DR. EILEEN ORTEGA (NPI# 1639117773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639117773 |
| Entity Type | Individual |
| Full Name | DR. EILEEN ORTEGA |
| Credential | M.D. |
| Practice Address |
409 Bayshore Blvd Tampa FL 33606-2707 |
| Mailing Address |
Po Box 1289 Tampa FL 33601-1289 |
| Practice Telephone | 8138445470 |
| Mailing Telephone | (813) 844-8927 |
| Mailing Fax Number | 8138444705 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 11127 | PR | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
11127 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015343000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3655 Innovation Dr., Lakeland, FL 338123319 | 8633195999 | 8636195995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473307 | Eileen Ortega | Case Manager/Care Coordinator | Rebekah Children's Services 290 Ioof Ave., Gilroy, CA 95020 | 2017-08-22 |
| Street Address |
409 BAYSHORE BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516209 | Eduardo Alsina | Transplant Surgery | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2005-05-23 |
| 1326547357 | Valerija Rudic | Nurse Practitioner | 409 Bayshore Blvd, Tampa, FL 33606 | 2018-02-05 |
| 1184166381 | Caroline Elizabeth Matthews | Nurse Practitioner | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2016-11-06 |
| 1710343637 | Flavia Bravo | Nurse Practitioner | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2016-01-07 |
| 1265817233 | Edward Olin Elrod | Nurse Practitioner | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2015-07-20 |
| 1811396021 | Elizabeth Mary Kohan | Nurse Practitioner | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2014-08-14 |
| 1245639483 | Lina Vega-brownlee | Nurse Practitioner | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2014-08-13 |
| 1598188997 | Jacentha Buggs | Surgery | 409 Bayshore Blvd, #634, Tampa, FL 33606-2707 | 2014-01-22 |
| 1932549359 | Vijay Subramanian | Transplant Surgery | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2013-06-29 |
| 1962840702 | Stacey Lynn Kollet | Registered Nurse | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2013-06-13 |
| 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 | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780867275 | Robert J. Shaw | Family Medicine | 16308 Moradas De Avila, Tampa, FL 33613-1092 | 2007-12-07 |
| 1124022546 | Oscar Perez | Family Medicine | 5330 Ehrlich Road, Suite 138, Tampa, FL 33624-6975 | 2005-06-13 |
| 1396179024 | Albert Tawil, M.d., P.a. | Family Medicine | 508 S Habana Ave, Ste. 360, Tampa, FL 33609-4181 | 2013-08-29 |
| 1760746408 | Marla Mickel Trapp | Family Medicine | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2012-06-27 |
| 1881868800 | Yasmin Divine | Family Medicine | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2008-04-22 |
| 1265603591 | Gerimed 2000 LLC | Family Medicine | 5330 Ehrlich Road, Suite 138, Tampa, FL 33624-6975 | 2008-03-14 |
| 1821008582 | Scott D Judd | Family Medicine | 13701 Bruce B Downs Blvd, Ste 106, Tampa, FL 33613-4647 | 2006-08-08 |
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|---|---|---|---|---|
| 1821620618 | Heather J Cappello LLC | Family Medicine | 2571 Dick Wilson Dr, Sarasota, FL 34240-8722 | 2020-02-10 |
| 1225682784 | Brevard Geriatrics, LLC | Family Medicine | 720 E New Haven Ave Suite 11, Melbourne, FL 32901-5474 | 2019-08-01 |
| 1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1184137929 | Saint George Medical Center Inc | Family Medicine | 1118 Hospital Rd, Fort Walton Beach, FL 32547-6742 | 2017-11-15 |
| 1750835211 | Gainesville Geriatric Rehabilitation Medicine LLC | Family Medicine | 5002 Nw 15th Pl, Gainesville, FL 32605-4555 | 2016-08-12 |
| 1033570171 | Reliance Med, LLC | Family Medicine | 8450 Reymont St, Orlando, FL 32827-7430 | 2016-03-17 |
| 1013375062 | Kravitz Physician Services, P.a. | Family Medicine | 5150 Nw 82nd Ter, Coral Springs, FL 33067-2811 | 2016-02-05 |
| 1972968089 | Wm R George II Md Pa | Family Medicine | 327 Plaza Real Ste 307, Boca Raton, FL 33432-3944 | 2015-12-17 |
| 1710369020 | Robert N. Baskin, Md, P.a. | Family Medicine | 2108 N Golfview Dr, Plant City, FL 33566-6768 | 2015-06-23 |
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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.