Donald R Fridley Ii (NPI# 1548555691, PAC ID# 3375838196) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1548555691 |
PAC ID by PECOS | 3375838196 |
Professional Enrollment ID | I20160818000556 |
Full Name | Donald R Fridley Ii |
Organization Legal Name | GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC |
Address |
14100 Fivay Rd Suite 340 Hudson FL 34667-7181 |
Phone Number | 7278199107 |
Gender | M |
Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 2011 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 2961637715 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100256 | REGIONAL MEDICAL CENTER BAYONET POINT |
Address | Phone | Organization |
---|---|---|
14100 Fivay Rd, Suite 340, Hudson, FL 34667-7181 | 7278199107 | GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC |
Organization Legal Name | GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bharti K Shetye | Internal Medicine | Greater Tampa Bay Physician Specialists LLC | 1609 Pasadena Ave S, Suite 2e, South Pasadena, FL 33707-4560 |
Tiffany M Jessee | General Surgery | Greater Tampa Bay Physician Specialists LLC | 602 S Audubon Ave, Suite A, Tampa, FL 33609-4217 |
Subhasis Misra | Surgical Oncology | Greater Tampa Bay Physician Specialists LLC | 205 S Moon Ave, Suite 102a, Brandon, FL 33511-5716 |
Gilman R Tyler Jr. | General Surgery | Greater Tampa Bay Physician Specialists LLC | 2901 B Swann Ave, Tampa, FL 33609-4056 |
Rosebel Monteiro | General Surgery | Greater Tampa Bay Physician Specialists LLC | 602 S Audubon Ave, Suite A, Tampa, FL 33609-4217 |
Thanh K Nguyen | General Surgery | Greater Tampa Bay Physician Specialists LLC | 2901 B Swann Ave, Tampa, FL 33609-4056 |
Kay M Shawchuck | General Surgery | Greater Tampa Bay Physician Specialists LLC | 602 S Audubon Ave, Suite A, Tampa, FL 33609-4217 |
Amit K Taggar | General Surgery | Greater Tampa Bay Physician Specialists LLC | 508 S Habana Ave, Suite 160, Tampa, FL 33609-4190 |
Richard L Dicicco | General Surgery | Greater Tampa Bay Physician Specialists LLC | 2919 W Swann Ave, Suite 301, Tampa, FL 33609-4051 |
Pandrurangan Krishnaraj | General Surgery | Greater Tampa Bay Physician Specialists LLC | 602 S Audubon Ave, Suite A, Tampa, FL 33609-4217 |
Street Address |
14100 FIVAY RD SUITE 340 |
City | HUDSON |
State | FL |
Zip | 34667-7181 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jillian A Stuper | Nurse Practitioner | Bangus Surgical Specialists LLC | 14100 Fivay Rd, Suite 280, Hudson, FL 34667-7150 |
Monica Plazarte | Internal Medicine | Diabetes Care Center, Inc | 14100 Fivay Rd, Suite 250, Hudson, FL 34667-7151 |
Jogi Nareddy | Cardiovascular Disease (cardiology) | Bayonet Point/hudson Cardiology Associates | 14100 Fivay Rd, Suite 160, Hudson, FL 34667-7194 |
Irene Kardashian | Internal Medicine | 14100 Fivay Rd, Suite 100, Hudson, FL 34667-7159 | |
Bogdana Trop | General Surgery | Bangus Surgical Specialists LLC | 14100 Fivay Rd, Suite 280, Hudson, FL 34667-7150 |
Ainsley B Freshour | General Surgery | Bangus Surgical Specialists LLC | 14100 Fivay Rd, Suite 280, Hudson, FL 34667-7150 |
Stephen A Goldman | Cardiovascular Disease (cardiology) | S Goldman Md C Pitarys Md Pl | 14100 Fivay Rd, Suite 110, Hudson, FL 34667-7159 |
Sambasiva Rao Musunuru | Cardiovascular Disease (cardiology) | Bayonet Point/hudson Cardiology Associates | 14100 Fivay Rd, Suite 160, Hudson, FL 34667-7194 |
Khaja M.s. Zaki | Cardiovascular Disease (cardiology) | Bayonet Point/hudson Cardiology Associates | 14100 Fivay Rd, Suite 160, Hudson, FL 34667-7194 |
Ronald S Gilberg | Internal Medicine | 14100 Fivay Rd, Suite 200, Hudson, FL 34667-7150 | |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa Sims Logan | General Surgery | Bangus Surgical Specialists LLC | 1400 Fivay Rd, Hudson, FL 34667 |
Ercelin V Phillips | Chiropractic | 13740 Old Dixie Hwy, Hudson, FL 34667 | |
Stephen A Ballistrea | Chiropractic | 7236 State Rd 52, Suite 3, Bayonet Point, FL 34667 | |
Ornelia Puente | Nurse Practitioner | Bangus Surgical Specialists LLC | 1400 Fivay Rd, Hudson, FL 34667 |
Robert R Winer | Nurse Practitioner | Bangus Surgical Specialists LLC | 1400 Fivay Rd, Hudson, FL 34667 |
Martin R Canillas | Sports Medicine | Access Health Care Physicians LLC | 13944 Lakeshore Blvd, Suite B, Hudson, FL 34667-1431 |
Mukeshkumar I Patel | Internal Medicine | Hernando Pasco Primary Care LLC | 13906 Lakeshore Blvd, Suite 330, Hudson, FL 34667-1487 |
Raghu V Devabhaktuni | Psychiatry | 13908 Lakeshore Blvd, Suite 210, Hudson, FL 34667-1492 | |
Robert A Young | Internal Medicine | 13910 Lakeshore Blvd, Suite 130, Hudson, FL 34667-1770 | |
Gaither G Davis | Otolaryngology | 13910 Lakeshore Blvd, Suite 120, Hudson, FL 34667-1770 | |
Find all physicians in zip 34667 |
City | HUDSON |
Zip Code | 34667 |
Specialty | GENERAL SURGERY |
City + Specialty | HUDSON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Donald R Fridley Ii.
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.