CRAIG J BADOLATO (NPI# 1013998970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013998970 |
| Entity Type | Individual |
| Full Name | CRAIG J BADOLATO |
| Credential | MD |
| Practice Address |
1430 Pine St Melbourne FL 32901-3119 |
| Mailing Address |
Po Box 534595 Atlanta GA 30353-4595 |
| Practice Telephone | 3216745050 |
| Practice Fax Number | 3219526296 |
| Mailing Telephone | 3216362111 |
| Mailing Fax Number | 3216367180 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2019-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME61815 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | WELLCARE | 03714 | 01 |
| FL | CIGNA | 808490001 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 15118 | 01 |
| FL | 373692000 | 05 | |
| FL | RAILROAD MEDICARE | 110067794 | 01 |
| FL | AETNA | 4268178 | 01 |
| FL | AETNA | 667172 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1048 Harvin Way, Rockledge, FL 329553229 | 3216362111 | 3216367180 |
| 107 Longwood Ave, Rockledge, FL 329552827 | 3216362111 | 3216367180 |
| Street Address |
1430 PINE ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861407421 | Ravi Shankar | Radiology | 1430 Pine St, Melbourne, FL 32901-3119 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1861456089 | Richard Duff Sprawls | Internal Medicine | 8725 N Wickham Rd Ste 103, Melbourne, FL 32940-2240 | 2006-04-14 |
| 1518948801 | Joseph A Mcclure | Internal Medicine | 1130 Hickory St, Suite B, Melbourne, FL 32901 | 2005-11-14 |
| 1447232772 | James W Neel | Internal Medicine | 1130 Hickory St Ste B, Melbourne, FL 32901 | 2005-11-14 |
| 1720079304 | Kenneth S Graff | Internal Medicine | 1130 S Hickory St, Melbourne, FL 32901-1973 | 2005-11-02 |
| 1679564462 | Craig Kenneth Deligdish | Internal Medicine | 1344 S Apollo Blvd, Ste 303, Melbourne, FL 32901-3332 | 2005-11-02 |
| 1437410099 | Josephine Pineda Dela Cruz | Internal Medicine | 8725 N Wickham Rd Ste 103, Melbourne, FL 32940-2240 | 2012-05-30 |
| 1861615130 | Amit C Barochia | Internal Medicine | 8725 N Wickham Rd Ste 103, Melbourne, FL 32940 | 2007-04-11 |
| 1245268838 | Simon Vinarsky | Internal Medicine | 1130 Hickory St, Suite B, Melbourne, FL 32901-1973 | 2006-06-30 |
| 1801853171 | Sumeet Chandra | Internal Medicine | 2290 W Eau Gallie Blvd, Ste 202, Melbourne, FL 32935-3145 | 2006-04-28 |
| Find all providers in MELBOURNE | ||||
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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.