| Bowman & Hampsey Medical Clinic, Inc | |
|
3251 N Mcmullen Booth Rd Suite 303 Clearwater FL 33761-2022 | |
| (727) 725-6110 | |
| (727) 725-5561 |
| Full Name | Bowman & Hampsey Medical Clinic, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3251 N Mcmullen Booth Rd, Clearwater, Florida |
| Authorized Official Name and Position | Srikanth Malempati (DIRECTOR) |
| Authorized Official Contact | 7277256110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowman & Hampsey Medical Clinic, Inc 3251 N Mcmullen Booth Rd Suite 303 Clearwater FL 33761-2022 Ph: (727) 725-6110 | Bowman & Hampsey Medical Clinic, Inc 3251 N Mcmullen Booth Rd Suite 303 Clearwater FL 33761-2022 Ph: (727) 725-6110 |
| NPI Number | 1205264355 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 10/29/2013 |
| Medicare PECOS PAC ID | 4587893714 |
|---|---|
| Medicare Enrollment ID | O20140210000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205264355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME106228 (Florida) | Primary |
| Provider Name | Teeresa Sisodia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992772016 PECOS PAC ID: 3072409846 Enrollment ID: I20040227000036 |
| Provider Name | Katie E Drake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174504484 PECOS PAC ID: 5193757151 Enrollment ID: I20050910000009 |
| Provider Name | Anantkumar M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356378905 PECOS PAC ID: 0345302139 Enrollment ID: I20090105000306 |
| Provider Name | Srikanth Malempati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730284456 PECOS PAC ID: 4981600947 Enrollment ID: I20100507000152 |
| Provider Name | Tanuja M Kotak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871726984 PECOS PAC ID: 3577755586 Enrollment ID: I20120731000517 |
| Provider Name | Mo Cale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447513296 PECOS PAC ID: 1355566357 Enrollment ID: I20140708000760 |
| Provider Name | Tara M Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619104072 PECOS PAC ID: 6002031101 Enrollment ID: I20170605000337 |
| Provider Name | Lavanya Gopal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497262984 PECOS PAC ID: 7911269865 Enrollment ID: I20180313001306 |
| Provider Name | Christopher Norman Luecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184260028 PECOS PAC ID: 3577998392 Enrollment ID: I20200123002792 |
| Provider Name | Cynthia Echevarria Roman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639382989 PECOS PAC ID: 5597082339 Enrollment ID: I20200130000631 |
| Provider Name | Kayla Marie Worthington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023541844 PECOS PAC ID: 7113349721 Enrollment ID: I20200626000602 |
| Provider Name | Brittany Michelle Worthington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114450939 PECOS PAC ID: 3779906011 Enrollment ID: I20200706001573 |
| Provider Name | Celena Vinent Carbonell |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770043507 PECOS PAC ID: 7719218296 Enrollment ID: I20200824000269 |
| Provider Name | Kelly L Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992877708 PECOS PAC ID: 4688690985 Enrollment ID: I20210506001030 |
| Provider Name | Heidi Lynn Merriman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154076826 PECOS PAC ID: 3375922412 Enrollment ID: I20220621002741 |
| Provider Name | David Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134130131 PECOS PAC ID: 4486693215 Enrollment ID: I20221212002559 |
| Provider Name | Bonita Rita Moynihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922774066 PECOS PAC ID: 3678944667 Enrollment ID: I20230131000814 |
| Provider Name | Alexander Andre Collazo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568090371 PECOS PAC ID: 9335506757 Enrollment ID: I20230531000026 |
| Provider Name | Luisa Maria Bisignano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184498206 PECOS PAC ID: 9032561816 Enrollment ID: I20240117002163 |
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Jerome Koser Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2349 Sunset Point Rd, Unit 403, Clearwater, FL 33765 Phone: 727-796-8600 Fax: 727-796-8660 | |
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