TALLAHASSEE MEMORIAL HEALTHCARE INC (NPI# 1043540792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043540792 |
| Entity Type | Organization |
| Organization Name | TALLAHASSEE MEMORIAL HEALTHCARE INC |
| Practice Address |
3900 Esplanade Way Tallahassee FL 32311-0802 |
| Mailing Address |
1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 |
| Practice Telephone | 8504313867 |
| Practice Fax Number | 8504313879 |
| Mailing Telephone | 8504317021 |
| Mailing Fax Number | 8504316975 |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2019-01-28 |
| Authorized Official Name | MR. ROBIN L MOSS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8504316256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 375270416 | 05 | |
| FL | BLUE CROSS BLUE SHIELD OF FL | 24766G | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199236 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 877 3rd St Ste 3, Chipley, FL 32428-1855 | 2020-06-19 |
| 1396365623 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 2100 Centerville Rd, Tallahassee, FL 32308-4379 | 2020-04-16 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1447555743 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 4230 Hospital Dr Ste 202, Marianna, FL 32446-1955 | 2011-01-18 |
| 1558681684 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 555 North Byron Butler Parkway, Tmh Physician Partners, Perry, Perry, FL 32348-2315 | 2010-06-11 |
| 1386862852 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 1505 Surgeons Drive, Tallahassee, FL 32308 | 2007-04-23 |
| 1174539522 | Tallahassee Memorial Healthcare Inc | Home Health | 1619 Physicians Dr, Tallahassee, FL 32308-4620 | 2006-07-31 |
| 1649229402 | Tallahassee Memorial Healthcare Inc | Family Medicine | 1549 S Jefferson St, Monticello, FL 32344-1651 | 2006-05-09 |
| 1376140913 | Tallahassee Memorial Healthcare Inc | Family Medicine | 137 12th St, Apalachicola, FL 32320-2110 | 2020-10-07 |
| 1649892399 | Tallahassee Memorial Healthcare Inc | Dentist | 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 | 2020-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TALLAHASSEE MEMORIAL HEALTHCARE INC | 2039 N Monroe St, Tallahassee, FL 32303-4727 |
| Street Address |
3900 ESPLANADE WAY |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32311-0802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776559 | Sandeep Rahangdale | Internal Medicine | 3900 Esplanade Way, Tallahassee Medical Specialists, Tallahassee, FL 32311-0802 | 2005-08-02 |
| 1912354283 | Daniel Bernabe Jr. | Family Medicine | 3900 Esplanade Way, Tallahassee, FL 32311 | 2016-05-17 |
| 1770995128 | Kiana Taba | Internal Medicine | 3900 Esplanade Way, Tallahassee, FL 32311-0802 | 2014-05-20 |
| 1649557331 | Tal Rivka Yariv | Nurse Practitioner | 3900 Esplanade Way, Tallahassee, FL 32311-0802 | 2011-11-08 |
| 1114111507 | Less K. Shrestha | Internal Medicine | 3900 Esplanade Way, Tallahassee, FL 32311-0802 | 2007-08-29 |
| 1659459808 | Bobby Abraham | Internal Medicine | 3900 Esplanade Way, Tallahassee, FL 32311-0802 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033612486 | Christopher Bouyer | Social Worker | 3909 Reserve Drive, 525, Tallahassee, FL 32311 | 2018-03-12 |
| 1487184354 | Felicia Denise Cooper I | Nurse Practitioner | 1033 High Meadow Drive, Tallahassee, FL 32311 | 2017-06-14 |
| 1447599394 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 1970 Gainsborough Drive, Suite 2, Tallahassee, FL 32311 | 2013-02-12 |
| 1811139090 | Kathy L Lee | Psychiatry & Neurology | 3592 Mossy Creek Ln, Tallahassee, FL 32311 | 2009-04-02 |
| 1376713248 | Kathryn B Lord | Psychologist | 3045 Dickinson Dr, Tallahassee, FL 32311 | 2008-03-07 |
| 1235200031 | Heritage Family Care,llc | Family Medicine | 1910 Hillbrook Trail, Suite 2, Tallahassee, FL 32311 | 2006-11-13 |
| 1215047675 | Board of County Commissioners Leon County | Ambulance | 911 Easterwood Dr, Tallahassee, FL 32311 | 2006-08-30 |
| 1073575858 | Bruce Alan Rodan | Radiology | 3259 Updike Ave, Tallahassee, FL 32311 | 2006-04-05 |
| 1275055378 | Punita Kapadia | Optometrist | 3535 Apalachee Pkwy, Tallahassee, FL 32311 | 2017-07-10 |
| 1588096846 | Ray Montalvo | Dentist | 1970 Gainsborough Drive, Unit 2, Tallahassee, FL 32311 | 2013-08-08 |
| Find all providers in zip 32311 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794342 | Joy Christianson | Internal Medicine | 431 Tanbark Pl, Tallahassee, FL 32301-3374 | 2020-03-12 |
| 1659934222 | Synergy Health Care and Associates | Internal Medicine | 124 Marriott Dr Ste 104, Tallahassee, FL 32301-2981 | 2019-04-18 |
| 1922456268 | Susan Mary Manson Md Pl | Internal Medicine | 2547 Lakefair Dr, Tallahassee, FL 32317-7002 | 2016-05-26 |
| 1922343466 | Preventive Cardiology & Internal Medicine Associates, P.l. | Internal Medicine | 3606 Maclay Blvd S, Suite 104, Tallahassee, FL 32312-1277 | 2012-12-10 |
| 1407109812 | Bond Community Health Center | Internal Medicine | 1549 South Monroe Street, Bond Speciality and Wellness, Tallahassee, FL 32301 | 2012-10-23 |
| 1548516255 | American Care of North Florida, Inc | Internal Medicine | 1707 S Gadsden St, Tallahassee, FL 32301-5505 | 2012-07-31 |
| 1649550047 | Bond Community Health Center, Inc. | Internal Medicine | 1704 Joe Lewis Street, Tallahassee, FL 32304 | 2011-08-17 |
| 1457643462 | Lidia Maria Sepulveda Rubiera | Internal Medicine | 2626 Capital Medical Boulevard, Tallahassee, FL 32308 | 2011-05-09 |
| 1437462553 | Amara Okoli Emenike | Internal Medicine | 1607 Saint James Ct Ste 1, Tallahassee, FL 32308 | 2010-07-18 |
| 1639309842 | Bond Community Health Center | Internal Medicine | 2729-8 Municipal Way, Kay Freeman Health Center, Tallahassee, FL 32304 | 2009-07-22 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32311 |
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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.