STEPHEN MASTORIDES (NPI# 1225084080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225084080 |
| Entity Type | Individual |
| Full Name | STEPHEN MASTORIDES |
| Credential | M.D. |
| Practice Address |
13000 Bruce B Downs Blvd Pathology and Laboratory Medicine Service (113) Tampa FL 33612-4745 |
| Mailing Address |
7216 Wareham Dr Tampa FL 33647-1166 |
| Practice Telephone | 8139722000 |
| Practice Fax Number | 8139785827 |
| Mailing Telephone | 8139722000 |
| Mailing Fax Number | 8139785827 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZP0007X |
Pathology Specialization: Molecular Genetic Pathology |
ME 73197 | FL | Allopathic & Osteopathic Physicians |
| X | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
ME 73197 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
13000 BRUCE B DOWNS BLVD PATHOLOGY AND LABORATORY MEDICINE SERVICE (113) |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-4745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707244 | Shirly S Moonjeli | Family Medicine | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2005-06-01 |
| 1568063238 | Katelyn Panawash | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-11-08 |
| 1477154813 | Angela Andersen | Speech-Language Pathologist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-11-03 |
| 1730780339 | Tamara Pasquel | Recreation Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-11-02 |
| 1306445135 | James Mark Kaplan | Recreation Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-10-22 |
| 1063011203 | Marina Lynn Leander | Recreation Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-10-20 |
| 1881201580 | Brent Gibson | Student in an Organized Health Care Education/Training Program | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-09-26 |
| 1033725106 | Brighid M Rebolledo | Occupational Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-09-23 |
| 1447863345 | Emmanuella Armand | Nurse Practitioner | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-08-28 |
| 1982217238 | Julia Marie Lopez | Psychologist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-08-26 |
| Find all providers in the same location | ||||
| 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 | 207ZP0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Molecular Genetic Pathology |
| A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate for MGG was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003938366 | Theresa A Boyle | Pathology | 12902 Magnolia Dr, Moffitt Cancer Center, Tampa, FL 33612 | 2007-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386080257 | Christopher Phillip Marquez | Pathology | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2013-05-17 |
| 1760427991 | Azita Djalilvand | Pathology | 655 W 8th St, Ufjp Pathology, Jacksonville, FL 32209-6511 | 2006-06-19 |
| 1063470441 | Jennifer L Hunt | Pathology | 1600 Sw Archer Rd, Gainesville, FL 32610-7101 | 2006-05-03 |
Please comment or provide details below to improve the information on STEPHEN MASTORIDES.
| 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.