ROBERTA MARIE KILLEEN (NPI# 1245222447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245222447 |
| Entity Type | Individual |
| Full Name | ROBERTA MARIE KILLEEN |
| Credential | MD |
| Practice Address |
2520 Us Highway 19 Holiday FL 34691-3846 |
| Practice Telephone | 7279346905 |
| Practice Fax Number | 7279344045 |
| Mailing Telephone | 7279346905 |
| Mailing Fax Number | 7279344045 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2011-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
ME58665 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 052961300 | 05 |
| Street Address |
2520 US HIGHWAY 19 |
| City | HOLIDAY |
| State | FL |
| Zip Code | 34691-3846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730570219 | Robert Bruce Killeen Jr. M.d. P.a. | Specialist | 2520 Us Highway 19, Holiday, FL 34691-3846 | 2015-02-05 |
| 1609039361 | Roberta M Killeen Md Pa | Clinical Medical Laboratory | 2520 Us Highway 19, Holiday, FL 34691-3846 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417407826 | Janet Hernandez | Nurse Practitioner | 2435 Us Hwy 19, Suite 210, Holiday, FL 34691 | 2016-10-10 |
| 1285081869 | Jeannie Giberson | General Acute Care Hospital | 4313 Tahitian Gardens Drive K2, Holiday, FL 34691 | 2016-05-24 |
| 1790108058 | Home Medical Visits LLC | Internal Medicine | 2435 Us Highway 19 Ste 300, Holiday, FL 34691 | 2014-01-22 |
| 1770878712 | Rachel Rosa | Behavioral Analyst | 4249 Plaza Drive #304, Holiday, FL 34691 | 2011-06-17 |
| 1144414574 | Shervin Ardalani | Dentist | 4539 Sunray Drive, None, Holiday, FL 34691 | 2007-08-29 |
| 1245440874 | Gulf Coast Jewish Family Services | Psychiatric Residential Treatment Facility | 3142 Darlington Road, Holiday, FL 34691 | 2007-05-23 |
| 1659416626 | Michael M Shaw | Counselor | 2425 Chatlin Road, Holiday, FL 34691 | 2007-02-20 |
| 1316957947 | George William Lazenby | Ophthalmology | 1109 Us Hwy 19, Holiday, FL 34691 | 2006-08-08 |
| 1770531899 | Rajesh V Patel | Internal Medicine | 1162 Alternate 19 N, Holiday, FL 34691 | 2006-05-04 |
| 1871560904 | Vikram M Atit | Psychiatry & Neurology | 1011 Us Hwy 19, Holiday, FL 34691 | 2006-03-07 |
| Find all providers in zip 34691 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389049 | Frantz Sainvil | Pathology | 4945 Sw 66th Ter, Davie, FL 33314-4351 | 2020-09-02 |
| 1235630575 | Laura Scheibley Hair | Pathology | 5661 Tower Rd, Land O Lakes, FL 34638-3045 | 2018-02-22 |
| 1669995015 | Jessica Aoun | Pathology | 1611 Nw 12 Avenue Miami, Fl 33136, Holtz Center, Room 2044, Miami, FL 33136 | 2017-07-18 |
| 1548499387 | Maria Angelica Vento De Munoz | Pathology | 21332 Ne 18th Pl, Miami, FL 33179-1550 | 2009-07-14 |
| 1164683132 | Matthew Reeves Simmons | Pathology | 6238 Sw 85th St, Gainesville, FL 32608-8512 | 2008-06-22 |
| 1962625624 | Kimiko Takezawa | Pathology | 13770 58th St N, Suite 309, Clearwater, FL 33760-3759 | 2007-04-11 |
| 1407984602 | Robert Emmett Brierty | Pathology | 1000 Marwalt Dr, Ft Walton Beach, FL 32547-6795 | 2007-03-01 |
| 1740353002 | Briana Claire Gleason | Pathology | 9229 Nw 24th Ln, Gainesville, FL 32606-9144 | 2006-11-16 |
| 1861585648 | Nilofar J Ali | Pathology | 518 Springcreek Dr, Longwood, FL 32779-3353 | 2006-10-02 |
| 1902903446 | Gertrude Caplivski | Pathology | 2131 Ne 32nd Ave, Ft Lauderdale, FL 33305-1854 | 2006-09-19 |
| 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.