MS. RONDA M. OVERDIEK (NPI# 1063725067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063725067 |
| Entity Type | Individual |
| Full Name | MS. RONDA M. OVERDIEK |
| Other Name | RONDA THORPE, DIMOND |
| Credential | CRNA |
| Practice Address |
1717 S. Orange Ave., Suite 100 Nemours Childrens Clinic, Orlando Orlando FL 32806-2946 |
| Mailing Address |
P.o. Box 191 Provider Enrollment Department Rockland DE 19732-0191 |
| Practice Telephone | 4076507715 |
| Practice Fax Number | 4076507124 |
| Mailing Telephone | 9046974127 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2012-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | COA.11500-NA | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367H00000X | Anesthesiologist Assistant | ARNP9342792 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1717 S. ORANGE AVE., SUITE 100 NEMOURS CHILDRENS CLINIC, ORLANDO |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578556643 | Dennis M Drehner | Pathology | 1717 S. Orange Ave., Suite 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 | 2005-08-24 |
| 1861829624 | Kimberly Otero | Audiologist | 1717 S. Orange Ave., Suite 100, Orlando, FL 32806 | 2013-10-10 |
| 1598016883 | Traci Lynn Powell | Nurse Practitioner | 1717 S. Orange Ave., Suite 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 | 2012-09-26 |
| 1851693980 | Ansley C. Hodges | Behavioral Analyst | 1717 S. Orange Ave., Suite 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 | 2010-11-22 |
| 1952508749 | James Paul Franciosi | Pediatrics | 1717 S. Orange Ave., Suite 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 | 2007-06-27 |
| 1649494220 | Lorna E. Forchin | Nurse Practitioner | 1717 S. Orange Ave., Suite 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 | 2007-04-13 |
| 1669559233 | John Saratial Misdary | Emergency Medicine | 1717 S. Orange Ave., Suite 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 | 2006-11-01 |
| 1740362417 | Shiva Kalidindi | Pediatrics | 1717 S. Orange Ave., Suite 100, Nemours Childrens Clinic, Orlando, FL 32806-2946 | 2006-10-20 |
| 1861594731 | Victoria Ninon Olivia Niklas | Pediatrics | 1717 S. Orange Ave., Suite 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 | 2006-09-02 |
| 1114946605 | Richard H. Sandler | Internal Medicine | 1717 S. Orange Ave., Suite 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003360678 | Eric Feigenbaum | Anesthesiologist Assistant | 3819 Atrium Dr, Orlando, FL 32822-3751 | 2016-08-11 |
| 1215590476 | Fonda Sikora | Anesthesiologist Assistant | 83 W Miller St, Orlando, FL 32806-2009 | 2019-04-15 |
| 1750663167 | Ashley N Tilton | Anesthesiologist Assistant | 1405 S Orange Ave, Suite 400, Orlando, FL 32806 | 2011-09-12 |
| 1336457084 | Abdominal Pain Solutions of Florida | Anesthesiologist Assistant | 3885 Oakwater Cir, Orlando, FL 32806-6257 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761798 | Wayleniz Rosario Falero | Anesthesiologist Assistant | 331 Sw 19th Ln, Cape Coral, FL 33991-3784 | 2020-08-18 |
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1992327308 | Daniel Le Phan | Anesthesiologist Assistant | 800 Prudential Dr Fl 32207, Jacksonville, FL 32207-8202 | 2020-05-08 |
| 1497395412 | Charles Joshua Thrower | Anesthesiologist Assistant | 1 Shircliff Way # Wat, Jacksonville, FL 32204-4748 | 2020-01-07 |
| 1194372227 | Matthew Zachary Laribee | Anesthesiologist Assistant | 7900 N Kendall Dr, Miami, FL 33156-7457 | 2019-08-22 |
| 1659856862 | Ian Michael Durham | Anesthesiologist Assistant | 1 Shircliff Way Fl 32204, Jacksonville, FL 32204-4748 | 2018-10-03 |
| 1386138287 | Stephen Johnson | Anesthesiologist Assistant | 157 Dawn Lauren Ln, Tallahassee, FL 32301-3415 | 2018-06-15 |
| 1164910691 | Heather Berman | Anesthesiologist Assistant | 209 Bristol Ct, Tavernier, FL 33070-2838 | 2018-04-30 |
| 1710437561 | Alyssa Scheidecker | Anesthesiologist Assistant | 12305 Hawthorne View Court, Tampa, FL 33626 | 2016-10-05 |
| Find all providers with the same taxonomy | ||||
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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.