DR. NATHAN CHRISTOPHER DEANGELIS (NPI# 1063651131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063651131 |
| Entity Type | Individual |
| Full Name | DR. NATHAN CHRISTOPHER DEANGELIS |
| Credential | D.O. |
| Practice Address |
4106 W Lake Mary Blvd Suite 330 Lake Mary FL 32746-3315 |
| Practice Telephone | 4078339195 |
| Practice Fax Number | 4078339308 |
| Mailing Telephone | 4078339195 |
| Mailing Fax Number | 4078339308 |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2015-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | OS11555 | FL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 125-051776 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4106 W LAKE MARY BLVD SUITE 330 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710979554 | Christopher C Mason | Podiatrist | 4106 W Lake Mary Blvd, 125, Lake Mary, FL 32746-3315 | 2005-08-18 |
| 1609346378 | Nicole Rodriguez | Nurse Practitioner | 4106 W Lake Mary Blvd, Lake Mary, FL 32746-3315 | 2018-11-26 |
| 1659681575 | Vikram P Mehta Md Pa | Surgery | 4106 W Lake Mary Blvd, Suite 224, Lake Mary, FL 32746-3315 | 2010-10-13 |
| 1194044107 | Christopher C. Mason, D.p.m., Pa | Durable Medical Equipment & Medical Supplies | 4106 W Lake Mary Blvd, Suite 125, Lake Mary, FL 32746-3315 | 2010-06-01 |
| 1487801957 | Creighton D Fiscina | Surgery | 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746-3315 | 2008-08-26 |
| 1043480700 | Vein Help of Orlando | Phlebology | 4106 W Lake Mary Blvd, Ste 324, Lake Mary, FL 32746-3315 | 2008-03-09 |
| 1033387865 | Heathrow Internal Medicine LLC | Internal Medicine | 4106 W Lake Mary Blvd, Suite 100, Lake Mary, FL 32746-3315 | 2008-02-14 |
| 1396921995 | Vein Associates, P.a. | Phlebology | 4106 W Lake Mary Blvd, Suite 325, Lake Mary, FL 32746-3315 | 2008-01-14 |
| 1780870071 | Robin Rahm Md Pa | Surgery | 4106 W Lake Mary Blvd, Suite 213, Lake Mary, FL 32746-3315 | 2007-09-20 |
| 1740499128 | Family Medicine On Call, Inc | Family Medicine | 4106 W Lake Mary Blvd, Suite 110, Lake Mary, FL 32746-3315 | 2007-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396057394 | Eric David Rideman | Surgery | 4106 W Lake Mary Blvd Ste 330, Lake Mary, FL 32746-3383 | 2010-07-07 |
| 1003867862 | Robin L Rahm | Surgery | 4106 W Lake Mary Blvd Ste 213, Lake Mary, FL 32746-2403 | 2006-05-15 |
| 1487801957 | Creighton D Fiscina | Surgery | 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746-3315 | 2008-08-26 |
| 1780870071 | Robin Rahm Md Pa | Surgery | 4106 W Lake Mary Blvd, Suite 213, Lake Mary, FL 32746-3315 | 2007-09-20 |
| 1932227980 | General & Vascular Surgical Associates Pa | Surgery | 4106 W Lake Mary Blvd, Ste 330, Lake Mary, FL 32746-3315 | 2007-03-27 |
| 1285692673 | John W. Robertson | Surgery | 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746-3315 | 2006-05-03 |
| 1013975192 | William L Huether IIi | Surgery | 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746-3315 | 2006-05-01 |
| 1538127592 | Brian L Cameron | Surgery | 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746-3315 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301263 | Heather Marie Gable | Surgery | 6150 Diamond Centre Ct # 1300, Fort Myers, FL 33912-4367 | 2020-09-21 |
| 1932713476 | Gabriel Nicolas Chapman | Surgery | 12301 Trout Cir, Spring Hill, FL 34609-4962 | 2020-09-02 |
| 1396356960 | After Hours Surgical Care LLC | Surgery | 11766 Foxbriar Lake Trl, Boynton Beach, FL 33473-7830 | 2020-08-16 |
| 1588288203 | Samuel Joseph | Surgery | 22730 Sw 55th Ave, Boca Raton, FL 33433-6258 | 2020-05-29 |
| 1720601768 | Ked Medical, P.a. | Surgery | 3001 N Rocky Point Dr E Ste 100, Tampa, FL 33607-5860 | 2020-05-26 |
| 1952922270 | Glenn Edmund Bryan Jr. | Surgery | 4255 N Us Highway 1, Melbourne, FL 32935-4822 | 2020-04-27 |
| 1821618729 | Herbert Paul Lerner | Surgery | 10815 Royal Devon Way, Lake Worth, FL 33449-8650 | 2020-04-21 |
| 1003441981 | Comprehensive Care Partners | Surgery | 3101 University Blvd S Ste 100, Jacksonville, FL 32216-2750 | 2020-03-11 |
| 1831749977 | Imed Surgical of Miami, Pa | Surgery | 175 Sw 7th St Ste 1710, Miami, FL 33130-2957 | 2019-09-19 |
| 1174170914 | Vip Surgeries | Surgery | 1301 E Broward Blvd Ste 220, Fort Lauderdale, FL 33301-2111 | 2019-08-26 |
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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.