DR. PATRICIA ISABEL MODAD (NPI# 1104847466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104847466 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA ISABEL MODAD |
| Other Name | DR. PATRICIA ISABEL GOMEZ-MODAD |
| Credential | M.D., F.A.C.O.G. |
| Practice Address |
50 Leanni Way Suites A3 & A4 Palm Coast FL 32137-4751 |
| Mailing Address |
P.o.box 351295 Palm Coast FL 32137-1295 |
| Practice Telephone | 3864476831 |
| Practice Fax Number | 3864476834 |
| Mailing Telephone | 3864476831 |
| Mailing Fax Number | 3864476834 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2011-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME103310 | FL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 01053870A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001042100 | 05 |
| Street Address |
50 LEANNI WAY SUITES A3 & A4 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32137-4751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295241289 | Mary Meaders Gerber, Lcsw, Inc. | Social Worker | 50 Leanni Way, Ste B-3, Palm Coast, FL 32137 | 2017-12-28 |
| 1053762740 | Coastal Healthcare Partners, LLC | General Practice | 50 Leanni Way, Suite D1, Palm Coast, FL 32137 | 2016-06-24 |
| 1427487032 | Mary Meaders Gerber | Social Worker | 50 Leanni Way, Suite B3, Palm Coast, FL 32137-4751 | 2013-11-04 |
| 1639450034 | Inner Dynamics, LLC | Social Worker | 50 Leanni Way, Suite B-3, Palm Coast, FL 32137-4751 | 2011-08-30 |
| 1942590401 | Patricia Modad, Md, Pa | Obstetrics & Gynecology | 50 Leanni Way, Suites A3 & A4, Palm Coast, FL 32137-4751 | 2011-04-18 |
| 1497987135 | Bernadette Hristakopoulos | Chiropractor | 50 Leanni Way, Suite D1, Palm Coast, FL 32137-4751 | 2009-08-13 |
| 1205009255 | Sibel N Guelseren | Counselor | 50 Leanni Way, Suite B-3, Palm Coast, FL 32137-4751 | 2008-04-10 |
| 1205012689 | Michael A Osborne Jr. | Chiropractor | 50 Leanni Way, Unit D1, Palm Coast, FL 32137-4756 | 2008-01-15 |
| 1518017292 | John Laforte | Social Worker | 50 Leanni Way, Suite B-3, Palm Coast, FL 32137-4751 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
| 1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
| 1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
| 1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
| 1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
| 1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
| 1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
| 1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
| 1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
| Find all providers in zip 32137 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669764866 | Florida Woman Care, LLC | Obstetrics & Gynecology | 50 Cypress Point Pkwy, Palm Coast, FL 32164-2500 | 2011-05-05 |
| 1578854477 | Florida Woman Care, LLC | Obstetrics & Gynecology | 21 Hospital Dr, Suite 270, Palm Coast, FL 32164-2452 | 2011-04-26 |
| 1942590401 | Patricia Modad, Md, Pa | Obstetrics & Gynecology | 50 Leanni Way, Suites A3 & A4, Palm Coast, FL 32137-4751 | 2011-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884081 | Radiance Center for Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 653 E Jackson St, Orlando, FL 32801-2809 | 2020-09-02 |
| 1689282162 | Healing Hands Healthcare Services, LLC | Obstetrics & Gynecology | 1900 N Bayshore Dr Apt 2411, Miami, FL 33132-3012 | 2020-07-21 |
| 1790306256 | Mia Donna LLC | Obstetrics & Gynecology | 7100 W 20th Ave Ste 304, Hialeah, FL 33016-1812 | 2020-05-06 |
| 1386265254 | Swfl Integrative Medicine, P.a. | Obstetrics & Gynecology | 1570 Colonial Blvd Ste A, Fort Myers, FL 33907-1031 | 2020-05-02 |
| 1134740061 | Horizon Family Medical Practice LLC | Obstetrics & Gynecology | 1236 Royal Palm Beach Blvd Ste 108, Royal Palm Beach, FL 33411-1602 | 2020-05-01 |
| 1689209991 | Earl Brewster Md Pa | Obstetrics & Gynecology | 101 N 8th St Ste 1001, Lake Mary, FL 32746-3101 | 2020-03-06 |
| 1386276319 | Robert Suruncle Pllc | Obstetrics & Gynecology | 8255 N Wickham Rd Ste 102, Melbourne, FL 32940-8202 | 2020-02-07 |
| 1376182329 | Moment Health Care Inc | Obstetrics & Gynecology | 6464 N Miami Ave, Miami, FL 33150-4520 | 2019-12-21 |
| 1043858012 | Medical Vitality Clinic LLC | Obstetrics & Gynecology | 1845 Cordova Rd Ste 204, Fort Lauderdale, FL 33316-6100 | 2019-12-20 |
| 1679124986 | Brenda Sison Wilkinson | Obstetrics & Gynecology | 2050 Ackola Pt, Longwood, FL 32779-3112 | 2019-09-27 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32137 |
Please comment or provide details below to improve the information on DR. PATRICIA ISABEL MODAD.
| 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.