DR. AKALUCK THATAYATIKOM (NPI# 1366650236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366650236 |
| Entity Type | Individual |
| Full Name | DR. AKALUCK THATAYATIKOM |
| Credential | MD |
| Practice Address |
1600 Sw Archer Rd Gainesville FL 32610-3003 |
| Mailing Address |
Po Box 100296 Gainesville FL 32610-0296 |
| Practice Telephone | 3522945252 |
| Practice Fax Number | 3522948068 |
| Mailing Telephone | 3523341340 |
| Mailing Fax Number | 3523341348 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2015-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
2006035310 | MO | Allopathic & Osteopathic Physicians |
| Y | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
ME114452 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 007298300 | 05 |
| Street Address |
1600 SW ARCHER RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475554 | Walter J Milton | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2005-05-24 |
| 1104427251 | Morgan Elizabeth Gilbert | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-11-05 |
| 1598365306 | Kristin Renee Lapham | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-30 |
| 1225638174 | Leigha Fridley | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-29 |
| 1962000950 | Kelli O'shaughnessy | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1053919985 | Amber Lynn Bart | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1134726847 | Emily Elizabeth Farhat | Social Worker | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1346847944 | Nicholas Scott Duarte | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1922613231 | Trinh Nguyen | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-14 |
| 1053926501 | Annalise Deboef | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| Taxonomy Code | 2080P0216X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Rheumatology |
| A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982268439 | Luciana Brandao Paim Marques | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2019-04-30 |
| 1144687500 | Natalie Shiff | Pediatrics | 1600 Sw Archer Rd, Pediatrics Immunology/rheumatology, Gainesville, FL 32610-3003 | 2016-01-15 |
| 1023308335 | Leandra Catarina Uribe Woolnough | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610 | 2011-04-08 |
| 1558382804 | Renee F. Modica | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-22 |
| 1659328912 | Melissa E Elder | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851508857 | Kristina M Wiers-shamir | Pediatrics | 900 Glades Rd Ste 501, Boca Raton, FL 33431-6421 | 2007-05-17 |
| 1861489692 | Sandra M Lawrence | Pediatrics | 9960 Central Park Blvd N Ste 225, Boca Raton, FL 33428-1705 | 2005-10-06 |
| 1477007318 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Suite 105, Miami, FL 33155 | 2016-08-09 |
| 1154689651 | Ann Marie Szymanski | Pediatrics | 601 5th St S Ste 504, Saint Petersburg, FL 33701-4804 | 2012-05-03 |
| 1992076681 | Miami Rheumatology, LLC | Pediatrics | 715 Sw 73rd Ave, Miami, FL 33144-2635 | 2012-01-26 |
| 1457640344 | Lauren Elizabeth Duensing | Pediatrics | 12591 Sorrento Rd, Pensacola, FL 32507-8754 | 2011-03-31 |
| 1730407107 | Laisa Margarita Santiago Ramos | Pediatrics | 601 5th St S, St Petersburg, FL 33701-4804 | 2010-05-11 |
| 1649206152 | Diana Milojevic | Pediatrics | 601 5th St S, St Petersburg, FL 33701-4804 | 2006-06-25 |
| City | GAINESVILLE |
| Zip Code | 32610 |
Please comment or provide details below to improve the information on DR. AKALUCK THATAYATIKOM.
| 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.