DR. AMIR HESAM ETEMADNIA


Address: 1004 N 14th St, Leesburg, FL 34748-3850
Phone: 3522592159

DR. AMIR HESAM ETEMADNIA (NPI# 1003115098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003115098
Entity Type Individual
Full Name DR. AMIR HESAM ETEMADNIA
Credential M.D.
Practice Address 1004 N 14th St
Leesburg
FL 34748-3850
Mailing Address 1580 Santa Barbara Blvd
The Villages
FL 32159-6827
Practice Telephone 3522592159
Practice Fax Number 3522595731
Mailing Telephone 3522592159
Mailing Fax Number 3522595731
Enumeration Date 2011-03-16
Last Update Date 2020-02-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine ME 109667 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL PTAN FM003Z 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1580 Santa Barbara Blvd, Suite C, The Villages, FL 321596827 3522592159 3522595731

Office Location

Street Address 1004 N 14TH ST
City LEESBURG
State FL
Zip Code 34748-3850

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013540509 Parvesh Khirbat Hearing Instrument Specialist 1004 N 14th St, Leesburg, FL 34748-3850 2020-02-13
1497287411 Meghan Escebedo Hearing Instrument Specialist 1004 N 14th St, Leesburg, FL 34748-3850 2017-03-29
1912441551 Tricounty Premier Hearing Services Inc Hearing Instrument Specialist 1004 N 14th St, Leesburg, FL 34748-3850 2016-12-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437610243 Ashley Shamsa Martin Behavior Technician 292 Bent Oak Ct, Leesburg, FL 34748 2019-03-26
1891278875 Luis O Aponte Mendoza Physician Assistant 704 Doctors Ct., Suite 101, Leesburg, FL 34748 2018-09-14
1881197903 Physician Associates LLC Internal Medicine 22316 Us Highway 27, Leesburg, FL 34748 2018-03-15
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1619403037 Massage and Wellness Care Health Maintenance Organization 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 2017-05-04
1497202675 Prime Radiology of Leesburg Inc Radiology 600 N W Blvd, Suite E, Leesburg, FL 34748 2016-09-06
1023480332 Juanita Elizabeth Simpson Contractor 1911 Harcourt Drive, Leesburg, FL 34748 2015-10-26
1467835900 Serenity Choice Place, LLC Community/Behavioral Health 721 Balmoral Circle, Leesburg, FL 34748 2015-07-01
1356738397 Touching Heart's Group Homes, LLC Community/Behavioral Health 31809 Sunpark Cir, Leesburg, FL 34748 2015-04-16
1386035269 Adventist Health System/sunbelt, Inc. Clinic/Center 1103 N 14th Street, Leesburg, FL 34748 2015-02-12
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033679063 Warren Joseph Marion Internal Medicine 38483 Forest Mills Rd, Leesburg, VA 20175 2019-03-25
1881197903 Physician Associates LLC Internal Medicine 22316 Us Highway 27, Leesburg, FL 34748 2018-03-15
1124472873 Adam Hines Internal Medicine 22381 Aging Oak Dr, Leesburg, VA 20175-4836 2016-04-19
1154714301 Mid-atlantic Health Service Providers Internal Medicine 43713 Red House Dr, Leesburg, VA 20176-1628 2015-03-12
1104251370 Mid-florida Primary Care Pa Internal Medicine 501 North Blvd West, Leesburg, FL 34748 2013-09-06
1013359975 Lake Internal Medicine Pa Internal Medicine 293 Bent Oak Ct, Leesburg, FL 34748-9559 2013-07-20
1699069898 Sepehr Mesdaghinia Internal Medicine 821 S King St Ste L, Leesburg, VA 20175-3922 2011-06-06
1518285139 Sheyla Zelaya-aragon Internal Medicine 33049 Professional Dr Ste 103, Leesburg, FL 34788-3705 2010-05-06
1073845459 Shakti Narain Md Pa Internal Medicine 1070 Flagler Ave, Leesburg, FL 34748-7633 2010-02-09
1992963144 Gauthami Gondy Internal Medicine 41187 Grenata Preserve Place, Leesburg, VA 20175 2008-05-23
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Competitor

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City LEESBURG
Zip Code 34748

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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