DR. RICHARD GORDON PICCIOCCA JR. (NPI# 1356524854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356524854 |
| Entity Type | Individual |
| Full Name | DR. RICHARD GORDON PICCIOCCA JR. |
| Credential | M.D. |
| Practice Address |
519 Medical Oaks Ave Brandon FL 33511-5961 |
| Practice Telephone | 8136857995 |
| Practice Fax Number | 8136858802 |
| Mailing Telephone | 8136857995 |
| Mailing Fax Number | 8136858802 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2011-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME103771 | FL | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME103771 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
519 MEDICAL OAKS AVE |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743167 | Donovan N. Tapper | Surgery | 519 Medical Oaks Ave, Brandon, FL 33511-5961 | 2005-07-14 |
| 1477179463 | Physicians Professional Alliance, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 519 Medical Oaks Ave, Brandon, FL 33511-5961 | 2020-06-25 |
| 1548569742 | Stephen A Jones | Surgery | 519 Medical Oaks Ave, Brandon, FL 33511 | 2011-03-28 |
| 1174849277 | Jeffrey Scott Mino | Surgery | 519 Medical Oaks Ave, Brandon, FL 33511-5961 | 2010-04-14 |
| 1376865261 | Cristiano Vidolin Alpendre | Surgery | 519 Medical Oaks Ave, Brandon, FL 33511-5961 | 2010-02-19 |
| 1730326315 | Francisco Hilario Itriago | Surgery | 519 Medical Oaks Ave, Brandon, FL 33511-5961 | 2009-01-19 |
| 1285816637 | Gopal S Grandhige | Surgery | 519 Medical Oaks Ave, Brandon, FL 33511-5961 | 2007-11-28 |
| 1780710020 | Suncoast Surgical Associates P A | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 519 Medical Oaks Ave, Brandon, FL 33511-5961 | 2007-02-23 |
| 1114935178 | Michael G Siegman | Surgery | 519 Medical Oaks Ave, Brandon, FL 33511 | 2006-08-04 |
| 1083646350 | In Soon Park | Surgery | 519 Medical Oaks Ave, Brandon, FL 33511 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629477526 | Berry Enterprises LLC | Surgery | 756 Luckney Rd, Brandon, MS 39042-8703 | 2014-08-15 |
| 1134386980 | Subhasis Misra | Surgery | 205 S Moon Ave Ste 102a, Brandon, FL 33511-5716 | 2008-05-20 |
| 1942490826 | Crossgates Hma Medical Group, LLC | Surgery | 346 Crossgates Boulevard, Suite 101, Brandon, MS 39042-2608 | 2007-07-27 |
| 1134205164 | Darshan B Thakkar | Surgery | 205 S Moon Ave Ste 102, Brandon, FL 33511-5716 | 2006-10-31 |
| 1235215062 | Samer Koussayer | Surgery | 325 South Parsons Ave, Brandon, FL 33511 | 2006-10-27 |
| 1790861532 | Vijay Narasimha | Surgery | 205 S.moon Ave, Ste 102, Brandon, FL 33511-5716 | 2006-10-27 |
| 1952487787 | Palanisamy Rathinasamy | Surgery | 205 S.moon Ave, Suite 102, Brandon, FL 33511-5716 | 2006-10-27 |
| 1851352314 | Donna Maria Bridge | Surgery | 608 Medical Care Dr, Brandon, FL 33511 | 2006-03-31 |
| 1083607600 | John Kimble Butterick | Surgery | 302 Bryan Rd, Suite 2, Brandon, FL 33511-5337 | 2005-08-30 |
| 1396743167 | Donovan N. Tapper | Surgery | 519 Medical Oaks Ave, Brandon, FL 33511-5961 | 2005-07-14 |
| Find all providers in BRANDON | ||||
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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.