DR. CRISTINA M ODONOGHUE (NPI# 1508032715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508032715 |
| Entity Type | Individual |
| Full Name | DR. CRISTINA M ODONOGHUE |
| Credential | M.D., M.P.H. |
| Practice Address |
12902 Magnolia Dr Tampa FL 33612 |
| Mailing Address |
16174 Colchester Palms Tampa FL 33647 |
| Practice Telephone | 8666002273 |
| Mailing Telephone | 6305695580 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2016-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME123563 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
12902 MAGNOLIA DR |
| 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 |
| 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 |
| 1003938366 | Theresa A Boyle | Pathology | 12902 Magnolia Dr, Moffitt Cancer Center, Tampa, FL 33612 | 2007-04-05 |
| 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 | 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 |
|---|---|---|---|---|
| 1720601768 | Ked Medical, P.a. | Surgery | 3001 N Rocky Point Dr E Ste 100, Tampa, FL 33607-5860 | 2020-05-26 |
| 1164941639 | J.f. Garcia Md Surgical and Wound Care Services LLC | Surgery | 2123 W Martin Luther King Blvd., Suite 101, Tampa, FL 33607 | 2017-09-15 |
| 1770014755 | Augustine Reid Wilson | Surgery | 4015 Bayshore Blvd Apt 3c, Tampa, FL 33611-1700 | 2017-03-22 |
| 1992191142 | Daniel Hall | Surgery | 1 Tampa General Cir Rm G417, Tampa, FL 33606-3571 | 2015-04-14 |
| 1124434485 | Joseph Sujka | Surgery | Harbourside Medical Tower, Suite 740.15, 5 Tampa General Circle, Tampa, FL 33606 | 2014-07-08 |
| 1235544677 | Carolina Martinez | Surgery | 5 Tampa General Cir Ste 740, Tampa, FL 33606-3601 | 2014-06-24 |
| 1205193760 | Anthony Dinallo | Surgery | 109 W Fortune St # 1525, Tampa, FL 33602 | 2012-04-20 |
| 1265723944 | Bradley Cameron Stephan | Surgery | 105 S Macdill Ave Ste 202, Tampa, FL 33609-3490 | 2011-04-28 |
| 1346550720 | James A Christensen Md Pa | Surgery | 4600 North Habana Avenue, Suite 21, Tampa, FL 33614 | 2010-10-19 |
| 1295051134 | Rosebel Monteiro | Surgery | 602 S Audubon Ave Ste A, Tampa, FL 33609-4217 | 2010-04-16 |
| 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.