Subhasis Misra (NPI# 1134386980, PAC ID# 3870763204) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SURGICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1134386980 |
| PAC ID by PECOS | 3870763204 |
| Professional Enrollment ID | I20171114002369 |
| Full Name | Subhasis Misra |
| Organization Legal Name | GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC |
| Address |
205 S Moon Ave Suite 102a Brandon FL 33511-5716 |
| Phone Number | 8136850500 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | SURGICAL ONCOLOGY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 2961637715 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100243 | BRANDON REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 119 Oakfield Dr, Brandon, FL 33511-5779 | 8136815551 | GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC |
| 205 S Moon Ave, Suite 102a, Brandon, FL 33511-5716 | 8136850500 | GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC |
| 602 S Audubon Ave, Suite A, Tampa, FL 33609-4217 | 8138771415 | 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 |
| 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 |
| Donald R Fridley Ii | General Surgery | Greater Tampa Bay Physician Specialists LLC | 14100 Fivay Rd, Suite 340, Hudson, FL 34667-7181 |
| 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 |
205 S MOON AVE SUITE 102A |
| City | BRANDON |
| State | FL |
| Zip | 33511-5716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keyur A Chavda | General Surgery | Palanisamy Rathinasamy Md Pa | 205 S Moon Ave, Suite 102 Surgical Associates of Tampa Bay, Brandon, FL 33511-5716 |
| Darshan B Thakkar | General Surgery | Palanisamy Rathinasamy Md Pa | 205 S Moon Ave, Suite 102 Surgical Associates of Tampa Bay, Brandon, FL 33511-5716 |
| Miguel Mazariegos | Family Medicine | 205 S Moon Ave, Suite 105, Brandon, FL 33511-5716 | |
| Vijay B Narasimha | General Surgery | Palanisamy Rathinasamy Md Pa | 205 S Moon Ave, Suite 102 Surgical Associates of Tampa Bay, Brandon, FL 33511-5716 |
| Federico Auger | Podiatry | Ankle and Foot Center of Tampa Bay | 205 S Moon Ave, Suite 101, Brandon, FL 33511-5716 |
| Gabrielle W Gagliardi | Podiatry | Ankle and Foot Center of Tampa Bay | 205 S Moon Ave, Suite 101, Brandon, FL 33511-5716 |
| Mildred Lopez Garrido | Physician Assistant | Family Practice Center of Brandon LLC | 205 S Moon Ave, Suite 105, Brandon, FL 33511-5716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| In Soon Park | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Michael G Siegman | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Jeffrey Scott Mino | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Gopal Grandhige | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Richard G Picciocca Jr. | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Cristiano V Alpendre | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Donovan N Tapper | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Stephen Allen Jones | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Francisco H Itriago | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Paul Anthony Taiganides | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Find all physicians in zip 33511 | |||
| City | BRANDON |
| Zip Code | 33511 |
| Specialty | SURGICAL ONCOLOGY |
| City + Specialty | BRANDON + SURGICAL ONCOLOGY |
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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.