MR. RORTANA OUM (NPI# 1497055685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497055685 |
| Entity Type | Individual |
| Full Name | MR. RORTANA OUM |
| Credential | AAC |
| Practice Address |
3100 E Fletcher Ave Tampa FL 33613-4613 |
| Mailing Address |
13560 Cypress Glen Ln Unit 201 Tampa FL 33637-1116 |
| Practice Telephone | 8136157848 |
| Mailing Telephone | 9136614676 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | AA68 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AAC | AA68 | 01 |
| Street Address |
3100 E FLETCHER AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609715 | Tara Lynn Tingler | Physician Assistant | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2005-06-17 |
| 1760009104 | Roseline Cajuste | Nurse Practitioner | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2020-07-01 |
| 1144844481 | Kim Seng Pham | Nurse Anesthetist, Certified Registered | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2020-06-02 |
| 1639707540 | Kai Mccaslin | Student in an Organized Health Care Education/Training Program | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2020-03-28 |
| 1013543594 | Matthew Joiner | Nurse Practitioner | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2020-03-17 |
| 1588290373 | Shaenelle Mcfarlane | Speech-Language Pathologist | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2020-03-12 |
| 1851922082 | Michael P Woolard | Nurse Anesthetist, Certified Registered | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2020-01-27 |
| 1508405457 | Shana Hudson | Registered Nurse | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2019-12-24 |
| 1134767486 | Hayden Ake | Nurse Anesthetist, Certified Registered | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2019-12-17 |
| 1134766694 | University Community Hospital Inc | Clinical Medical Laboratory | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2019-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710437561 | Alyssa Scheidecker | Anesthesiologist Assistant | 12305 Hawthorne View Court, Tampa, FL 33626 | 2016-10-05 |
| 1891039723 | Nicolle Marie Cushion Strikowski | Anesthesiologist Assistant | 14903 Barby Ave, Tampa, FL 33625-1530 | 2012-11-15 |
| 1790029643 | Amy Komarin | Anesthesiologist Assistant | 7036 Bonaventure Dr, Tampa, FL 33607-5814 | 2012-11-15 |
| 1891049375 | Melissa Dyann Miller | Anesthesiologist Assistant | 4805 W Laurel St, Suite 100, Tampa, FL 33607-4552 | 2012-11-05 |
| 1992306773 | Grace Smith | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-11-06 |
| 1679199939 | Diana Chung | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-06-23 |
| 1548751530 | Casey A Weitzel | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2018-05-24 |
| 1972007177 | Vanessa Nikolovska | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2018-03-21 |
| 1538683503 | Morgan Mercedes Gonzalez | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2017-08-01 |
| 1013431154 | Julia Chung | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2017-07-31 |
| 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.