Gilman R Tyler Jr. (NPI# 1164466124, PAC ID# 4183818156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1164466124 |
| PAC ID by PECOS | 4183818156 |
| Professional Enrollment ID | I20101103000948 |
| Full Name | Gilman R Tyler Jr. |
| Organization Legal Name | GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC |
| Address |
2901 B Swann Ave Tampa FL 33609-4056 |
| Phone Number | 8138736400 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | VASCULAR SURGERY |
| Group Practice PAC ID | 2961637715 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100206 | MEMORIAL HOSPITAL OF TAMPA |
| 100075 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2901 B Swann Ave, Tampa, FL 33609-4056 | 8138736400 | GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC |
| 602 S Audubon Ave, Suite A, Tampa, FL 33609-4217 | 8138771415 | GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| 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 |
| 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 |
2901 B SWANN AVE |
| City | TAMPA |
| State | FL |
| Zip | 33609-4056 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick K Cestone | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 2901 B Swann Ave, Tampa, FL 33609-4056 |
| Julie Lampinen | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 2901 B Swann Ave, Tampa, FL 33609-4056 |
| Gary L Dequina | Anesthesiology | Gulf-to-bay Anesthesiology Associates LLC | 2901 B Swann Ave, Tampa, FL 33609-4056 |
| William Gordon Davis | Anesthesiology | Gulf-to-bay Anesthesiology Associates LLC | 2901 B Swann Ave, Tampa, FL 33609-4056 |
| Albert Zhenping Chen | Anesthesiology | Gulf-to-bay Anesthesiology Associates LLC | 2901 B Swann Ave, Tampa, FL 33609-4056 |
| John P Leone | General Surgery | West Florida Trauma Network, LLC | 2901 B Swann Ave, Tampa, FL 33609-4056 |
| Thanh K Nguyen | General Surgery | Greater Tampa Bay Physician Specialists LLC | 2901 B Swann Ave, Tampa, FL 33609-4056 |
| Melissa D Cassiadoro | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 2901 B Swann Ave, Tampa, FL 33609-4056 |
| Susan J Craythorne | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 2901 B Swann Ave, Tampa, FL 33609-4056 |
| Arnaldo G Colon | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 2901 B Swann Ave, Tampa, FL 33609-4056 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie A Daly | Certified Nurse Midwife (cnm) | Womens Care Florida LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Patricia A. Schroeder | Obstetrics/gynecology | Womens Care Florida LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Dion T Manhoff | Pathology | Womens Care Florida LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Faith Carlin | Obstetrics/gynecology | Womens' Health Hospitalists, LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Areej Salem | Obstetrics/gynecology | Womens' Health Hospitalists, LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Julia M King | Obstetrics/gynecology | Womens' Health Hospitalists, LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Deirdre Marie Lahey | Obstetrics/gynecology | Womens Care Florida LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Reda Alami | Obstetrics/gynecology | Womens Care Florida LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Amy Louise Zechella | Certified Nurse Midwife (cnm) | Womens Care Florida LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Michael Justin Wagoner | Pathology | Womens Care Florida LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Find all physicians in zip 33609 | |||
| City | TAMPA |
| Zip Code | 33609 |
| Specialty | GENERAL SURGERY |
| City + Specialty | TAMPA + GENERAL SURGERY |
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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.