DR. AUGUSTINE E. AGOCHA (NPI# 1003863135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003863135 |
| Entity Type | Individual |
| Full Name | DR. AUGUSTINE E. AGOCHA |
| Credential | M.D. |
| Practice Address |
3003 W. Dr. Martin Luther King Jr. Blvd. Mab-2nd Floor Tampa FL 33607-6307 |
| Mailing Address |
Po Box 10744 Clearwater FL 33757-8744 |
| Practice Telephone | 8133971251 |
| Practice Fax Number | 8133216581 |
| Mailing Telephone | 7275320002 |
| Mailing Fax Number | 7272664928 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME111542 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 315723 | 05 | |
| NJ | 7716800 | 05 | |
| FL | 004434500 | 05 |
| Street Address |
3003 W. DR. MARTIN LUTHER KING JR. BLVD. MAB-2ND FLOOR |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992777551 | Andrew James Sherman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3003 W. Dr. Martin Luther King Jr. Blvd., Mab - 2nd Floor, Tampa, FL 33607-6307 | 2006-02-07 |
| 1598004715 | Amy Maria Reid | Nurse Practitioner | 3003 W. Dr. Martin Luther King Jr. Blvd., Mab-2nd Floor, Tampa, FL 33607-6307 | 2013-02-07 |
| 1679849707 | Laurie Beth Waldron | Physician Assistant | 3003 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33607-6307 | 2012-03-22 |
| 1598957318 | Michael Ward Bradner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3003 W. Dr. Martin Luther King Jr. Blvd., Mab-2nd Floor, Tampa, FL 33607-6307 | 2007-08-15 |
| 1477527554 | John Crayton Pruitt Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3003 W. Dr. Martin Luther King Jr. Blvd., Mab, 2nd Floor, Tampa, FL 33607-6307 | 2006-02-15 |
| 1659344059 | Cynthia Ann Brown | Specialist/Technologist, Other | 3003 W. Dr. Martin Luther King Jr. Blvd., Mab-2nd Floor, Tampa, FL 33607-6307 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1619309499 | Adithya K Gandhi Md Plc | Internal Medicine | 18128 Longwater Run Dr, Tampa, FL 33647-2211 | 2013-08-05 |
| 1336418474 | Clinical&diagnostic Cardiology | Internal Medicine | 16057 Tampa Palms Blvd W, 244, Tampa, FL 33647-2001 | 2011-12-19 |
| 1508185612 | Andrea Fae Tordini | Internal Medicine | 2727 W Dr Martin Luther King Jr Blvd Ste 760, Tampa, FL 33607 | 2010-05-28 |
| 1487984167 | Robert Arthur Turkel | Internal Medicine | 328 Inner Harbour Cir, Tampa, FL 33602-5967 | 2010-01-03 |
| 1932398740 | Phong Q Ong | Internal Medicine | 5919 Webb Rd, Tampa, FL 33615-3219 | 2007-10-17 |
| 1407049919 | Westchase Cardiology Pa | Internal Medicine | 11373 Countryway Blvd, Tampa, FL 33626-2610 | 2007-08-20 |
| 1174741565 | Cesar Alberto Morales-pabon | Internal Medicine | 2919 W Swann Ave Ste 105b, Tampa, FL 33609-4049 | 2007-04-23 |
| 1487788220 | Kristine V Owen | Internal Medicine | 823 S Oregon Ave, Apt #4, Tampa, FL 33606-2852 | 2007-03-15 |
| 1962578591 | Alejandro Ignacio Michel | Internal Medicine | 13701 Bruce B Downs Blvd Ste 105, Tampa, FL 33613-4647 | 2006-11-27 |
| 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.