DR. THEODORE ROBERT SMALL (NPI# 1992704555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992704555 |
| Entity Type | Individual |
| Full Name | DR. THEODORE ROBERT SMALL |
| Practice Address |
1840 Mease Dr Suite 301 Safety Harbor FL 34695-6605 |
| Practice Telephone | 7277123233 |
| Practice Fax Number | 7277121853 |
| Mailing Telephone | 7277123233 |
| Mailing Fax Number | 7277121853 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2010-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME80589 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497112338 | Theodore Robert Small | Dentist | 1301 Bonita Ave Apt 4, Berkeley, CA 94709-1983 | 2016-01-22 |
| Street Address |
1840 MEASE DR SUITE 301 |
| City | SAFETY HARBOR |
| State | FL |
| Zip Code | 34695-6605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861121 | Robert T Roth | Surgery | 1840 Mease Dr, Suite 301, Safety Harbor, FL 34695-6602 | 2005-06-20 |
| 1336751114 | Daniela Lomba | Nurse Practitioner | 1840 Mease Dr, Safety Harbor, FL 34695-6602 | 2020-08-21 |
| 1407201346 | Advanced Urology Institute | Non-Pharmacy Dispensing Site | 1840 Mease Dr, Suite 300, Safety Harbor, FL 34695-6602 | 2016-04-28 |
| 1720442940 | Jackson E. Tillquist | Registered Nurse | 1840 Mease Dr, Suite 200, Safety Harbor, FL 34695-6602 | 2016-04-13 |
| 1326444092 | Margaret Lukez | Nurse Practitioner | 1840 Mease Dr, Suite 319, Safety Harbor, FL 34695-6605 | 2014-11-07 |
| 1518370345 | Countryside Pediatric Care, P.a. | Pediatrics | 1840 Mease Dr, Suite: 405, Safety Harbor, FL 34695-6602 | 2014-06-10 |
| 1679907042 | Christina Laura Marcucci | Physician Assistant | 1840 Mease Dr, Ste 300, Safety Harbor, FL 34695-6602 | 2013-08-21 |
| 1043551328 | Lisa Marie Lauderdale | Nurse Practitioner | 1840 Mease Dr, Suite 402, Safety Harbor, FL 34695-6602 | 2013-03-11 |
| 1922346816 | James P Desmarais | Nurse Practitioner | 1840 Mease Dr, Suite 319, Safety Harbor, FL 34695-6602 | 2013-01-28 |
| 1073851531 | Rajani Medical Group LLC | Internal Medicine | 1840 Mease Dr, Ste 401b, Safety Harbor, FL 34695-6602 | 2013-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931071 | Joli Beauchamp | Occupational Therapy Assistant | 1410 Dr Martin Luther King Jr St. North, Safety Harbor, FL 34695 | 2018-08-14 |
| 1912494733 | Bryan Singleton | Occupational Therapist | 1410 Dr. M, Dr Martin Luther King Jr Street North, Safety Harbor, FL 34695 | 2018-04-17 |
| 1639673007 | Jessica Rojas | Occupational Therapy Assistant | 1410 Dr. Martin Luther King St N, Safety Harbor, FL 34695 | 2018-03-21 |
| 1326547365 | Heather Anne Ramous | Nurse Practitioner | 1840 Mease Dr Ste 307, Safety Harbor, FL 34695 | 2018-02-05 |
| 1922531730 | Jessica Robin Sternberg | Physical Therapy Assistant | 1410 Dr. Martin Luther King Jr. Street North, Safety Harbor, FL 34695 | 2017-04-07 |
| 1861863102 | Pamela Guida | Physical Therapy Assistant | 1410 Dr M L King Jr St N, Safety Harbor, FL 34695 | 2015-10-13 |
| 1962888792 | Lauren Ramos | Nurse Practitioner | 1840 Mease Dr., Suite 204, Palm Harbor, FL 34695 | 2015-08-04 |
| 1306285010 | Paulas Madhusudan Vyas | Urology | 1840 Mease Dr Ste 300, Safety Harbor, FL 34695 | 2013-06-17 |
| 1871803643 | Bridget Stirling Tyrka | Contractor | 1045 3rd St N, Safety Harbor, FL 34695 | 2010-10-14 |
| 1326211574 | Helen L. Techler | Audiologist | 583 Main Street, Suite A, Safety Harbor, FL 34695 | 2008-04-09 |
| Find all providers in zip 34695 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154743409 | Marsha Rantala | Specialist | 1819 Cypress Trace Dr, Safety Harbor, FL 34695-4520 | 2014-01-06 |
| 1174816490 | Patrice Schroeder | Specialist | 2116 Flamingo Pl, Safety Harbor, FL 34695-4958 | 2011-05-19 |
| 1275700775 | Patricia Johnson-wyman | Specialist | 214 Hillcrest Dr, Safety Harbor, FL 34695-4710 | 2008-05-14 |
| 1477759652 | James Andrew Peternell Jr. | Specialist | 470 2nd St N # C-1, Safety Harbor, FL 34695-3600 | 2007-06-25 |
| 1144365701 | Parrish Winesett, M.d., P.a. | Specialist | 1840 Mease Dr Ste 319, Safety Harbor, FL 34695-6605 | 2007-02-21 |
| 1477552230 | David Griffiths Berry | Specialist | 1840 Mease Drive, Suite 301, Safety Harbor, FL 34695-6605 | 2005-07-14 |
| 1336687292 | Corrective Therapy Inc. | Specialist | 3135 State Road 580, Suite 11, Safety Harbor, FL 34695-4976 | 2017-02-10 |
| 1619166469 | Arthritis Care Centre, LLC | Specialist | 1840 Mease Dr, # 406, Safety Harbor, FL 34695-6602 | 2007-10-17 |
| 1770770240 | Ezra S Elkayam Md Pa | Specialist | 1840 Mease Dr, Suite 315, Safety Harbor, FL 34695-6602 | 2007-09-28 |
| 1588791099 | J. Paonessa M.d. P.a. | Specialist | 1840 Mease Dr, Suite 309, Safety Harbor, FL 34695-6602 | 2007-02-28 |
| Find all providers in SAFETY HARBOR | ||||
| City | SAFETY HARBOR |
| Zip Code | 34695 |
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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.