NICKOLAS N SOUMELIDIS (NPI# 1114047446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114047446 |
| Entity Type | Individual |
| Full Name | NICKOLAS N SOUMELIDIS |
| Other Name | NICKOLAY NICKOLAEVICH POLIANSKI |
| Credential | MD |
| Practice Address |
3027 Landover Blvd Spring Hill FL 34608-7260 |
| Mailing Address |
7562 W.gulf To Lake Hwy Christ Medical Center Crystal River FL 34429 |
| Practice Telephone | 3526889558 |
| Mailing Telephone | (352) 688-9558 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2017-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME103560 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RR MEDICARE | P00811506 | 01 |
| FL | 001438200 | 05 |
| Street Address |
3027 LANDOVER BLVD |
| City | SPRING HILL |
| State | FL |
| Zip Code | 34608-7260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255597001 | Judi A Miller | Registered Nurse | 3027 Landover Blvd, Spring Hill, FL 34608-7260 | 2008-07-31 |
| 1679738298 | West Pasco Ob/gyn Center, P.a. | Specialist | 3027 Landover Blvd, Spring Hill, FL 34608-7260 | 2008-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194227967 | Christina Lee O'connor | Nurse Anesthetist, Certified Registered | 10046 Hayward Rd, Spring Hill, FL 34608 | 2018-03-07 |
| 1003342114 | Kaitlyn Peters | Physical Therapy Assistant | 11236 Norvell Rd, Springhill, FL 34608 | 2017-05-10 |
| 1962855932 | Elizabeth Bair | Speech-Language Pathologist | 5136 Florentine Ct, Spring Hill, FL 34608 | 2016-07-14 |
| 1104209022 | Shirley Ann Malone | Home Health Aide | 2092 Landover Blvd, Spring Hill, FL 34608 | 2015-07-09 |
| 1508243155 | Ana Del Carmen Argueta | Pharmacist | 11092 Spring Hill Drive, Spring Hill, FL 34608 | 2015-05-04 |
| 1497151807 | Melissa Mayes | Occupational Therapist | 7045 Evergreen Trail, Spring Hill, FL 34608 | 2014-11-12 |
| 1194075218 | Stephanie S Andrews | Speech-Language Pathologist | 2939 Landover Blvd, Spring Hill, FL 34608 | 2012-09-17 |
| 1720317266 | Cezar Dungca Enriquez | Physical Therapist | 7030 Atria Evergreen Woods Trail, Spring Hill, FL 34608 | 2009-12-11 |
| 1922284363 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 5181 Pepper Street, Spring Hill, FL 34608 | 2008-01-16 |
| 1023187960 | Hoka Lisa Nyanda | Dermatology | 11021 Spring Hill Dr, Spring Hill, FL 34608 | 2006-11-07 |
| Find all providers in zip 34608 | ||||
| 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 |
|---|---|---|---|---|
| 1346691466 | Fnu Ehteshamuddin | Internal Medicine | 4087 Seadragon Blf, Apartment #49-h, Spring Hill, FL 34609-0529 | 2016-06-29 |
| 1619283587 | Spring Hill Primary Care LLC | Internal Medicine | 34 Seven Hills Dr, Spring Hill, FL 34609 | 2010-08-30 |
| 1750619565 | Rajyalakshmi Kolli | Internal Medicine | 10500 Spring Hill Dr, Spring Hill, FL 34608-5046 | 2009-12-07 |
| 1366674046 | Sisto P. Serafini | Internal Medicine | 8246 River Country Dr., Spring Hill, FL 34607-2101 | 2009-08-14 |
| 1093962946 | Gulf Coast Medical Care Pllc | Internal Medicine | 2178 Mariner Blvd, Spring Hill, FL 34609-3859 | 2008-08-22 |
| 1326207481 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd Ste 107, Spring Hill, FL 34606-1107 | 2008-06-04 |
| 1184832388 | Central Walk In Clinic | Internal Medicine | 11077 Spring Hill Dr, Spring Hill, FL 34608-5000 | 2007-05-19 |
| 1679641039 | Gaurav Vijai Malhotra | Internal Medicine | 3378 Mariner Blvd, Spring Hill, FL 34609-2460 | 2006-12-01 |
| 1184799231 | Donald Hoyt Pritchard | Internal Medicine | 5437 Commercial Way, Spring Hill, FL 34606-1110 | 2006-11-22 |
| 1497820161 | Health Link Associates, LLC | Internal Medicine | 5362 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2006-11-21 |
| Find all providers in SPRING HILL | ||||
| City | SPRING HILL |
| Zip Code | 34608 |
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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.