Magdala Limage Russo (NPI# 1215176995, PAC ID# 2365509718) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1215176995 |
| PAC ID by PECOS | 2365509718 |
| Professional Enrollment ID | I20090330000380 |
| Full Name | Magdala Limage Russo |
| Organization Legal Name | H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC |
| Address |
12902 Usf Magnolia Dr Tampa FL 33612-9416 |
| Phone Number | 8888602778 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2264337021 |
| Number of Group Practice Members | 620 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100271 | MOFFITT CANCER CENTER & RESEARCH INSTITUTE INC |
| 210022 | SUBURBAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 3018963931 | FIRST COLONIES ANESTHESIA ASSOCIATES, LLC |
| 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 3017908000 | FIRST COLONIES ANESTHESIA ASSOCIATES, LLC |
| 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 8888602778 | H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC |
| Organization Legal Name | H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC |
| Physicians | 672 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara M Tinsley | Nurse Practitioner | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Tanisha M Henry | Physician Assistant | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 4101 Jim Walter Blvd, Tampa, FL 33607-5775 |
| Jason B Klapman | Gastroenterology | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Kristine A Donovan | Psychologist, Clinical | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Robert W Koss | Anesthesiology | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Eric Padron | Medical Oncology | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Theresa A Boyle | Pathology | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Patricia Do Vale Rabon | Physician Assistant | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Laura Grace Donovan | Nurse Practitioner | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Jonathan R Strosberg | Hematology/oncology | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Street Address |
12902 USF MAGNOLIA DR |
| City | TAMPA |
| State | FL |
| Zip | 33612-9416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara M Tinsley | Nurse Practitioner | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Jason B Klapman | Gastroenterology | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Kristine A Donovan | Psychologist, Clinical | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Robert W Koss | Anesthesiology | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Eric Padron | Medical Oncology | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Theresa A Boyle | Pathology | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Patricia Do Vale Rabon | Physician Assistant | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Laura Grace Donovan | Nurse Practitioner | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Jonathan R Strosberg | Hematology/oncology | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Tyesha Natae' Stewart | Nurse Practitioner | H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger Gstalder | Ophthalmology | University Medical Service Association Inc | 13127 Usf Magnolia Dr, Tampa, FL 33612 |
| Michael Joseph Poff | Clinical Social Worker | 1325 W Fletcher Ave, Tampa, FL 33612-3310 | |
| Thomas M Lane | Chiropractic | 1323 W Fletcher Ave, Tampa, FL 33612-3310 | |
| Yvette M Suarez | Pediatric Medicine | Lane Family Wellness Center, LLC | 1323 W Fletcher Ave, Suite A, Tampa, FL 33612-3310 |
| Andrea Morganna Kerr | Nurse Practitioner | Lane Family Wellness Center, LLC | 1323 W Fletcher Ave, Suite A, Tampa, FL 33612-3310 |
| Octavio J Perez-velasco | Family Medicine | 1312 W Fletcher Ave, Suite A, Tampa, FL 33612-3330 | |
| Nelson Villar | Nurse Practitioner | Tampa Family Health Centers Inc | 302 W Fletcher Ave, Tampa, FL 33612-3415 |
| Janet Olmeda Rivera | Physician Assistant | Tampa Family Health Centers Inc | 302 W Fletcher Ave, Tampa, FL 33612-3415 |
| Damara Cruz-barros | Internal Medicine | Tampa Family Health Centers Inc | 302 W Fletcher Ave, Tampa, FL 33612-3415 |
| David B Alonso | Family Medicine | Tampa Family Health Centers Inc | 302 W Fletcher Ave, Tampa, FL 33612-3415 |
| Find all physicians in zip 33612 | |||
| City | TAMPA |
| Zip Code | 33612 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | TAMPA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Magdala Limage Russo.
| 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.