DR. RAGHAVENDRA R VIJAYANAGAR (NPI# 1275514903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275514903 |
| Entity Type | Individual |
| Full Name | DR. RAGHAVENDRA R VIJAYANAGAR |
| Credential | M.D. |
| Practice Address |
5 Tampa General Cir Suite 720 Tampa FL 33606-3601 |
| Practice Telephone | 8132518600 |
| Practice Fax Number | 8132518677 |
| Mailing Telephone | 8132518600 |
| Mailing Fax Number | 8132518677 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2014-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0021413 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 055937700 | 05 |
| Street Address |
5 TAMPA GENERAL CIR SUITE 720 |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122369 | Cedric D Sheffield | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 Tampa General Cir, Suite 725, Tampa, FL 33606-3601 | 2005-05-23 |
| 1568941565 | Andrew Oneill | Pharmacy Technician | 5 Tampa General Cir, Tampa, FL 33606-3601 | 2018-08-09 |
| 1417444126 | Diane Livesay | Pharmacist | 5 Tampa General Cir, Tampa, FL 33606-3601 | 2018-04-18 |
| 1891207890 | Cassandra Aldi | Nurse Practitioner | 5 Tampa General Cir, Tampa, FL 33606-3601 | 2017-10-30 |
| 1285145755 | Kristin Mraz | Nurse Practitioner | 5 Tampa General Cir, Tampa, FL 33606-3601 | 2017-10-23 |
| 1528586286 | Devin Steele | Dietitian, Registered | 5 Tampa General Cir, Tampa, FL 33606-3601 | 2017-09-01 |
| 1194259929 | Lauren Decker | Nurse Practitioner | 5 Tampa General Cir, Tampa, FL 33606-3601 | 2017-04-19 |
| 1144766452 | Shannon Marcus Jude Quamina | Physician Assistant | 5 Tampa General Cir, Tampa, FL 33606-3601 | 2017-01-10 |
| 1487196960 | Amanda Musin | Dietitian, Registered | 5 Tampa General Cir, Tampa, FL 33606-3601 | 2016-11-15 |
| 1053864397 | Elhaum Mogharreban | Audiologist | 5 Tampa General Cir, 610, Tampa, FL 33606-3601 | 2016-08-03 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861852709 | Suchithra Hirode Ph D LLC | Specialist | 9643 Gretna Green Drive, Tampa, FL 33626 | 2016-03-04 |
| 1134588247 | Andrew Morath | Specialist | 2402 S 68th St, Tampa, FL 33619-5822 | 2016-02-17 |
| 1023412319 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 2700 W Martin Luther King Jr Blvd, Suite 250, Tampa, FL 33607-6383 | 2014-10-15 |
| 1700206000 | Diane Murray | Specialist | 13803 N Florida Ave, Tampa, FL 33613-3230 | 2014-04-24 |
| 1043652357 | Christina Maria Potter | Specialist | 97 Davis Blvd, Unit B, Tampa, FL 33606-4404 | 2013-07-28 |
| 1063851384 | Julia Ruth Undella | Specialist | 7402 Park Dr, Tampa, FL 33610-1060 | 2013-06-19 |
| 1043658545 | Roshni Patel | Specialist | 13441 Canopy Creek Dr, Tampa, FL 33625-5915 | 2013-06-06 |
| 1417293457 | Chambers Medical Group | Specialist | 1802 E Busch Blvd, Tampa, FL 33612-8664 | 2012-12-19 |
| 1205188430 | Shea Speights | Specialist | 103 W Hamilton Ave, Tampa, FL 33604-5420 | 2012-10-11 |
| 1700158847 | Tracy Lashun Williams | Specialist | 18110 Palm Beach Drive, Tampa, FL 33647 | 2012-02-06 |
| 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.