Active NPI
Allison Miscik, MD
- Plastic and Reconstructive Surgery Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME164514
- Practice address
- 17 Davis Blvd
Tampa, FL 33606-3475 - Phone
- (813) 250-2261
- NPI assigned
- Mar 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME164514 | FL | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME164514 | FL | Primary |
Addresses
Primary practice location
17 Davis Blvd
Tampa, FL 33606-3475
Mailing address
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone (813) 250-2506
Other names 1
- Allison Shanks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Texas a & M University System, HSC, College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 7TH Ave N
St Petersburg, FL 33705-1300
Phone (727) 820-7737
13201 Walsingham Rd
200 Urbaniak Plastic Surgery
Largo, FL 33774-3515
Phone (727) 261-1754
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231
Hospital & facility affiliations
- Morton Plant Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 44 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME164514 | FL | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Premier Surgical Suites, LLC | Plastic Surgery | Current | Accepting new patients |
| Roderick M Urbaniak, M.D., P.a. | Plastic Surgery | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
609 Lakeview Rd
Clearwater, FL 33756
Phone (727) 447-4536
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
2111 Drew St
Ste 100
Clearwater, FL 33765
Phone (727) 604-5090
13201 Walsingham Rd
Ste 200
Largo, FL 33774
Phone (727) 261-1754
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Plastic Surgery Physician
- Clearwater, FL
- NPI 1942640719
-
- Ambulatory Surgical Clinic/Center
- Clearwater, FL
- NPI 1851006316
Plastic Surgery
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1730684341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 DAVIS BLVD STE 308",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063438",
"telephone_number": "813-250-2506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 DAVIS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063475",
"telephone_number": "813-250-2261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISCIK",
"first_name": "ALLISON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-26",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME164514",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME164514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "SHANKS",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.