DR. SAROJA MEDIDI (NPI# 1346561669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346561669 |
| Entity Type | Individual |
| Full Name | DR. SAROJA MEDIDI |
| Credential | M.D. |
| Practice Address |
14254 Martin Luther King Blvd Dover FL 33527-4414 |
| Mailing Address |
13110 Elk Mountain Dr Riverview FL 33579-7182 |
| Practice Telephone | 8133497700 |
| Practice Fax Number | 8133497761 |
| Mailing Telephone | 8133497568 |
| Mailing Fax Number | 8133497561 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2013-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME115009 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009031800 | 05 |
| Street Address |
14254 MARTIN LUTHER KING BLVD |
| City | DOVER |
| State | FL |
| Zip Code | 33527-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811947864 | Sylvia M. Santiago | Family Medicine | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2006-05-11 |
| 1558604116 | Adrienne Mee-ling Watson | Clinical Nurse Specialist | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2013-04-02 |
| 1518208016 | Joy Dziopala | Nurse Practitioner | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2013-03-07 |
| 1073868790 | Suncoast Community Health Centers, Inc | Clinic/Center | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2012-07-18 |
| 1699894758 | Esperanza Maria Quezada | Nurse Practitioner | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2007-03-28 |
| 1427109453 | Carol Nelson Handley | Nurse Practitioner | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2007-01-16 |
| 1992817498 | Brian Michael Shaub | Family Medicine | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2006-08-31 |
| 1144230640 | Suncoast Community Health Centers Inc | Clinic/Center | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2006-08-08 |
| 1205859592 | Evelyn Cimafrance Maningo | Internal Medicine | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891308052 | Learn 2 Speak LLC | Speech-Language Pathologist | 1505 Ringmore Ct, Dover, FL 33527 | 2020-08-27 |
| 1336570555 | Sarah Jane Connatser | Custodial Care Facility | 14576 Blackjack Rd, Dover, FL 33527 | 2013-12-13 |
| 1417207838 | Rudolf Bigord | Case Manager/Care Coordinator | 1712 Abbey Trace Drive, Tampa, FL 33527 | 2012-09-13 |
| 1689944381 | Walgreens | Health Maintenance Organization | 13213 Shady Stables Lane, Dover, FL 33527 | 2012-01-11 |
| 1376553883 | Suncoast Community Health Center Inc | Pharmacy | 14254 Sr 574 Bvld, Dover, FL 33527 | 2006-08-08 |
| 1144657834 | Barefoot Birth | Midwife | 1319 Sydney Washer Rd, Dover, FL 33527 | 2013-09-26 |
| 1023187424 | Edward Craig Reller | Internal Medicine | 14254 State Road 574, Dover, FL 33527 | 2006-11-07 |
| 1194156489 | Rafael Avecillas | Assisted Living Facility | 2644 Fritzke Rd, Dover, FL 33527-3433 | 2013-12-11 |
| 1669871711 | Christina Trang Nguyen | Pharmacist | 9550 Gallagher Rd, Dover, FL 33527-3604 | 2014-08-14 |
| 1043615693 | Donald Edward Smith | Pharmacist | 9550 Gallagher Rd, Dover, FL 33527-3604 | 2014-10-24 |
| Find all providers in zip 33527 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154887677 | Dana A Kimbrell | Family Medicine | 407 W 7th St, Dover, OH 44622-2813 | 2019-02-20 |
| 1043792328 | Joseph Dean Oliver | Family Medicine | 110 Dublin Dr, Dover, OH 44622-7805 | 2018-09-03 |
| 1962865865 | Shailly Saini | Family Medicine | 200 Banning St Ste 150, Dover, DE 19904-3491 | 2016-03-30 |
| 1326346164 | Spencer Wayne Pinion | Family Medicine | 420 S Reeves Ave Ste B, Dover, OH 44622-2162 | 2011-03-02 |
| 1538349758 | Mostafa Mirhaidari, D.o. | Family Medicine | 707 N Wooster Ave, Dover, OH 44622-2866 | 2007-11-05 |
| 1245370246 | Kathryn L Ford Family Practice Center, L.L.C. | Family Medicine | 870 South Govenors Ave., Dover, DE 19904-4108 | 2007-02-07 |
| 1053419242 | William L Yeaton | Family Medicine | 34 Ash St, Dover, NH 03820-3026 | 2006-09-20 |
| 1942317516 | Subhakararao Medidi | Family Medicine | 14254 State Road 574, Tom Lee Community Health Center, Dover, FL 33527-4312 | 2006-08-23 |
| 1568471670 | Theresa P Little | Family Medicine | 725 S Queen St Ste 4, Dover, DE 19904-3568 | 2006-08-07 |
| 1508874793 | Nadiene Elizabeth Haynes | Family Medicine | 108 Overlook Place, Dover, DE 19901 | 2006-08-03 |
| Find all providers in DOVER | ||||
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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.