL 33604-6656 | 2020-01-02 |
| Find all providers in TAMPA | ||||
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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.