DR. THERESA A BOYLE (NPI# 1003938366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003938366 |
| Entity Type | Individual |
| Full Name | DR. THERESA A BOYLE |
| Credential | M.D. |
| Practice Address |
12902 Magnolia Dr Moffitt Cancer Center Tampa FL 33612 |
| Mailing Address |
16365 Ashington Park Dr Tampa FL 33647-2638 |
| Practice Telephone | 8137454673 |
| Mailing Telephone | 7203149300 |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2016-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0007X |
Pathology Specialization: Molecular Genetic Pathology |
ME 126385 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
42191 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164624771 | Theresa Ann Boyle | Social Worker | 750 E Broad St, Hazleton, PA 18201-6835 | 2007-06-05 |
| Street Address |
12902 MAGNOLIA DR MOFFITT CANCER CENTER |
| City | TAMPA |
| State | FL |
| Zip Code | 33612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043280142 | George Douglas Letson | Specialist | 12902 Magnolia Dr, Suite 5036, Tampa, FL 33612-9416 | 2006-01-23 |
| 1497211536 | Candice Monique Hallmon | Nurse Practitioner | 12902 Magnolia Dr, Fob 2, Tampa, FL 33612 | 2019-02-13 |
| 1184961864 | Ronie E Schmidt | Pharmacist | 12902 Magnolia Dr, Tampa, FL 33612-9416 | 2013-01-15 |
| 1760745913 | Rachel Kathleen Lundberg | Physician Assistant | 12902 Magnolia Dr, Tampa, FL 33612 | 2012-06-22 |
| 1821222480 | Julian A Sanchez | Surgery | 12902 Magnolia Dr, Fob-2 Gi Program, Tampa, FL 33612 | 2009-05-12 |
| 1508023714 | Bijal Shah | Internal Medicine | 12902 Magnolia Dr, Tampa, FL 33612 | 2008-05-16 |
| 1508032715 | Cristina M Odonoghue | Surgery | 12902 Magnolia Dr, Tampa, FL 33612 | 2008-05-07 |
| 1700055035 | Heather C Bridge | Physician Assistant | 12902 Magnolia Dr, Srb4, Tampa, FL 33612 | 2008-02-20 |
| 1184813123 | Timothy J Kim | Urology | 12902 Magnolia Dr, Tampa, FL 33612 | 2007-10-16 |
| 1205028867 | Jacques-pierre Fontaine | Surgery | 12902 Magnolia Dr, Tampa, FL 33612-9416 | 2007-08-16 |
| 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 | 207ZP0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Molecular Genetic Pathology |
| A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate for MGG was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225084080 | Stephen Mastorides | Pathology | 13000 Bruce B Downs Blvd, Pathology and Laboratory Medicine Service (113), Tampa, FL 33612-4745 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386080257 | Christopher Phillip Marquez | Pathology | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2013-05-17 |
| 1760427991 | Azita Djalilvand | Pathology | 655 W 8th St, Ufjp Pathology, Jacksonville, FL 32209-6511 | 2006-06-19 |
| 1063470441 | Jennifer L Hunt | Pathology | 1600 Sw Archer Rd, Gainesville, FL 32610-7101 | 2006-05-03 |
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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.