JOSEPH PIDALA (NPI# 1104025592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104025592 |
| Entity Type | Individual |
| Full Name | JOSEPH PIDALA |
| Credential | M.D. |
| Practice Address |
2 Columbia Dr J402 Tampa FL 33606-3508 |
| Practice Telephone | 8138447412 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
TRN11749 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2 COLUMBIA DR J402 |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854383 | William Arthur Grass | Nurse Practitioner | 2 Columbia Dr, Suite A327, Tampa, FL 33606-3508 | 2005-07-13 |
| 1588989404 | Debra N Brosius | Psychologist | 2 Columbia Dr, Tampa, FL 33606-3683 | 2010-04-03 |
| 1235382789 | Christopher M Orenich | Nurse Anesthetist, Certified Registered | 2 Columbia Dr, Suite A327, Tampa, FL 33606-3508 | 2008-10-28 |
| 1568614121 | Anthony E Lumas | Nurse Anesthetist, Certified Registered | 2 Columbia Dr, Suite A327, Tampa, FL 33606-3508 | 2008-10-15 |
| 1235380239 | Zhen Li | Nurse Anesthetist, Certified Registered | 2 Columbia Dr, Suite A327, Tampa, FL 33606-3508 | 2008-10-08 |
| 1104075753 | Habib Ajami | Student in an Organized Health Care Education/Training Program | 2 Columbia Dr, J402, Tampa, FL 33606-3508 | 2008-09-18 |
| 1649429374 | Jose J Correa | Student in an Organized Health Care Education/Training Program | 2 Columbia Dr, J402, Tampa, FL 33606-3508 | 2008-09-18 |
| 1447409172 | Matthias Setzer | Student in an Organized Health Care Education/Training Program | 2 Columbia Dr, J402, Tampa, FL 33606-3508 | 2008-09-18 |
| 1689823411 | Jason R Pericak | Radiology | 2 Columbia Dr, J402, Tampa, FL 33606-3508 | 2008-09-17 |
| 1740439413 | Sean A Phillips | Student in an Organized Health Care Education/Training Program | 2 Columbia Dr, J402, Tampa, FL 33606-3508 | 2008-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1134464910 | Dae Won Kim | Internal Medicine | Moffitt Cancer Center 12902 Magnolia Drive, Tampa, FL 33612 | 2012-12-04 |
| 1366649881 | Tampa Bay Oncology-hematology Associates | Internal Medicine | 4910 N Armenia Ave, Tampa, FL 33603-1402 | 2007-06-28 |
| 1427068493 | Lewis E Auerbach | Internal Medicine | 2111 W. Swann Ave., Suite 102, Tampa, FL 33606-2478 | 2006-08-09 |
| 1750303905 | Tawee Tanvetyanon | Internal Medicine | H. Lee Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL 33613 | 2006-07-24 |
| 1174571699 | Ron D Schiff | Internal Medicine | 3238 Cove Bend Dr, Tampa, FL 33613-2752 | 2006-05-05 |
| 1841273943 | Jawan Corine Ayer-cole | Internal Medicine | 800 W Dr Martin Luther King Jr Blvd, Ste4, Tampa, FL 33603-3320 | 2005-11-22 |
| 1669475158 | Jose Leonel Ochoa-bayona | Internal Medicine | 12902 Usf Magnolia Dr, Fob 3 Bmt, Tampa, FL 33612-9416 | 2005-05-27 |
| 1538691381 | Alexandre Mark Tungesvik | Internal Medicine | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2017-03-31 |
| 1588110639 | Abdul Rashid Shah | Internal Medicine | 12902 Magnolia Drive, H.lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612 | 2016-08-29 |
| 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.