AXOGEN CORPORATION (NPI# 1386940062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386940062 |
| Entity Type | Organization |
| Organization Name | AXOGEN CORPORATION |
| Practice Address |
13859 Progress Blvd Ste 100 Alachua FL 32615-9403 |
| Practice Telephone | 3864626800 |
| Practice Fax Number | 3524626801 |
| Mailing Telephone | 3864626800 |
| Mailing Fax Number | 3524626801 |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |
| Authorized Official Name | MRS. KAREN L ZADEREJ (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3864626818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Axogen Corporation | 13631 Progress Blvd, Suite 400, Alachua, FL 32615 |
| System for Award Management (SAM) Entities | AXOGEN CORPORATION | 13631 Progress Blvd Ste 400, Alachua, FL 32615-9409 |
| Washington State Corporations | AXOGEN CORPORATION | 13631 Progress Blvd Ste 400, Alachua, FL 32615-9409 |
| Street Address |
13859 PROGRESS BLVD STE 100 |
| City | ALACHUA |
| State | FL |
| Zip Code | 32615-9403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013568138 | Stanaria Richardson Flagg | Technician | 7804 W Sr, Alachua, FL 32615 | 2019-09-20 |
| 1417439191 | One Stop Medical and Urgent Care | Family Medicine | 15652 Nw Hwy 441, Ste. D, Alachua, FL 32615 | 2018-08-30 |
| 1124448808 | Norman Victor Grachis | Counselor | 13237 Nw 173rd Lane, Alachua, FL 32615 | 2014-04-22 |
| 1770823684 | Maria Bang Fiedler | Physical Therapist | 702 Turkey Crk, Alachua, FL 32615 | 2013-03-01 |
| 1295019990 | North Central Florida Neurodiagnostic Services, LLC | Clinical Medical Laboratory | 12076 Technology Ave, Alachua, FL 32615 | 2011-09-30 |
| 1437469194 | Teresa Elaine Roane | Pharmacist | 23729 Nw 110th Ave, Alachua, FL 32615 | 2010-10-15 |
| 1184802522 | Alachua Family Dentistry | Dentist | 14690 Nw 151st Blvd, Unit 20, Alachua, FL 32615 | 2008-02-07 |
| 1477766145 | Brian Carl Hill | Military Health Care Provider | 10906 Nw 156 Ave, Alachua, FL 32615 | 2007-05-08 |
| 1124145719 | Marc Vincent Cauchon | Dentist | 14601 N.w. 140 Street, Alachua, FL 32615 | 2007-03-26 |
| 1174664437 | Anne M. Andrews | Massage Therapist | 13700 Us Highway 441, Alachua, FL 32615 | 2007-02-09 |
| Find all providers in zip 32615 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1437765823 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 1228 S Pine Island Rd Ste 110, Plantation, FL 33324-4402 | 2020-09-21 |
| 1407460223 | Daisy Lomadilla Boyer | Non-Pharmacy Dispensing Site | 11703 Holly Creek Dr, Riverview, FL 33569-3356 | 2020-08-31 |
| 1760091078 | West Kendall Baptist Hospital, Inc. | Non-Pharmacy Dispensing Site | 14591 Sw 26th St, Miami, FL 33175-8038 | 2020-07-23 |
| 1821615436 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 8400 Nw 53rd St Ste F106, Doral, FL 33166-4519 | 2020-06-30 |
| 1295358422 | Ezze Pharma LLC | Non-Pharmacy Dispensing Site | 3105 Nw 107th Ave Ste 400, Doral, FL 33172-2215 | 2020-05-21 |
| 1871115436 | Kempcare Inc. | Non-Pharmacy Dispensing Site | 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 | 2020-05-17 |
| 1427670595 | Orlando Dermatology Clinic, LLC | Non-Pharmacy Dispensing Site | 3261 Us Highway 441/27 Ste F1, Fruitland Park, FL 34731-4495 | 2020-05-12 |
| 1518593177 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 | 2020-03-16 |
| 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.