SAMUEL N LEDERMAN (NPI# 1124131230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124131230 |
Entity Type | Individual |
Full Name | SAMUEL N LEDERMAN |
Credential | M.D. |
Practice Address |
4671 S Congress Ave Suite 100 B Lake Worth FL 33461-4783 |
Mailing Address |
Po Box 25317 Tampa FL 33622-5317 |
Practice Telephone | 5614340111 |
Practice Fax Number | 5614344868 |
Mailing Telephone | 8132860033 |
Mailing Fax Number | 8132821806 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2019-09-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | ME60019 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 371772100 | 05 | |
FL | MEDICARE | LN213 | 01 |
Street Address |
4671 S CONGRESS AVE SUITE 100 B |
City | LAKE WORTH |
State | FL |
Zip Code | 33461-4783 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649275249 | Marlynn Nunez | Obstetrics & Gynecology | 4671 S Congress Ave, Suite 100b, Lake Worth, FL 33461-4783 | 2005-06-20 |
1922279389 | Palm Beach Obstetrics & Gynecology, Pa | Obstetrics & Gynecology | 4671 S Congress Ave, Suite 100b, Lake Worth, FL 33461-4783 | 2008-03-13 |
1629262126 | Marcela A Lazo | Specialist | 4671 S Congress Ave, Suite 100b, Lake Worth, FL 33461-4783 | 2007-08-28 |
1386743722 | Shelly E Kramer | Family Medicine | 4671 S Congress Ave, Suite 100-a, Lake Worth, FL 33461-4783 | 2006-09-22 |
1497868418 | Gloria C Hakkarainen | Obstetrics & Gynecology | 4671 S Congress Ave, Suite 100 B, Lake Worth, FL 33461-4783 | 2006-08-16 |
1164535100 | Joy G Cavalaris | Obstetrics & Gynecology | 4671 S Congress Ave, Suite 100 B, Lake Worth, FL 33461-4783 | 2006-08-16 |
1104889179 | Lori A Sevald | Obstetrics & Gynecology | 4671 S Congress Ave, Suite 100b, Lake Worth, FL 33461-4783 | 2006-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
Find all providers in zip 33461 |
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 |
---|---|---|---|---|
1447363478 | Sylvia L Siegfried | Obstetrics & Gynecology | 4671 S Congress Ave Suite 100 B, Lake Worth, FL 33461-4783 | 2006-08-16 |
1720005614 | Sameh Fayez Wanis | Obstetrics & Gynecology | 2925 10th Ave N, Suite 204, Lake Worth, FL 33461-3000 | 2006-07-16 |
1649275249 | Marlynn Nunez | Obstetrics & Gynecology | 4671 S Congress Ave, Suite 100b, Lake Worth, FL 33461-4783 | 2005-06-20 |
1356632434 | Ana Margarita Ferwerda | Obstetrics & Gynecology | 7408 Lake Worth Rd, Lake Worth, FL 33467-2502 | 2011-04-25 |
1235375122 | Sam F Wanis Do Pa | Obstetrics & Gynecology | 2925 10th Ave N, Suite #204, Lake Worth, FL 33460-3046 | 2008-12-23 |
1922279389 | Palm Beach Obstetrics & Gynecology, Pa | Obstetrics & Gynecology | 4671 S Congress Ave, Suite 100b, Lake Worth, FL 33461-4783 | 2008-03-13 |
1497868418 | Gloria C Hakkarainen | Obstetrics & Gynecology | 4671 S Congress Ave, Suite 100 B, Lake Worth, FL 33461-4783 | 2006-08-16 |
1164535100 | Joy G Cavalaris | Obstetrics & Gynecology | 4671 S Congress Ave, Suite 100 B, Lake Worth, FL 33461-4783 | 2006-08-16 |
1750391819 | George Tuttle IIi | Obstetrics & Gynecology | 3618 Lantana Rd, Ste 200, Lake Worth, FL 33462 | 2006-08-09 |
1710993605 | Lynn Marie Speaks | Obstetrics & Gynecology | 3914 Telephone Rd, Lake Worth, TX 76135-2908 | 2006-07-31 |
Find all providers in LAKE WORTH |
City | LAKE WORTH |
Zip Code | 33461 |
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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.