OMAR SANTANA HERNANDEZ (NPI# 1104145705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104145705 |
| Entity Type | Individual |
| Full Name | OMAR SANTANA HERNANDEZ |
| Credential | MD |
| Practice Address |
2106 S Lois Ave Tampa FL 33629-5659 |
| Mailing Address |
Po Box 1289 Tampa FL 33601-1289 |
| Practice Telephone | 8138444200 |
| Mailing Telephone | 8138447412 |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2016-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
ME122761 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015079000 | 05 |
| Street Address |
2106 S LOIS AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33629-5659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164412805 | Cynthia Goode | Physical Therapist | 2106 S Lois Ave, Tampa, FL 33629-5602 | 2005-10-25 |
| 1780198168 | Shane Bennett | Nurse Practitioner | 2106 S Lois Ave, Tampa, FL 33629-5659 | 2017-11-21 |
| 1164769063 | Tampa General Medical Group Inc | Family Medicine | 2106 S Lois Ave, Fl 2, Tampa, FL 33629 | 2013-01-11 |
| 1659660009 | Shawn Derek Skaife | Family Medicine | 2106 S Lois Ave, Tampa, FL 33629-5659 | 2011-04-06 |
| 1154577930 | Jason Moses Castro | Family Medicine | 2106 S Lois Ave, Tampa, FL 33629-5659 | 2008-08-13 |
| 1902003262 | Pina Panchal | Family Medicine | 2106 S Lois Ave, Tampa, FL 33629-5659 | 2007-06-29 |
| 1073692000 | Raphael Khorran | Family Medicine | 2106 S Lois Ave, Tampa, FL 33629-5659 | 2006-11-02 |
| 1851401582 | Shannon Bogle | Physical Therapist | 2106 S Lois Ave, Tampa, FL 33629-5659 | 2006-08-30 |
| 1285667253 | Antonio Duroy Farrales | Family Medicine | 2106 S Lois Ave, Tampa, FL 33629-5659 | 2006-07-10 |
| 1740242411 | Tower Imaging Inc | Radiology | 2106 S Lois Ave, Tower Radiology Center South Tampa, Tampa, FL 33629-5602 | 2006-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1689192411 | Madalyn Turner | Chiropractor | 3409 W Bay To Bay Blvd Ste B, Tampa, FL 33629 | 2017-08-31 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1013394568 | Etairos Health, Inc | In Home Supportive Care | 2301 W Palm Ave, Tampa, FL 33629 | 2015-05-05 |
| 1053702589 | Kantilal N. Bhadja, Md | Internal Medicine | 4223 W. El Prado Blvd, Tampa, FL 33629 | 2015-02-05 |
| 1801174016 | Wang & Cortes Dental | Dentist | 1008 South Clearview Avenue, Tampa, FL 33629 | 2011-07-22 |
| 1174826176 | Jada Rae Danielle Traub | Behavioral Analyst | 3271 S. Macdill Ave, Tampa, FL 33629 | 2010-12-13 |
| 1275849846 | Kara Dawson | Physical Therapy Assistant | 3614 South Dale Mabry, Tampa, FL 33629 | 2010-08-20 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| Find all providers in zip 33629 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848292 | Olga Kaliebe Md LLC | Internal Medicine | 2823 W Fountain Blvd, Tampa, FL 33609-4011 | 2020-07-06 |
| 1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
| 1295281467 | Florida Diabetes and Endocrine Associates LLC | Internal Medicine | 7001 N Dale Mabry Hwy Ste 2, Tampa, FL 33614-3910 | 2016-08-29 |
| 1447485446 | Linette Marie Rivera | Internal Medicine | 3101 W Sunset Dr, Tampa, FL 33629-5207 | 2009-05-19 |
| 1699936625 | Sonal Jayant Patel | Internal Medicine | 3000 Medical Park Dr Ste 150, Tampa, FL 33613-4679 | 2008-06-23 |
| 1427187319 | Pedro I Troya | Internal Medicine | 4816 N Armenia Ave, Tampa, FL 33603 | 2007-03-05 |
| 1194892141 | Andrew Dave Henry | Internal Medicine | 9260 Bay Plaza Blvd, Suite 502, Tampa, FL 33619-4458 | 2006-11-28 |
| 1194775817 | Manuel C Sainz De La Pena | Internal Medicine | 2727 West Martin Luther King Blvd, 450, Tampa, FL 33607-6002 | 2006-05-11 |
| 1477538890 | Tania Paquin Lozano | Internal Medicine | 6101 Webb Rd, Ste 202, Tampa, FL 33615-2872 | 2005-12-08 |
| 1477547602 | Sumesh Chandra | Internal Medicine | 13801 Bruce B Downs Blvd Ste 201, Tampa, FL 33613-3937 | 2005-09-02 |
| 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.