SHASHIKANTH GANGU (NPI# 1639581655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639581655 |
| Entity Type | Individual |
| Full Name | SHASHIKANTH GANGU |
| Credential | M.D. |
| Practice Address |
3001 W Dr Martin Luther King Jr Blvd Fl 1 Tampa FL 33607-6307 |
| Mailing Address |
1 Brookdale Plz Brooklyn NY 11212-3139 |
| Practice Telephone | 8133570711 |
| Mailing Telephone | 7182405893 |
| Enumeration Date | 2014-05-26 |
| Last Update Date | 2019-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
ME131651 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3001 W DR MARTIN LUTHER KING JR BLVD FL 1 |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659344463 | Don E Eslin | Pediatrics | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2006-02-10 |
| 1912545666 | Sarah Aitchison | Nurse Practitioner | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2019-12-12 |
| 1346710159 | Tina S Conner | Nurse Practitioner | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2018-12-05 |
| 1982174876 | Katherine Margaret Martinez | Physician Assistant | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2018-12-04 |
| 1801388830 | Joya Michelle Smith | Nurse Practitioner | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2018-06-05 |
| 1578081543 | Taylor Ann Kress | Physician Assistant | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2017-08-30 |
| 1568989317 | Kelly Lee Thatcher | Registered Nurse | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607 | 2017-08-23 |
| 1184158719 | Kelly W. Phillips | Registered Nurse | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2017-04-20 |
| 1750831327 | Kari Michelle Hyotala | Nurse Practitioner | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2016-10-07 |
| 1316320963 | Syeeta Joyce Mckelvie | Physician Assistant | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2015-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982707196 | Sridhara Sastry | Pediatrics | 5003 E Longboat Blvd, Tampa, FL 33615-4229 | 2006-09-06 |
| 1194143115 | Dennrik Abrahan | Pediatrics | 17 Davis Blvd, Suite 308, Tampa, FL 33606-3475 | 2014-04-07 |
| 1447414966 | Shetal Patel-gandhi | Pediatrics | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2008-07-14 |
| 1811155278 | Marylouise Kiyana Wilkerson | Pediatrics | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2008-06-01 |
| 1811051782 | University Community Hospital Inc | Pediatrics | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2006-12-21 |
| 1053491498 | Carmen C. Cosio | Pediatrics | 3100 E Fletcher Ave, Tampa, FL 33613 | 2006-10-17 |
| 1770686974 | Sridhara Sastry Md Pa | Pediatrics | 5003 E Longboat Blvd, Tampa, FL 33615-4229 | 2006-09-06 |
| 1487661484 | University Medical Service Association Inc | Pediatrics | 2 Tampa General Cir, Stc 2nd Floor - Mdc 15, Tampa, FL 33606-3603 | 2006-08-02 |
| 1679596662 | University Medical Service Association Inc | Pediatrics | 2 Tampa General Cir, Stc 2nd Floor - Mdc 15, Tampa, FL 33606-3603 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578853 | Erica Stoller | Pediatrics | 1117 E Hallandale Beach Blvd Ste 1, Hallandale Beach, FL 33009-4488 | 2019-09-24 |
| 1629323001 | Hamza Saeed Elkhidir | Pediatrics | 11252 Sw Kingslake Cir, Port St Lucie, FL 34987-2761 | 2012-07-20 |
| 1629331004 | Natalie Victoria Roebuck Bishop | Pediatrics | 1600 S Andrews Ave Fl Picu7, Fort Lauderdale, FL 33316-2510 | 2012-06-20 |
| 1598061574 | Jennifer Christine Munoz Pareja | Pediatrics | 1611 Nw 12th Ave Fl 6006, Miami, FL 33136-1005 | 2011-02-08 |
| 1720382054 | Ricardo A Queiro | Pediatrics | 1421 Sorolla Ave, Coral Gables, FL 33134-3519 | 2010-12-30 |
| 1245534593 | Carmen E Ocampo Benavides | Pediatrics | 1420 Brickell Bay Dr, Apt #907, Miami, FL 33131-3606 | 2010-12-30 |
| 1114044146 | Chad D Scheller | Pediatrics | 3501 Johnson St Dept Of, Hollywood, FL 33021 | 2007-03-23 |
| 1942370416 | Pediatric Hospital Services of Southwest Florida | Pediatrics | 157 Dockside Cir, Weston, FL 33327-1101 | 2006-11-09 |
| 1861577256 | Mark Swanson | Pediatrics | 92 West Miller Street, Orlando, FL 32806 | 2006-10-26 |
| 1841374295 | Enzo Javier Garcia | Pediatrics | 11760 Sw 40th St Ste 722, Miami, FL 33175-8101 | 2006-10-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHASHIKANTH GANGU.
| 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.