MR. CHARLES VINCENT PERNICIARO (NPI# 1972557890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972557890 |
Entity Type | Individual |
Full Name | MR. CHARLES VINCENT PERNICIARO |
Credential | M.D. |
Practice Address |
6001 Memorial Hwy Tampa FL 33615-4531 |
Mailing Address |
Po Box 51498 Jacksonville Beach FL 32240-1498 |
Practice Telephone | 8138824206 |
Mailing Telephone | 9042410633 |
Enumeration Date | 2006-05-22 |
Last Update Date | 2017-02-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | K6231 | TX | Allopathic & Osteopathic Physicians |
N | 207N00000X | Dermatology | 21961 | AZ | Allopathic & Osteopathic Physicians |
N | 207N00000X | Dermatology | 28877 | MN | Allopathic & Osteopathic Physicians |
N | 207N00000X | Dermatology | 017322 | LA | Allopathic & Osteopathic Physicians |
N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
042694 | GA | Allopathic & Osteopathic Physicians |
Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
51624 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBS FL | 10287 | 01 |
GA | BCBSGA | 52332476003 | 01 |
FL | MEDICARE RR | 070014059 | 01 |
GA | MEDICARE RR | 070014191 | 01 |
FL | FL MEDAIACRE PTAN | HY024A | 01 |
GA | 000837075B | 05 | |
GA | MEDICARE | 07BBSHB | 01 |
Street Address |
6001 MEMORIAL HWY |
City | TAMPA |
State | FL |
Zip Code | 33615-4531 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902895832 | John Louis Millns Jr. | Dermatology | 6001 Memorial Hwy, Tampa, FL 33615-4531 | 2005-10-13 |
1386987840 | David Poshi Wang | Pathology | 6001 Memorial Hwy, Tampa, FL 33615-4531 | 2013-04-03 |
1124334479 | Laura Elaine Millns | Dermatology | 6001 Memorial Hwy, Tampa, FL 33615-4531 | 2010-08-25 |
1649284563 | John L Millns Md Pa | Dermatology | 6001 Memorial Hwy, Tampa, FL 33615-4531 | 2006-07-28 |
1982693818 | Gulf Coast Dermatopathology Laboratory, Inc. | Clinical Medical Laboratory | 6001 Memorial Hwy, Tampa, FL 33615-4531 | 2005-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083125132 | The Ida House Assisted Living LLC | Assisted Living Facility | 6014 Rosewood Dr, Tampa, FL 33615 | 2017-10-17 |
1235671785 | Magnet Home Health Care Services, LLC | Home Health | 5700 Memorial Highway Suite G X H 102, Tampa, FL 33615 | 2016-11-15 |
1891247532 | Martin Esuzor | Nurse Practitioner | 7918 Hillsborough Avenue, Tampa, FL 33615 | 2016-10-28 |
1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
1710327101 | Kelly A Alvarez | Case Manager/Care Coordinator | 7007 Cobblewood Ct, Tampa, FL 33615 | 2013-06-28 |
1336497080 | Serenity Home of Tampa Alf LLC | Assisted Living Facility | 6013 Cresthill Drive, Tampa, FL 33615 | 2012-08-28 |
1063777563 | Jaime Alexander Pacheco | Chiropractor | 6301 Memorial Hwy Suit 304, Tampa, FL 33615 | 2012-07-10 |
1558656678 | Scripts Direct, LLC | Pharmacy | 8313 W. Hillsborough Ave., # 260, Tampa, FL 33615 | 2011-06-16 |
1508178245 | The Spring of Tampa Bay | Counselor | 2810 N. 35 St, Tampa, FL 33615 | 2010-07-10 |
Find all providers in zip 33615 |
Taxonomy Code | 207ND0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Dermatopathology |
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548739246 | Associates & Affiliates In Dermatology LLC | Dermatology | 5210 Webb Rd Ste B, Tampa, FL 33615-4518 | 2018-11-26 |
1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
1578603767 | Shurun Zhao | Dermatology | 4431 Waltham Dr, Tampa, FL 33634-7345 | 2007-02-07 |
1194735688 | Rachel E Careccia | Dermatology | 12500 N Dale Mabry Hwy Ste D, Tampa, FL 33618 | 2006-08-08 |
1023033719 | Henry E Wiley IIi | Dermatology | 1425 S Howard Ave, Tampa, FL 33606-3126 | 2006-07-13 |
1437138443 | Ruth H Hanno | Dermatology | 10500 University Center Dr Ste 200, Tampa, FL 33612-6497 | 2006-01-10 |
1376529206 | Susan E Lenahan | Dermatology | 4412 W Osborne Ave, Tampa, FL 33614-6963 | 2005-12-22 |
1902895832 | John Louis Millns Jr. | Dermatology | 6001 Memorial Hwy, Tampa, FL 33615-4531 | 2005-10-13 |
1093061582 | Florida Dermatology and Skin Cancer Specialists Pl | Dermatology | 4200 N Armenia Ave, Ste 1, Tampa, FL 33607-6438 | 2012-08-02 |
1154519767 | Henry E Wiley IIi Md Pa | Dermatology | 1425 S Howard Ave, Tampa, FL 33606-3126 | 2007-10-09 |
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.