DR. MICHAEL SULLIVAN WIEDERHOLD (NPI# 1013137694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013137694 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SULLIVAN WIEDERHOLD |
| Credential | M.D., M.P.H., M.S. |
| Practice Address |
900 Hope Way Altamonte Springs FL 32714-1502 |
| Practice Telephone | 4073571000 |
| Mailing Telephone | 4073571000 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2016-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME0111708 | FL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | E-6152 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
900 HOPE WAY |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32714-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720059199 | Tani Lyn Corey | Registered Nurse | 900 Hope Way, Altamonte Springs, FL 32714-1502 | 2006-02-01 |
| 1447667811 | Thomas Hamilton | Family Medicine | 900 Hope Way, Altamonte Springs, FL 32714-1502 | 2014-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207173 | Juliana Cruz | Massage Therapist | 627 Dory Ln Unit.104, Altamonte Springs, FL 32714 | 2020-08-26 |
| 1376178699 | Nicole Diemond Segur | Counselor | 11100 Douglas Avenue, Suite 2040, Altamonte Springs, FL 32714 | 2020-03-06 |
| 1821647033 | Kayla Padilla | Student in an Organized Health Care Education/Training Program | 418 San Sebastian Prado, Altamonte Springs, FL 32714 | 2019-09-10 |
| 1750846077 | Brandi Loverich Ligon | Nurse Practitioner | 519 Baywood Ct, Altamonte Springs, FL 32714 | 2019-02-01 |
| 1831674902 | Eunice Eunjin Pyon | Optometrist | 886 W Fl-436, Altamonte Springs, FL 32714 | 2018-09-25 |
| 1619474251 | A Path To Change Counseling, LLC | Counselor | 221 Frontage Road Suite A, Clermont, FL 32714 | 2018-04-10 |
| 1225556889 | Rosen Medical Center, Inc. | Family Medicine | 7656 International Drive, Orlando, FL 32714 | 2017-09-05 |
| 1932629920 | Antonio Arias | Acupuncturist | 140 N. Westmonte Drive, Suite 100, Altamonte Springs, FL 32714 | 2017-06-21 |
| 1619406030 | Alexander Ruiz | Physical Therapy Assistant | 1348 Sassafras Ave, Altamonte Springs, FL 32714 | 2017-06-08 |
| 1912446386 | Kioanna Branker | Community Health Worker | 697 Ashford Oaks Dr Apt 203, Altamonte Springs, FL 32714 | 2017-02-18 |
| Find all providers in zip 32714 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346691987 | Emily R Wolfe | Pediatrics | 931 N Sr 434 Ste 1285, Altamonte Springs, FL 32714-7057 | 2016-06-24 |
| 1740592377 | Devyani Belsare Md LLC | Pediatrics | 251 Maitland Ave Ste 104, Altamonte Springs, FL 32701-4913 | 2010-07-12 |
| 1376509521 | Paulino Milla-orellana | Pediatrics | 661 E Altamonte Drive Ste 217, Altamonte Springs, FL 32701 | 2006-04-25 |
| 1073584231 | Kreangkai Tyree | Pediatrics | 601 E Altamonte Dr, Altamonte Springs, FL 32701-4802 | 2006-01-27 |
| 1184607269 | Elizabeth Dee | Pediatrics | 264 Douglas Ave, Altamonte Springs, FL 32714-3336 | 2005-11-22 |
| 1164410866 | Aneesa Batool Ahmad | Pediatrics | 608 Maitland Ave, Altamonte Springs, FL 32701-6834 | 2005-10-07 |
| 1417959289 | Kunnika Chutinan | Pediatrics | 800 N Highway 434 Ste 4, Altamonte Springs, FL 32714-7041 | 2005-08-11 |
| 1447783006 | Topcare Pediatrics Pllc | Pediatrics | 789 Douglas Ave, Suite 135, Altamonte Springs, FL 32714-2573 | 2017-04-10 |
| 1164788618 | Gina Foronda Obmana | Pediatrics | 475 Osceola St, Suite 1100, Altamonte Springs, FL 32701-7857 | 2012-04-10 |
| 1538479662 | Heather Lin Bryant | Pediatrics | 475 Osceola St, Suite 1100, Altamonte Springs, FL 32701-7857 | 2010-10-07 |
| Find all providers in ALTAMONTE SPRINGS | ||||
| City | ALTAMONTE SPRINGS |
| Zip Code | 32714 |
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| 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.