ADITHYA SURESH (NPI# 1376744979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376744979 |
| Entity Type | Individual |
| Full Name | ADITHYA SURESH |
| Credential | M.D. |
| Practice Address |
2809 W Waters Ave Tampa FL 33614-1852 |
| Practice Telephone | 8133489088 |
| Practice Fax Number | 8133489310 |
| Mailing Telephone | 8133489088 |
| Mailing Fax Number | 8133489310 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2019-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME118812 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2809 W WATERS AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-1852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790771970 | Thomas M. Kerr Md Pa | Surgery | 2809 W Waters Ave, Tampa, FL 33614-1852 | 2005-09-23 |
| 1225359904 | Michael Charles Goldbach | Surgery | 2809 W Waters Ave, Tampa, FL 33614-1852 | 2010-06-17 |
| 1336471986 | Holly-ann Kerr | Nurse Practitioner | 2809 W Waters Ave, Tampa, FL 33614-1852 | 2010-02-08 |
| 1770674731 | John J. Carthy M.d. P.a. | Family Medicine | 2809 W Waters Ave, Tampa, FL 33614-1852 | 2006-09-27 |
| 1568410579 | Kenneth J Wright | Surgery | 2809 W Waters Ave, Tampa, FL 33614-1852 | 2006-05-04 |
| 1164419875 | Marlene Valentin | Radiology | 2809 W Waters Ave, Tampa, FL 33614-1852 | 2005-09-29 |
| 1467448480 | Thomas Kerr | Radiology | 2809 W Waters Ave, Tampa, FL 33614-1852 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528484516 | Rolando Sanchez | Surgery | 4039 W Kennedy Blvd, Tampa, FL 33609-2751 | 2014-03-14 |
| 1447542840 | James D Brooks | Surgery | 13000 Bruce B Downs Blvd Rm 7a-708b, Tampa, FL 33612-4745 | 2011-05-04 |
| 1558507582 | Choice Health Care, Inc. | Surgery | 1881 W Kennedy Blvd, Suite A & B, Tampa, FL 33606-1611 | 2008-12-22 |
| 1942238837 | George K James | Surgery | 4513 N Armenia Ave, Tampa, FL 33603-2703 | 2006-06-29 |
| 1932174349 | Rozales Antonio Swanson | Surgery | 3000 E Fletcher Ave Ste 320, Tampa, FL 33613-4645 | 2006-02-20 |
| 1790771970 | Thomas M. Kerr Md Pa | Surgery | 2809 W Waters Ave, Tampa, FL 33614-1852 | 2005-09-23 |
| 1982141222 | Advanced Vein Care, Inc. | Surgery | 1921 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6509 | 2017-01-25 |
| 1528492287 | Greater Tampa Bay Physician Specialists, LLC | Surgery | 602 S Audubon Ave, Suite A, Tampa, FL 33609-4217 | 2013-08-29 |
| 1104168871 | Erin Kelly Green Baldwin | Surgery | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2013-03-20 |
| 1225359904 | Michael Charles Goldbach | Surgery | 2809 W Waters Ave, Tampa, FL 33614-1852 | 2010-06-17 |
| 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.