TIYYAGURA S REDDY (NPI# 1205848595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205848595 |
| Entity Type | Individual |
| Full Name | TIYYAGURA S REDDY |
| Practice Address |
7614 Jacque Rd Ste B Hudson FL 34667-7195 |
| Mailing Address |
2410 Northside Dr Clearwater FL 33761-2236 |
| Practice Telephone | 7278632105 |
| Practice Fax Number | 7278622512 |
| Mailing Telephone | 7274990358 |
| Mailing Fax Number | 7277813312 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2017-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME40196 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | WELLCARE | 167251 | 01 |
| FL | AVMED | 211156 | 01 |
| FL | 042172300 | 05 | |
| RAILROAD MEDICARE | 110012967 | 01 | |
| FL | BLUE CROS BLUE SHIELD | 51256 | 01 |
| Street Address |
7614 JACQUE RD STE B |
| City | HUDSON |
| State | FL |
| Zip Code | 34667-7195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114939410 | Tiyyagura S Reddy Md Pa | Internal Medicine | 7614 Jacque Rd Ste B, Hudson, FL 34667-7195 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1912972969 | Venu Lakshminarasimhan | Internal Medicine | 7533 Medical Dr, Hudson, FL 34667-6502 | 2006-02-22 |
| 1245232917 | Clarence B Henry | Internal Medicine | 949 Columbia St, Hudson, NY 12534-2624 | 2005-08-12 |
| 1194813568 | Jeff I Monkash | Internal Medicine | 23 Fish and Game Rd, Hudson, NY 12534-3815 | 2006-10-11 |
| 1114939410 | Tiyyagura S Reddy Md Pa | Internal Medicine | 7614 Jacque Rd Ste B, Hudson, FL 34667-7195 | 2006-08-13 |
| 1962404616 | Tamton Mustapha | Internal Medicine | 949 Columbia St, Hudson, NY 12534-2624 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321382 | Charlotte Harbor Gastroenterology LLC | Internal Medicine | 2811 Tamiami Trl Ste I, Port Charlotte, FL 33952-5135 | 2020-09-22 |
| 1750907614 | Michael G. Valladares D.o. P.a. | Internal Medicine | 10302 Sw 116th St, Miami, FL 33176-4049 | 2020-06-17 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1750922399 | Gastroenterology Care Specialists, LLC | Internal Medicine | 550 Redstone Ave W Ste 430, Crestview, FL 32536-6457 | 2019-10-04 |
| 1194375378 | Digestive and Liver Disease Institute of Florida, LLC | Internal Medicine | 505 W Oak St Ste 202, Kissimmee, FL 34741-4986 | 2019-09-18 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1225507601 | Linmec Corp | Internal Medicine | 4531 Deleon St Ste 215, Fort Myers, FL 33907-1279 | 2018-11-15 |
| 1912474156 | Eileen E Kim | Internal Medicine | 5117 Fiorella Ln, Sanford, FL 32771-5449 | 2018-10-25 |
| 1790251197 | Gabriel Benitez | Internal Medicine | 2330 Wilton Dr, Wilton Manors, FL 33305-1249 | 2018-10-23 |
| 1043786833 | Union Medical Group | Internal Medicine | 6300 Corporate Ct Ste 105, Fort Myers, FL 33919-3513 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
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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.