Malcolm Root (NPI# 1578509089, PAC ID# 3072523422) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1578509089 |
| PAC ID by PECOS | 3072523422 |
| Professional Enrollment ID | I20090106000760 |
| Full Name | Malcolm Root |
| Organization Legal Name | FLORIDA UROLOGY PARTNERS LLP |
| Address |
1209 W Swann Ave Tampa FL 33606-2639 |
| Phone Number | 8132533007 |
| Gender | M |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 2062574924 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100206 | MEMORIAL HOSPITAL OF TAMPA |
| 100128 | TAMPA GENERAL HOSPITAL |
| 100075 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Davis Blvd, Suite 604, Tampa, FL 33606-3480 | 8132589565 | FLORIDA UROLOGY PARTNERS LLP |
| 1209 W Swann Ave, Tampa, FL 33606-2639 | 8132533007 | FLORIDA UROLOGY PARTNERS LLP |
| 12408 N 56th St, Temple Terrace, FL 33617-1522 | 8139803104 | FLORIDA UROLOGY PARTNERS LLP |
| Organization Legal Name | FLORIDA UROLOGY PARTNERS LLP |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohit Sirohi | Urology | Florida Urology Partners LLP | 1 Davis Blvd, Suite 604, Tampa, FL 33606-3480 |
| Fernando E Coste Delvecchio | Urology | Florida Urology Partners LLP | 2708 W Saint Isabel St, Tampa, FL 33607-6320 |
| Nicholas A Laryngakis | Urology | Florida Urology Partners LLP | 5913 Webb Rd, Tampa, FL 33615-3219 |
| Angelo S Paola | Urology | Florida Urology Partners LLP | 1601 W Timberlane Dr, Suite 500, Plant City, FL 33566-0958 |
| Janelle L Park | Radiation Oncology | Florida Urology Partners LLP | 601 S Armenia Ave, Tampa, FL 33609-4123 |
| Tod J Fusia | Urology | Florida Urology Partners LLP | 12408 N 56th St, Temple Terrace, FL 33617-1522 |
| Salim K Afridi | Urology | Florida Urology Partners LLP | 207 N Plant Ave, Plant City, FL 33563-4731 |
| Daniel Andre Benoit | Nurse Practitioner | Florida Urology Partners LLP | 6043 Winthrop Commerce Ave, Suite 201, Riverview, FL 33578-4274 |
| Reid Vaughn Graves | Urology | Florida Urology Partners LLP | 12408 N 56th St, Temple Terrace, FL 33617-1522 |
| Drew Alexander Palmer | Urology | Florida Urology Partners LLP | 2708 W Saint Isabel St, Tampa, FL 33607-6320 |
| Street Address |
1209 W SWANN AVE |
| City | TAMPA |
| State | FL |
| Zip | 33606-2639 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Joy Sims | Optometry | Eye Physicians of Pinellas, Pa | 501 N Howard Ave, Suite 100, Tampa, FL 33606-1213 |
| Jairo D Libreros Cupido | Neurology | 4914 N Armenia, Tampa, FL 33606-1402 | |
| Kirk R Smith | Nurse Practitioner | Joanna Mulder Np Inc | 211 N Albany Ave, Tampa, FL 33606-1502 |
| Nestor Guerrero | Nurse Practitioner | Choice Health Care, Inc. | 1881 W Kennedy Blvd A B, Tampa, FL 33606-1611 |
| Michael W Finn | Certified Registered Nurse Anesthetist (crna) | Synergy Anesthesiology Inc | 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611 |
| Susanne R Torano | Certified Registered Nurse Anesthetist (crna) | Synergy Anesthesiology Inc | 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611 |
| Mark Mikulak | Certified Registered Nurse Anesthetist (crna) | Synergy Anesthesiology Inc | 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611 |
| Janale C Beckford | Podiatry | 1881 W Kennedy Blvd, Suite A, Tampa, FL 33606-1611 | |
| David E Halpern | Plastic and Reconstructive Surgery | 120 S Fremont Ave, Tampa, FL 33606-1703 | |
| Kerry W Knesl | Clinical Social Worker | 105 S Albany Ave, Tampa, FL 33606-1710 | |
| Find all physicians in zip 33606 | |||
| City | TAMPA |
| Zip Code | 33606 |
| Specialty | UROLOGY |
| City + Specialty | TAMPA + UROLOGY |
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| 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.