Patrick Donovan (NPI# 1437505179, PAC ID# 7719227743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1437505179 |
| PAC ID by PECOS | 7719227743 |
| Professional Enrollment ID | I20190328002386 |
| Full Name | Patrick Donovan |
| Organization Legal Name | ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY |
| Address |
615 Vonderburg Dr Brandon FL 33511-5972 |
| Phone Number | 8136842663 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 9436220415 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100052 | WINTER HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 615 Vonderburg Dr, Brandon, FL 33511-5972 | 8136842663 | ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY |
| 100 Ave 1 Ne, Winter Haven, FL 33881-4143 | 8136842663 | ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY |
| Organization Legal Name | ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey M Waltz | Physician Assistant | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Scott E Goldsmith | Orthopedic Surgery | Orthopaedic Medical Group of Tampa Bay | 420 N Plant Ave, Plant City, FL 33563-7248 |
| Adam Franklin Jester | Orthopedic Surgery | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Edward H Becker Iii | Sports Medicine | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Matthew Richard Moralle | Orthopedic Surgery | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Matthew R Smith | Physician Assistant | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Ryan Burke | Physical Therapy | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Ronald T Kubus | Physician Assistant | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Colin Chambers | Physician Assistant | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Christine A Sclafani | Physician Assistant | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Street Address |
615 VONDERBURG DR |
| City | BRANDON |
| State | FL |
| Zip | 33511-5972 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey M Waltz | Physician Assistant | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Adam Franklin Jester | Orthopedic Surgery | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Edward H Becker Iii | Sports Medicine | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Matthew Richard Moralle | Orthopedic Surgery | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Matthew R Smith | Physician Assistant | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Ryan Burke | Physical Therapy | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Ronald T Kubus | Physician Assistant | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Colin Chambers | Physician Assistant | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Christine A Sclafani | Physician Assistant | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Robert B Butler | Orthopedic Surgery | Orthopaedic Medical Group of Tampa Bay | 615 Vonderburg Dr, Brandon, FL 33511-5972 |
| Find all physicians in the same address | |||
| 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 | PODIATRY |
| City + Specialty | BRANDON + PODIATRY |
Please comment or provide details below to improve the information on Patrick Donovan.
| 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.