DR. TRACY ROSE BILSKI (NPI# 1750317475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750317475 |
| Entity Type | Individual |
| Full Name | DR. TRACY ROSE BILSKI |
| Credential | M.D. |
| Practice Address |
2415 N Orange Ave Suite 400 Orlando FL 32804-5505 |
| Practice Telephone | 4073037399 |
| Practice Fax Number | 4073037305 |
| Mailing Telephone | 4073037399 |
| Mailing Fax Number | 4073037305 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2014-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
ME117294 | FL | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
19983 | MS | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD035666 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 3770373 | 05 | |
| MS | RR MEDICARE | P00636220 | 01 |
| Street Address |
2415 N ORANGE AVE SUITE 400 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401331 | Nirav Y. Raval | Internal Medicine | 2415 N Orange Ave, Suite 600, Orlando, FL 32804-5505 | 2005-07-19 |
| 1356875819 | Damian Korsich | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave, Suite 400, Orlando, FL 32804-5505 | 2017-04-11 |
| 1710342803 | Jeffrey T Johnson | Nurse Practitioner | 2415 N Orange Ave, Suite 700, Orlando, FL 32804-5505 | 2015-12-16 |
| 1265817431 | Daniel Figueroa Tentori | Surgery | 2415 N Orange Ave, Suite 400, Orlando, FL 32804-5505 | 2015-07-29 |
| 1942605027 | Sarah Souverain | Nurse Practitioner | 2415 N Orange Ave, Suite 502, Orlando, FL 32804-5505 | 2014-10-30 |
| 1477957934 | Elidalis R Burgos | Nurse Practitioner | 2415 N Orange Ave, 700, Orlando, FL 32804-5505 | 2014-10-13 |
| 1932520111 | Amber Nicole Brennan | Nurse Practitioner | 2415 N Orange Ave, Suite 700, Orlando, FL 32804-5505 | 2013-12-14 |
| 1346529716 | Jeffrey Chiu | Surgery | 2415 N Orange Ave, Suite 400, Orlando, FL 32804-5505 | 2011-08-16 |
| 1043507825 | Hea Lyoung Lee | Nurse Practitioner | 2415 N Orange Ave, 700, Orlando, FL 32804-5505 | 2011-06-30 |
| 1134446313 | Frances K Smith | Dietitian, Registered | 2415 N Orange Ave, Suite # 700, Orlando, FL 32804-4603 | 2010-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619422607 | Shawn A. Mcclure Dmd, Md | Surgery | 8755 Sw 57th Pl, Cooper City, FL 33328-5921 | 2016-08-18 |
| 1326434556 | Kyle Leneweaver | Surgery | 5151 N 9th Ave # 305, Pensacola, FL 32504-8721 | 2015-04-14 |
| 1093063869 | Ocala Health Trauma, LLC | Surgery | 205 Se 14th Pl, Ocala, FL 34471-4341 | 2012-08-27 |
| 1912262544 | Injury Management, LLC | Surgery | 4010 Nw 100th Ave, Coral Springs, FL 33065-1549 | 2012-07-10 |
| 1558664987 | Moshe Stav Md Pa | Surgery | 1550 Ponce De Leon Dr, 3200 S. University Dr, Rm 7374, Fort Lauderdale, FL 33316-1324 | 2010-12-07 |
| 1154589786 | Meredith Lynn Shaddix | Surgery | 5153 North 9th Avenue, Suite 305, Pensacola, FL 32504 | 2008-05-30 |
| 1760681225 | Omar Mahmoud El-sheikh | Surgery | 801 E. 6th Street, Suite 602, Panama City, FL 32401-3663 | 2007-07-15 |
| 1689710279 | Thomas Anthony Abbruzzese | Surgery | 1654 Village Center Dr Apt 207, Lakeland, FL 33803-2892 | 2007-01-30 |
| 1003900952 | Meredith Tinti | Surgery | 3627 University Blvd S Ste 500, Jacksonville, FL 32216-7405 | 2006-10-03 |
| 1194748947 | James Carver Boyd | Surgery | 2280 N 9th Ave, Pensacola, FL 32503-3949 | 2006-07-25 |
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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.