Michaela R Mallon (NPI# 1699881359, PAC ID# 1052416310) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1699881359 |
| PAC ID by PECOS | 1052416310 |
| Professional Enrollment ID | I20070414000012 |
| Full Name | Michaela R Mallon |
| Organization Legal Name | ST. JOSEPH'S COMMUNITY CARE INC |
| Address |
3550 W Waters Ave Suite 110 Tampa FL 33614-2716 |
| Phone Number | 8138868899 |
| Gender | F |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8527046150 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100075 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3550 W Waters Ave, Suite 110, Tampa, FL 33614-2716 | 8138868899 | ST. JOSEPH'S COMMUNITY CARE INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | ST. JOSEPH'S COMMUNITY CARE INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raoul Muse | Family Medicine | St. Joseph's Community Care Inc | 3550 W Waters Ave, Suite 110, Tampa, FL 33614-2716 |
| Mary I Thomas | Family Medicine | St. Joseph's Community Care Inc | 3550 W Waters Ave, Suite 110, Tampa, FL 33614-2716 |
| Shahla Amrooei | Nurse Practitioner | St. Joseph's Community Care Inc | 3550 W Waters Ave, Suite 110, Tampa, FL 33614-2716 |
| Abel Ochoa | Preventative Medicine | St. Joseph's Community Care Inc | 3550 W Waters Ave, Tampa, FL 33614-2716 |
| Street Address |
3550 W WATERS AVE SUITE 110 |
| City | TAMPA |
| State | FL |
| Zip | 33614-2716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raoul Muse | Family Medicine | St. Joseph's Community Care Inc | 3550 W Waters Ave, Suite 110, Tampa, FL 33614-2716 |
| Mary I Thomas | Family Medicine | St. Joseph's Community Care Inc | 3550 W Waters Ave, Suite 110, Tampa, FL 33614-2716 |
| Shahla Amrooei | Nurse Practitioner | St. Joseph's Community Care Inc | 3550 W Waters Ave, Suite 110, Tampa, FL 33614-2716 |
| Abel Ochoa | Preventative Medicine | St. Joseph's Community Care Inc | 3550 W Waters Ave, Tampa, FL 33614-2716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erick R Corps | Chiropractic | Emjn L.l.c | 8001 N Dale Mabry Hwy, Tampa, FL 33614 |
| Oscar Venzor Jr. | Internal Medicine | 8619 Leighton Dr, Tampa, FL 33614-1723 | |
| John Robert Walesby Jr. | Optometry | 2510 W Waters Ave, Tampa, FL 33614-1833 | |
| Michael C Goldbach | Vascular Surgery | Thomas Kerr Md Pa | 2809 W Waters Ave, Tampa, FL 33614-1852 |
| Avianne Bunnell | Vascular Surgery | Thomas Kerr Md Pa | 2809 W Waters Ave, Tampa, FL 33614-1852 |
| Adithya Suresh | Vascular Surgery | Thomas Kerr Md Pa | 2809 W Waters Ave, Tampa, FL 33614-1852 |
| Thomas M Kerr | Vascular Surgery | Thomas Kerr Md Pa | 2809 W Waters Ave, Tampa, FL 33614-1852 |
| Brandt D Jones | Vascular Surgery | Thomas Kerr Md Pa | 2809 W Waters Ave, Tampa, FL 33614-1852 |
| Kenneth James Wright | Vascular Surgery | Thomas Kerr Md Pa | 2809 W Waters Ave, Tampa, FL 33614-1852 |
| Ashok K Modh | Pulmonary Disease | Tampa Bay Pulmonary Associates,p.a. | 2810 W Waters Ave, Tampa, FL 33614-1853 |
| Find all physicians in zip 33614 | |||
| City | TAMPA |
| Zip Code | 33614 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TAMPA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michaela R Mallon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.