DIEDRE T CAGLE (NPI# 1144215823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144215823 |
Entity Type | Individual |
Full Name | DIEDRE T CAGLE |
Credential | M.D. |
Practice Address |
4270 Lake In The Woods Dr Weeki Wachee FL 34607-2501 |
Mailing Address |
15215 Cortez Blvd Brooksville FL 34613-6072 |
Practice Telephone | 3525977249 |
Practice Fax Number | 3525979523 |
Mailing Telephone | 3527990046 |
Mailing Fax Number | 3527990115 |
Enumeration Date | 2005-09-19 |
Last Update Date | 2013-02-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
ME 88175 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 271034000 | 05 | |
FL | RR MCR | P01125564 | 01 |
FL | MEDICARE TYPE - UNSPECIFIED | U1375S | 01 |
FL | BCBS | 37307 | 01 |
Street Address |
4270 LAKE IN THE WOODS DR |
City | WEEKI WACHEE |
State | FL |
Zip Code | 34607-2501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740287523 | Verna Lynn Pedersen Runyan | Nurse Practitioner | 4270 Lake In The Woods Dr, Weeki Wachee, FL 34607-2501 | 2005-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750593059 | The Center for Alternative Healing | Massage Therapist | 8403 Balm Street, Spring Hill, FL 34607 | 2007-05-07 |
1013069186 | David Donald Buethe | Urology | 7614 Jacque Road, Suite A, Hudson, FL 34607 | 2007-01-17 |
1134750946 | Heather Lynn Obrien | Massage Therapist | 8219 River Country Dr, Spring Hill, FL 34607 | 2020-01-30 |
1679116529 | Alliance for Telepsychiatry | Psychiatry & Neurology | 8425 Balm St, Weeki Wachee, FL 34607 | 2019-10-23 |
1578061305 | William Gerard Augello | Chiropractor | 8403 Balm St, Weeki Wachee, FL 34607 | 2018-01-26 |
1669785671 | Total Health Network LLC | Clinic/Center | 8403 Balm St, Weeki Wachee, FL 34607 | 2010-07-19 |
1568674869 | Suzanne Marie Wall | Massage Therapist | 8403 Balm St, Spring Hill, FL 34607 | 2007-05-07 |
1700856895 | Jeffrey T Schinkel | Registered Nurse | 5267 Palisade Dr, Weeki Wachee, FL 34607-1414 | 2006-01-23 |
1366674046 | Sisto P. Serafini | Internal Medicine | 8246 River Country Dr., Spring Hill, FL 34607-2101 | 2009-08-14 |
1215107206 | Osteopathic Heritage, P.a. | Family Medicine | 8246 River Country Dr, Weeki Wachee, FL 34607-2101 | 2008-03-05 |
Find all providers in zip 34607 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144402439 | Eugene F Guerre Jr Md | Obstetrics & Gynecology | 7005 Nightwalker Rd, Weeki Wachee, FL 34613-6349 | 2007-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053910240 | Jeffrey M Greenberg Md Medical Services Inc | Obstetrics & Gynecology | 13324 Pond Apple Dr W, Naples, FL 34119-8556 | 2020-10-20 |
1497365464 | Hamel Foundation Inc | Obstetrics & Gynecology | 7777 N University Dr Ste 206, Tamarac, FL 33321-6106 | 2020-08-05 |
1336786466 | Manfred Emil Trostel | Obstetrics & Gynecology | 2425 Gulf of Mexico Dr Unit 8d, Longboat Key, FL 34228-3213 | 2019-12-09 |
1790335164 | Customized Wellness, LLC | Obstetrics & Gynecology | 131 W Center Avenue, Sebring, FL 33870 | 2019-09-17 |
1649737552 | Joe Walker Bancroft Jr. | Obstetrics & Gynecology | 4618 Long Bow Rd. South, Jacksonville, FL 32210-8144 | 2019-02-27 |
1649748666 | Kristin M Jackson LLC | Obstetrics & Gynecology | 260 Lookout Pl Ste 201, Maitland, FL 32751-4485 | 2018-11-07 |
1710476239 | Yvette Pereyra Ans | Obstetrics & Gynecology | 3990 Sheridan St Ste 214, Hollywood, FL 33021-3656 | 2018-05-10 |
1194223800 | Vandyke Md Ob/gyn Pa | Obstetrics & Gynecology | 9161 Narcoossee Rd Ste B209, Orlando, FL 32827-5764 | 2018-01-28 |
1538676515 | Adam Ostrzenski | Obstetrics & Gynecology | 7001 Central Ave Ste 3, St Petersburg, FL 33710-7549 | 2017-12-29 |
1144735945 | Judith Watson Bradfield | Obstetrics & Gynecology | 8024 Links Way, Port St Lucie, FL 34986-3035 | 2017-12-04 |
Find all providers with the same taxonomy |
City | WEEKI WACHEE |
Zip Code | 34607 |
Please comment or provide details below to improve the information on DIEDRE T CAGLE.
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.