FANOURIOS I. FERDERIGOS, M.D., P.A. (NPI# 1225338510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225338510 |
| Entity Type | Organization |
| Organization Name | FANOURIOS I. FERDERIGOS, M.D., P.A. |
| Practice Address |
2626 Tampa Rd Suite 103 Palm Harbor FL 34684-3155 |
| Practice Telephone | 7277893300 |
| Practice Fax Number | 7277873454 |
| Mailing Telephone | 7277893300 |
| Mailing Fax Number | 7277873454 |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2015-06-26 |
| Authorized Official Name | DR. FANOURIOS I. FERDERIGOS (PRESIDENT) |
| Authorized Official Telephone | 7277893300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME0040703 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FEDERAL WORKERS COMP PROV | 220139000 | 01 |
| FL | MEDICARE PTAN | GC512A | 01 |
| Street Address |
2626 TAMPA RD SUITE 103 |
| City | PALM HARBOR |
| State | FL |
| Zip Code | 34684-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235120122 | Fanourios Iacovos Ferderigos | Orthopaedic Surgery | 2626 Tampa Rd, Suite 103, Palm Harbor, FL 34684-3155 | 2005-10-31 |
| 1770971541 | St Mary Florida Pediatric Care Pllc | Family Medicine | 2626 Tampa Rd, Ste 101, Palm Harbor, FL 34684-3155 | 2015-01-02 |
| 1659778231 | St Mary's Pediatric Care Pllc | Pediatrics | 2626 Tampa Rd, Suite 101, Palm Harbor, FL 34684-3155 | 2014-11-26 |
| 1073867941 | Edward Salib | Family Medicine | 2626 Tampa Rd, Ste 101, Palm Harbor, FL 34684-3110 | 2012-10-31 |
| 1386908929 | Patrick P Cinelli Md Pa | General Practice | 2626 Tampa Rd, Suite 101, Palm Harbor, FL 34684-3155 | 2012-06-28 |
| 1760709703 | Edgar Malpartida | Obstetrics & Gynecology | 2626 Tampa Rd, Suite 103, Palm Harbor, FL 34684-3155 | 2010-04-30 |
| 1295922797 | Magda Fawzy Salib | Pediatrics | 2626 Tampa Rd, Ste 101, Palm Harbor, FL 34684-3155 | 2007-09-27 |
| 1306851001 | Atlas Physical Therapy Inc. | Clinic/Center | 2626 Tampa Rd, Suite-203a, Palm Harbor, FL 34684-3155 | 2006-07-30 |
| 1285668533 | Abraham T Markose | Physical Therapist | 2626 Tampa Rd, Ste-203a, Palm Harbor, FL 34684-3155 | 2006-07-11 |
| 1598793861 | Patrick P Cinelli | Internal Medicine | 2626 Tampa Rd, Suite 101, Palm Harbor, FL 34684-3155 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042147 | Patrick Curry | Nurse Practitioner | 2815 Us-19 Alt, Suite B, Palm Harbor, FL 34684 | 2020-08-05 |
| 1649897059 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2375 Curlew Road, Palm Harbor, FL 34684 | 2020-07-01 |
| 1679068142 | Barbara Purcell | Hearing Instrument Specialist | 34026 Us Hwy 19 N, Palm Harbor, FL 34684 | 2018-06-27 |
| 1134623507 | Virginia Lynn Kappel | Behavior Technician | 3371 Preakness Place, Apt. 1309, Palm Harbor, FL 34684 | 2018-03-21 |
| 1093228587 | Cosmetic Medicine Enterprises Inc | Otolaryngology | 34156 Us Hwy 19 N, Palm Harbor, FL 34684 | 2017-11-07 |
| 1821512088 | Robin Ann Polizzi | Registered Nurse | 3474 Rolling Trail, Palm Harbor, FL 34684 | 2017-07-31 |
| 1699202846 | Allied Care Services, LLC | Non-emergency Medical Transport (VAN) | 231 Morgan Ct, Palm Harbor, FL 34684 | 2017-05-18 |
| 1730632522 | Fox Chase Emergency Physicians LLC | Physician Assistant | 35750 Us 19 North, Palm Harbor, FL 34684 | 2016-07-27 |
| 1881052983 | Sandra Hanna | Pharmacist | 2583 Country Grove Blvd, Palm Harbor, FL 34684 | 2016-02-03 |
| 1629453469 | Jesse H Rodriguez | Nurse Practitioner | 2595 Tampa Rd. Suite S&t, Palm Harbor, FL 34684 | 2015-07-22 |
| Find all providers in zip 34684 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992065312 | Peter James Howard | Orthopaedic Surgery | 3890 Tampa Rd Ste 202, Palm Harbor, FL 34684 | 2012-05-18 |
| 1952685356 | Active Orthopedics, LLC | Orthopaedic Surgery | 775 County Road 1, Palm Harbor, FL 34683-6306 | 2011-10-04 |
| 1235120122 | Fanourios Iacovos Ferderigos | Orthopaedic Surgery | 2626 Tampa Rd, Suite 103, Palm Harbor, FL 34684-3155 | 2005-10-31 |
| 1033101464 | Ronald Williams | Orthopaedic Surgery | 37026 Us Highway 19 N, Palm Harbor, FL 34684-1109 | 2005-08-22 |
| 1467085142 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 3890 Tampa Rd Ste 202, Palm Harbor, FL 34684-3677 | 2020-02-20 |
| 1962957589 | Florida Surgery Consultants, LLC | Orthopaedic Surgery | 35111 Us Highway 19 N, Suite 301, Palm Harbor, FL 34684-1935 | 2016-08-24 |
| 1790190700 | Christopher Ryan James | Orthopaedic Surgery | 37026 Us Highway 19 N, Palm Harbor, FL 34684-1109 | 2014-06-27 |
| 1679732259 | Scott Lee Brotherton | Orthopaedic Surgery | 37026 Us Highway 19 N, Palm Harbor, FL 34684-1109 | 2008-06-09 |
| 1588702450 | Orthopedic Specialists | Orthopaedic Surgery | 37026 Us Highway 19 N, Palm Harbor, FL 34684-1109 | 2007-02-02 |
| 1346263548 | Choi Hanff Mirabello Shim & Torke | Orthopaedic Surgery | 3890 Tampa Rd, Ste 202, Palm Harbor, FL 34684 | 2006-07-26 |
| Find all providers in PALM HARBOR | ||||
| City | PALM HARBOR |
| Zip Code | 34684 |
Please comment or provide details below to improve the information on FANOURIOS I. FERDERIGOS, M.D., P.A..
| 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.