UNIVERSITY MEDICAL SERVICE ASSOCIATION INC (NPI# 1720168057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720168057 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY MEDICAL SERVICE ASSOCIATION INC |
| Other Organization Name | USF DEPT OF CRITICAL CARE |
| Practice Address |
12901 Bruce B Downs Blvd Mdc 59 Tampa FL 33612-4742 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-7770 |
| Practice Telephone | 8139742201 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-02-09 |
| Authorized Official Name | OON SOO UNG (ASSOC EXEC DIRECTOR, CFO, USFPG) |
| Authorized Official Telephone | 8139742201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 00537 | 01 |
| Other Name | Type Code |
|---|---|
| USF Dept of Critical Care | 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 |
12901 BRUCE B DOWNS BLVD MDC 59 |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-4742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076799 | Gonzalo Mantilla | Pediatrics | 12901 Bruce B Downs Blvd, Mdc 15, Tampa, FL 33612-4742 | 2005-07-12 |
| 1538796784 | Samia Valeria Ozorio Dutra | Registered Nurse | 12901 Bruce B Downs Blvd, Tampa, FL 33612-4742 | 2020-03-26 |
| 1255966289 | Jessica Huang | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Tampa, FL 33612-4742 | 2020-03-10 |
| 1487218764 | Chelsea Gebs Black | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612-4742 | 2019-04-23 |
| 1609430925 | Kathryn Elizabeth Rudibaugh | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-23 |
| 1467015883 | Thomas Cole | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Tampa, FL 33612-4742 | 2019-04-22 |
| 1417510751 | Kelly Powell | Physician Assistant | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-22 |
| 1700347283 | Kristopher Johnson | Nurse Practitioner | 12901 Bruce B Downs Blvd, Tampa, FL 33612-4799 | 2019-03-27 |
| 1366909129 | Derrik Jose Diaz Navarro | Specialist/Technologist | 12901 Bruce B Downs Blvd, Tampa, FL 33612-4742 | 2019-02-27 |
| 1346717717 | Kyle William Woodward | Specialist/Technologist | 12901 Bruce B Downs Blvd, Tampa, FL 33612-4799 | 2018-10-24 |
| 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 | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861647075 | Nakanachi Anesthesia Providers LLC | Anesthesiology | 5013 N Armenia Ave, Tampa, FL 33603-1403 | 2008-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144755117 | Wright Home Healthcare LLC | Anesthesiology | 830 Reflections Cir, 211, Casselberry, FL 32707-6663 | 2017-04-26 |
| 1518413095 | Innovative Healthcare Group LLC | Anesthesiology | 9128 Strada Pl, #10115, Naples, FL 34108-2940 | 2016-08-25 |
| 1255609434 | Ronald Allan Harrison | Anesthesiology | 2000 Matecumbe Key Rd, Punta Gorda, FL 33955-4639 | 2011-12-02 |
| 1992990634 | Iyer Sankaran M.d.p.a. | Anesthesiology | 3132 Hassi Pt, Longwood, FL 32779-3126 | 2007-09-06 |
| 1134326804 | Rakesh Mohanlal Shah | Anesthesiology | 500 Vonderburg Dr Ste 201e, Brandon, FL 33511-5999 | 2007-06-27 |
| 1932260213 | Kan Takahashi | Anesthesiology | 1600 Archer Road, Gainesville, FL 32610 | 2006-12-12 |
| 1194802538 | Bruce P Krieger | Anesthesiology | 7011 A C Skinner Pkwy Ste 160, Jacksonville, FL 32256-6953 | 2006-11-01 |
| 1821023052 | Keith Lance Stein | Anesthesiology | 8272 Riding Club Rd, Jacksonville, FL 32256-7262 | 2006-07-12 |
| 1518910520 | U S Anesthesia Partners of Florida Inc. | Anesthesiology | 851 Trafalgar Ct, Suite 200e, Maitland, FL 32751-4132 | 2006-05-19 |
| 1558357459 | Jonathan Malcolm Shagrin | Anesthesiology | 225 Hourglass Way, 301, Sarasota, FL 34242-1676 | 2005-09-26 |
| Find all providers with the same taxonomy | ||||
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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.