DR. DEXTER G STALLWORTH (NPI# 1992788947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992788947 |
| Entity Type | Individual |
| Full Name | DR. DEXTER G STALLWORTH |
| Credential | MD |
| Practice Address |
3301 Alumni Dr Tampa FL 33612-9413 |
| Practice Telephone | 8139723351 |
| Practice Fax Number | 8139039541 |
| Mailing Telephone | 8139723351 |
| Mailing Fax Number | 8139039541 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085N0700X |
Radiology Specialization: Neuroradiology |
CERTIFICATION #4 | FL | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
118129 | MO | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME66429 | FL | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
NC | Allopathic & Osteopathic Physicians |
| Street Address |
3301 ALUMNI DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-9413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760418297 | Neuroradiology Associates of Tampa Pa | Specialist | 3301 Alumni Dr, Tampa, FL 33612-9413 | 2006-06-25 |
| 1316920168 | Gregory Michael Carney | Radiology | 3301 Alumni Dr, Tampa, FL 33612-9413 | 2005-11-25 |
| 1104809953 | Martin L Silbiger | Radiology | 3301 Alumni Dr, Tampa, FL 33612-9413 | 2005-11-25 |
| 1326021346 | University Diagnostic Institute Ltd | Radiology | 3301 Alumni Dr, Tampa, FL 33612-9413 | 2005-11-23 |
| 1538142567 | Frederick Reed Murtagh | Radiology | 3301 Alumni Dr, Tampa, FL 33612-9413 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093780777 | Jared Saul | Radiology | 4601 W Lowell Ave, Tampa, FL 33629-7628 | 2006-02-17 |
| 1285051441 | Kunal P Patel | Radiology | 4516 N Armenia Ave, Tampa, FL 33603-2732 | 2014-03-26 |
| 1164698650 | Ariel David Prager | Radiology | 100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 | 2008-05-05 |
| 1982806485 | Radiology Associates of Tampa Pa | Radiology | 4555 S Manhattan Ave, Radiology Assoc of Tampa At Kindred Hospital Tampa, Tampa, FL 33611-2305 | 2007-06-05 |
| 1417161811 | Daniel Case | Radiology | 2700 University Square Dr, Radiology Associates of Tampa, Tampa, FL 33612-5513 | 2007-05-09 |
| 1548396997 | Ryan D Murtagh | Radiology | 2700 University Square Dr, Radiology Associates of Tampa, Tampa, FL 33612-5513 | 2007-02-27 |
| 1427068766 | Albert S Chang | Radiology | 100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 | 2006-08-09 |
| 1154346674 | Leo Joseph Rothbarth | Radiology | 100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 | 2006-07-13 |
| 1902864341 | Arthur E Clark | Radiology | 100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 | 2006-05-03 |
| 1275598708 | Donald William Durrance | Radiology | 100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 | 2006-04-18 |
| 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.