DR. RAUL E. FERNANDEZ-CRESPO (NPI# 1124468632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124468632 |
| Entity Type | Individual |
| Full Name | DR. RAUL E. FERNANDEZ-CRESPO |
| Credential | MD |
| Practice Address |
2 Tampa General Circle, Stc6 Department of Urology Tampa FL 33606 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
| Practice Telephone | 8139742201 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2020-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME140079 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 103349700 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | UU7UJ | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| University District Hospital, Puerto Rico Medical Center, Bo. Monacillos, San Juan, PR 009350001 | 7873105401 |
| Street Address |
2 TAMPA GENERAL CIRCLE, STC6 DEPARTMENT OF UROLOGY |
| City | TAMPA |
| State | FL |
| Zip Code | 33606 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013208057 | Mohit Sirohi | Urology | 1 Davis Blvd., #604, Tampa, FL 33606 | 2011-04-25 |
| 1629170535 | James Etheridge | Urology | 17718 Esprit Dr, Tampa, FL 33647-2507 | 2006-09-01 |
| 1669481628 | Raoul Radu Salup | Urology | 13000 Bruce B Downs Boulevard, James A. Haley Veterans Hospital, Tampa, FL 33612 | 2006-08-07 |
| 1003840091 | New Tampa Urology P A | Urology | 5332 Primrose Lake Cir, Tampa, FL 33647-3589 | 2006-07-10 |
| 1588695894 | Rafael E Carrion | Urology | 2 Tampa General Circle, Stc 5th Floor, Tampa, FL 33606-3603 | 2006-07-05 |
| 1205872710 | Tampa Urology Pa | Urology | 1209 W Swann Ave, Tampa, FL 33606-2639 | 2006-06-22 |
| 1245275692 | Leffie Mahon Carlton IIi | Urology | 602 S Audubon Street, Tampa, FL 33609 | 2006-06-19 |
| 1043269970 | Tod Joseph Fusia | Urology | 2822 W Virginia Ave, Tampa, FL 33607-6330 | 2006-05-08 |
| 1760457220 | Novelle Dt Kirwan | Urology | 4801 N Howard Ave, Tampa, FL 33603-1411 | 2006-02-20 |
| 1225593148 | Logan Wright Zemp | Urology | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2019-02-05 |
| 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.