Richard L Dicicco (NPI# 1811989874, PAC ID# 5395712616) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1811989874 |
| PAC ID by PECOS | 5395712616 |
| Professional Enrollment ID | I20040915000441 |
| Full Name | Richard L Dicicco |
| Organization Legal Name | GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC |
| Address |
2919 W Swann Ave Suite 301 Tampa FL 33609-4051 |
| Phone Number | 8138776000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1999 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2961637715 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100206 | MEMORIAL HOSPITAL OF TAMPA |
| Address | Phone | Organization |
|---|---|---|
| 2304 Lakeland Hills Blvd, Lakeland, FL 33805-2910 | 8138776000 | GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC |
| 2901 B Swann Ave, Tampa, FL 33609-4056 | 8138736400 | GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC |
| 2919 W Swann Ave, Suite 301, Tampa, FL 33609-4051 | 8138776000 | GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC |
| 602 S Audubon Ave, Suite A, Tampa, FL 33609-4217 | 8138771415 | GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC |
| Organization Legal Name | GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bharti K Shetye | Internal Medicine | Greater Tampa Bay Physician Specialists LLC | 1609 Pasadena Ave S, Suite 2e, South Pasadena, FL 33707-4560 |
| Tiffany M Jessee | General Surgery | Greater Tampa Bay Physician Specialists LLC | 602 S Audubon Ave, Suite A, Tampa, FL 33609-4217 |
| Subhasis Misra | Surgical Oncology | Greater Tampa Bay Physician Specialists LLC | 205 S Moon Ave, Suite 102a, Brandon, FL 33511-5716 |
| Gilman R Tyler Jr. | General Surgery | Greater Tampa Bay Physician Specialists LLC | 2901 B Swann Ave, Tampa, FL 33609-4056 |
| Rosebel Monteiro | General Surgery | Greater Tampa Bay Physician Specialists LLC | 602 S Audubon Ave, Suite A, Tampa, FL 33609-4217 |
| Thanh K Nguyen | General Surgery | Greater Tampa Bay Physician Specialists LLC | 2901 B Swann Ave, Tampa, FL 33609-4056 |
| Donald R Fridley Ii | General Surgery | Greater Tampa Bay Physician Specialists LLC | 14100 Fivay Rd, Suite 340, Hudson, FL 34667-7181 |
| Kay M Shawchuck | General Surgery | Greater Tampa Bay Physician Specialists LLC | 602 S Audubon Ave, Suite A, Tampa, FL 33609-4217 |
| Amit K Taggar | General Surgery | Greater Tampa Bay Physician Specialists LLC | 508 S Habana Ave, Suite 160, Tampa, FL 33609-4190 |
| Pandrurangan Krishnaraj | General Surgery | Greater Tampa Bay Physician Specialists LLC | 602 S Audubon Ave, Suite A, Tampa, FL 33609-4217 |
| Street Address |
2919 W SWANN AVE SUITE 301 |
| City | TAMPA |
| State | FL |
| Zip | 33609-4051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn S Connelly | Rheumatology | 2919 W Swann Ave, Suite 404, Tampa, FL 33609-4052 | |
| Cesar A Morales-pabon | Cardiovascular Disease (cardiology) | 2919 W Swann Ave, Suite 105b, Tampa, FL 33609-4049 | |
| Courtney Hankins | Nurse Practitioner | Marc R Stauffer, M.d., P.a. | 2919 W Swann Ave, Suite 102, Tampa, FL 33609-4049 |
| Natalia V Mohabir | Nurse Practitioner | West Central Gastroenterology LLP | 2919 W Swann Ave, Suite 106, Tampa, FL 33609-4049 |
| Todd J Brennan | Podiatry | Advanced Podiatry Pa | 2919 W Swann Ave, Suite 203, Tampa, FL 33609-4050 |
| John Isaac Delgado | Gastroenterology | West Central Gastroenterology LLP | 2919 W Swann Ave, Suite 106, Tampa, FL 33609-4049 |
| Leo S Krawetz | Podiatry | Advanced Podiatry Pa | 2919 W Swann Ave, Suite 203, Tampa, FL 33609-4050 |
| Lennox P Hoyte | Obstetrics/gynecology | Pelvic Floor Institute LLC | 2919 W Swann Ave, Suite 303, Tampa, FL 33609-4051 |
| Mark C Cascione | Neurology | Neuroscience Consultants LLP | 2919 W Swann Ave, Suite 401, Tampa, FL 33609-4083 |
| Ian Loy | Nurse Practitioner | Marc R Stauffer, M.d., P.a. | 2919 W Swann Ave, Suite 102, Tampa, FL 33609-4049 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie A Daly | Certified Nurse Midwife (cnm) | Womens Care Florida LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Patricia A. Schroeder | Obstetrics/gynecology | Womens Care Florida LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Dion T Manhoff | Pathology | Womens Care Florida LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Faith Carlin | Obstetrics/gynecology | Womens' Health Hospitalists, LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Areej Salem | Obstetrics/gynecology | Womens' Health Hospitalists, LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Julia M King | Obstetrics/gynecology | Womens' Health Hospitalists, LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Deirdre Marie Lahey | Obstetrics/gynecology | Womens Care Florida LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Reda Alami | Obstetrics/gynecology | Womens Care Florida LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Amy Louise Zechella | Certified Nurse Midwife (cnm) | Womens Care Florida LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Michael Justin Wagoner | Pathology | Womens Care Florida LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Find all physicians in zip 33609 | |||
| City | TAMPA |
| Zip Code | 33609 |
| Specialty | GENERAL SURGERY |
| City + Specialty | TAMPA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Richard L Dicicco.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.