UNIVERSITY MEDICAL SERVICE ASSOCIATION INC (NPI# 1417997305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417997305 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY MEDICAL SERVICE ASSOCIATION INC |
| Other Organization Name | USF DEPT OF OTOLARYNGOLOGY |
| Practice Address |
13330 Usf Laurel Dr Tampa FL 33612-6601 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
| Practice Telephone | 8139744683 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | RICHARD J SOBIERAY (CEO USF HEALTH CARE) |
| Authorized Official Telephone | 8139742201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 00537 | 01 |
| Other Name | Type Code |
|---|---|
| USF Dept of Otolaryngology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351102 | University Medical Service Association Inc | Clinic/Center | 13330 Usf Laurel Dr Fl 2, Tampa, FL 33612-6601 | 2020-09-17 |
| 1053793026 | University Medical Service Association Inc | Clinical Medical Laboratory | 4107 Usf Cedar Cir, Ste 171, Tampa, FL 33620-0001 | 2015-06-25 |
| 1992742324 | University Medical Service Association Inc | Speech-Language Pathologist | 13330 Usf Laurel Drive, 3rd Floor - Mdc90, Tampa, FL 33612-6601 | 2006-06-02 |
| 1770194730 | University Medical Service Association Inc | Social Worker | 100 5th Ave S, St Petersburg, FL 33701-5010 | 2020-08-13 |
| 1164974366 | University Medical Service Association Inc | Assistant Behavior Analyst | 3515 E Fletcher Ave, Tampa, FL 33613-4706 | 2016-11-04 |
| 1194276576 | University Medical Service Association Inc | Durable Medical Equipment & Medical Supplies | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2016-10-20 |
| 1558758813 | University Medical Service Association Inc | Speech-Language Pathologist | 4202 E Fowler Ave, Pcd1017, Tampa, FL 33620-8000 | 2015-04-23 |
| 1043542723 | University Medical Service Association Inc | Neurological Surgery | 2 Tampa General Cir, Stc 7th Floor, Tampa, FL 33606-3603 | 2010-02-05 |
| 1871738393 | University Medical Service Association Inc | Durable Medical Equipment & Medical Supplies | 12901 Bruce B Downs Blvd, Mdc62, Tampa, FL 33612-4742 | 2008-12-12 |
| 1538360425 | University Medical Service Association Inc | Ophthalmology | 12901 Bruce B Downs Blvd, Mdc 62, Tampa, FL 33612-4742 | 2007-05-30 |
| Street Address |
13330 USF LAUREL DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579056 | Larry H. Collins | Physician Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2005-06-22 |
| 1770195075 | Andrew J Baxter | Physical Therapy Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2020-08-18 |
| 1104445147 | Levon Leo Ohanisian | Student in an Organized Health Care Education/Training Program | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2020-04-09 |
| 1497383244 | Charles Max Seifer | Student in an Organized Health Care Education/Training Program | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2020-03-28 |
| 1114569431 | Donna P. Ortiz | Nurse Practitioner | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-10-09 |
| 1417503269 | Ahlam Abukhdeir | Physician Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-08-16 |
| 1326694357 | Abbey Rose Liebert | Physical Therapist | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-08-15 |
| 1003469412 | Ashley Brooke Austin Johnson | Nurse Practitioner | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-07-24 |
| 1497317440 | Mackenzie Garreth | Physical Therapist | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-06-30 |
| 1477116952 | Kevin Garrett Allison | Physician Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-04-19 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285953679 | Matthew J Mifsud | Otolaryngology | 2 Tampa General Cir Fl Circle2, Tampa, FL 33606-3603 | 2010-05-25 |
| 1801124839 | Martin Joseph Adelman | Otolaryngology | 16307 Avila Blvd, Tampa, FL 33613-1000 | 2009-12-02 |
| 1942473921 | Kathleen A Macisaac | Otolaryngology | 4320 S Manhattan Ave, Tampa, FL 33611-1304 | 2008-04-10 |
| 1528273455 | Michael James Butler | Otolaryngology | 6432 Renwick Cir, Tampa, FL 33647-1172 | 2007-05-14 |
| 1215019179 | Jonathan Lyons Chadwick | Otolaryngology | 4714 N Armenia Ave Ste 200, Tampa, FL 33603-2603 | 2006-10-20 |
| 1972530616 | Warren S. Goldstein | Otolaryngology | 7425 Monika Manor Dr, Tampa, FL 33625-5814 | 2006-06-27 |
| 1487680856 | Douglas William Klotch | Otolaryngology | 3450 E Fletcher Avenue, Suite 260, Tampa, FL 33613 | 2006-06-25 |
| 1164469151 | George Blake M.d., P.a. | Otolaryngology | 605 S Fremont Ave, Suite A, Tampa, FL 33606-2479 | 2006-05-31 |
| 1821049826 | Amanollah -- Tabesh | Otolaryngology | 7001 N Dale Mabry Hwy, Suite # 3, Tampa, FL 33614-3910 | 2006-05-14 |
| 1437143104 | Lance R Meyerson | Otolaryngology | 12500 N Dale Mabry Hwy Ste F, Tampa, FL 33618-2809 | 2005-09-08 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on UNIVERSITY MEDICAL SERVICE ASSOCIATION INC.
| 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.