KENNETH H. YAMAMURA (NPI# 1083603989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083603989 |
| Entity Type | Individual |
| Full Name | KENNETH H. YAMAMURA |
| Credential | MD |
| Practice Address |
14100 Fivay Rd Suite 310 Hudson FL 34667 |
| Mailing Address |
2035 Little Road Trinity FL 34655 |
| Practice Telephone | 7278623202 |
| Practice Fax Number | 7278622182 |
| Mailing Telephone | 7278623202 |
| Mailing Fax Number | 7278622182 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2019-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
ME67414 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 27664 | 01 | |
| CIGNA | 6506906001 | 01 | |
| AETNA | 2336752 | 01 | |
| FL | 378229800 | 05 | |
| UNITED HEALTH CARE | 2500783 | 01 | |
| AVMED | 270614 | 01 |
| Street Address |
14100 FIVAY RD SUITE 310 |
| City | HUDSON |
| State | FL |
| Zip Code | 34667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576805 | Sambasiva K. Rao Musunuru | Internal Medicine | 14100 Fivay Rd, Hudson, FL 34667-7180 | 2005-05-23 |
| 1528335122 | Emily Katherine Lucci | Physical Therapist | 14100 Fivay Rd, Suite 210, Hudson, FL 34667-7180 | 2011-11-27 |
| 1205121258 | Mary Ellen Lian | Speech-Language Pathologist | 14100 Fivay Rd, Suite 210, Hudson, FL 34667-7180 | 2011-06-16 |
| 1790070381 | Matthew A Simpson | Nurse Anesthetist, Certified Registered | 14100 Fivay Rd, Hudson, FL 34667-7180 | 2011-06-13 |
| 1033408463 | Sara Darlene Kietzman | Speech-Language Pathologist | 14100 Fivay Rd, 210a, Hudson, FL 34667-7180 | 2011-04-06 |
| 1073812384 | Monica Yvette Plazarte | Internal Medicine | 14100 Fivay Rd, Suite 250, Hudson, FL 34667-7180 | 2011-03-25 |
| 1780815340 | Anna Szafran-swietlik | Internal Medicine | 14100 Fivay Rd, Diabetes Care Center, Hudson, FL 34667-7180 | 2009-07-30 |
| 1598993032 | Neuro Orthopedic Rehab Associates Pllc | Physical Medicine & Rehabilitation | 14100 Fivay Rd, Suite 340, Hudson, FL 34667-7180 | 2009-06-23 |
| 1437383171 | Marshall M. Desantis, M.d.,pa | Specialist | 14100 Fivay Rd, Suite 300, Hudson, FL 34667-7180 | 2009-05-10 |
| 1558503367 | Irene Kardashian M.d., P.a. | Internal Medicine | 14100 Fivay Rd, Suite 100, Hudson, FL 34667-7180 | 2009-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1073501789 | Luis R. Annoni-suau | Internal Medicine | 14100 Fivay Rd, Suite 310, Hudson, FL 34667 | 2005-10-07 |
| 1649267923 | Raul A. Jimenez | Internal Medicine | 14100 Fivay Rd, Ste 310, Hudson, FL 34667-7180 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957336 | Charlotte Arrhythmia Center Pllc | Internal Medicine | 3400 Tamiami Trl Bldg 2, Port Charlotte, FL 33952-8102 | 2020-09-16 |
| 1396365623 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 2100 Centerville Rd, Tallahassee, FL 32308-4379 | 2020-04-16 |
| 1780150524 | Winter Haven Hospital Inc | Internal Medicine | 200 Avenue F Ne Fl 2, Winter Haven, FL 33881-4131 | 2018-10-19 |
| 1154897130 | Sujata S. Balulad, Md., Pa | Internal Medicine | 1095 Highway A1a Apt 2201, Satellite Beach, FL 32937 | 2018-10-17 |
| 1629511035 | Ibrahim Heart Clinic Pllc | Internal Medicine | 13842 Harbor Creek Pl, Jacksonville, FL 32224-6895 | 2016-12-02 |
| 1710385240 | Heart Rhythm Center of South Florida Pa | Internal Medicine | 7000 Sw 97th Ave., Suite 102, Miami, FL 33173-1474 | 2014-12-16 |
| 1306262712 | Ian Parker | Internal Medicine | 6720 Crews Wood Ln, Lakeland, FL 33813-3955 | 2014-03-10 |
| 1578987855 | Integrated Care,llc | Internal Medicine | 603 North Flamingo Road, Suite 255, Pembroke Pines, FL 33028-1013 | 2014-02-07 |
| 1861768061 | Zubin Agarwal | Internal Medicine | 1600 Sw Archer Rd # 5, Gainesville, FL 32610-1473 | 2012-04-02 |
| 1427340355 | Asim S Ahmed | Internal Medicine | 7720 Us Highway 98 W Ste 110, Miramar Beach, FL 32550 | 2011-05-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KENNETH H. YAMAMURA.
| 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.