ANNAM M MANCHERY (NPI# 1124197439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124197439 |
| Entity Type | Individual |
| Full Name | ANNAM M MANCHERY |
| Credential | ARNP |
| Practice Address |
6320 Old Winter Garden Rd Orlando FL 32835-1381 |
| Mailing Address |
6416 Old Winter Garden Rd Orlando FL 32835-1348 |
| Practice Telephone | 4072900555 |
| Practice Fax Number | 4072950028 |
| Mailing Telephone | 4077517288 |
| Mailing Fax Number | 4077700661 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP1985512 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ARNP LICENSE | ARNP1985512 | 01 |
| FL | 304840300 | 05 |
| Street Address |
6320 OLD WINTER GARDEN RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598753287 | Sabrina P Gmerek-pettus | Nurse Practitioner | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2005-10-07 |
| 1790227494 | Nicole A Bridgman | Registered Nurse | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2016-11-11 |
| 1356731715 | Dorothy Dawn Baldovino Ibasco | Nurse Practitioner | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2015-01-23 |
| 1194088666 | Michele T Roberts-perkins | Nurse Practitioner | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2012-06-20 |
| 1063713436 | Amy Sue Barton | Nurse Practitioner | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2010-11-16 |
| 1487825808 | Arnold W Fleischmann | Internal Medicine | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2008-03-13 |
| 1477741817 | Rodrigo Pontes Pereira | Family Medicine | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2007-10-11 |
| 1184701740 | Family Physician Group | General Acute Care Hospital | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2006-11-01 |
| 1386721579 | Mohamed G Mohamed | Family Medicine | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2006-11-01 |
| 1912935008 | Family Physicians of Winter Park, Inc. | Family Medicine | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| Find all providers in zip 32835 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1962019232 | Gerda Dorce | Nurse Practitioner | 5045 Catspaw Ct, Orlando, FL 32808-5961 | 2020-09-30 |
| 1073120093 | Kailey Wickens | Nurse Practitioner | 10139 Rivers Trail Dr, Orlando, FL 32817-2884 | 2020-09-24 |
| 1528672284 | Paulette Fernandez | Nurse Practitioner | 9208 Larette Dr, Orlando, FL 32817-2618 | 2020-09-01 |
| 1225641798 | Jennifer Marie Fleitas | Nurse Practitioner | 1501 Balsam Willow Trl, Orlando, FL 32825-4469 | 2020-08-25 |
| 1730792201 | Winnie Tsang-wu | Nurse Practitioner | 11419 Chateaubriand Ave, Orlando, FL 32836-8890 | 2020-08-25 |
| 1851902548 | April Michelle Edwards | Nurse Practitioner | 2630 Babbitt Ave, Orlando, FL 32833-4023 | 2020-08-14 |
| 1417567454 | Maureen Williams | Nurse Practitioner | 2126 Great Falls Way, Orlando, FL 32824-4302 | 2020-08-04 |
| 1134747470 | Edelio Valentin De Zayas | Nurse Practitioner | 7763 Segovia St, Orlando, FL 32822-8036 | 2020-07-13 |
| 1811515141 | Yuliet Castillo | Nurse Practitioner | 10814 Flycast Cir, Orlando, FL 32825-4878 | 2020-07-13 |
| Find all providers in ORLANDO | ||||
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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.