EXODUS WOMEN'S CENTER, INC. (NPI# 1689904633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689904633 |
| Entity Type | Organization |
| Organization Name | EXODUS WOMEN'S CENTER, INC. |
| Practice Address |
1513 W Busch Blvd Tampa FL 33612-7603 |
| Mailing Address |
888 S Parsons Ave Brandon FL 33511-6007 |
| Practice Telephone | 8136842229 |
| Mailing Telephone | 8136842229 |
| Mailing Fax Number | 8136541384 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2019-06-02 |
| Authorized Official Name | MS. LINDA S. MAYO (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8136842229 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 057571223 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902209257 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 4503 N 22nd St, Tampa, FL 33610-6201 | 2014-10-01 |
| 1356760359 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 5537 Sheldon Rd Ste N, Tampa, FL 33615-3167 | 2014-04-08 |
| 1215280003 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 2550 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33607-6302 | 2012-10-18 |
| 1376820720 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 514 Sugar Creek Dr, Plant City, FL 33563-4080 | 2011-11-14 |
| 1477710242 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 2701 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6303 | 2008-05-20 |
| 1336306372 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 215 Imperial Blvd Ste B2, Lakeland, FL 33803-4689 | 2008-05-19 |
| 1922542810 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 1501 1st St S, Winter Haven, FL 33880-4307 | 2016-12-12 |
| 1699108183 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 1525 Lakeland Hills Blvd, Lakeland, FL 33805-3203 | 2013-08-20 |
| 1063679009 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 14710 Bruce B Downs Blvd, Tampa, FL 33613-2800 | 2008-05-19 |
| 1134214380 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 401 Oakfield Dr, Brandon, FL 33511-5710 | 2006-10-04 |
| Street Address |
1513 W BUSCH BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-7603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518297563 | Tampa Obstetrics | Specialist | 1513 W Busch Blvd, Tampa, FL 33612-7603 | 2010-01-13 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811459563 | Tampa Bay Premier Obgyn Pllc | Obstetrics & Gynecology | 2727 W Dr Mlk Blvd Ste 630, Tampa, FL 33607-6399 | 2019-04-02 |
| 1033512264 | Tampa Obstetrics, P.a. | Obstetrics & Gynecology | 4503 North 22nd Street, Tampa, FL 33610-6201 | 2014-10-02 |
| 1902209257 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 4503 N 22nd St, Tampa, FL 33610-6201 | 2014-10-01 |
| 1710388814 | Ana Maria Fraguada | Obstetrics & Gynecology | 3450 E Fletcher Ave Ste 110, Tampa, FL 33613-4603 | 2014-09-08 |
| 1245659010 | Pawan Kumar Rattan | Obstetrics & Gynecology | 612 E Davis Blvd, Tampa, FL 33606-3922 | 2014-04-09 |
| 1356760359 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 5537 Sheldon Rd Ste N, Tampa, FL 33615-3167 | 2014-04-08 |
| 1124459326 | Michael Fernandez | Obstetrics & Gynecology | 13806 Khilani Ct, Tampa, FL 33624-6919 | 2013-12-12 |
| 1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
| 1992140677 | Wilfredo Nicolas Herrera | Obstetrics & Gynecology | 2727 W Dr. Mlk Jr Blvd, Ste 630, Tampa, FL 33607 | 2013-05-08 |
| 1912244831 | William Larry Capps | Obstetrics & Gynecology | 577 Luzon Ave, Tampa, FL 33606-3623 | 2013-01-11 |
| 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.