DR. PHILLIP RICHARD ANDERSON III (NPI# 1508085911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508085911 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP RICHARD ANDERSON III |
| Credential | M.D. |
| Practice Address |
1745 N Mills Ave Central Florida Cardiology Group Orlando FL 32803-1876 |
| Practice Telephone | 4078417151 |
| Mailing Telephone | 4078417151 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2015-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME110072 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
ME110072 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689912453 | Phillip G Anderson | Technician, Other | 401 Nw 24th St, Apt A, Oklahoma City, OK 73103-1544 | 2013-01-29 |
| 1427542083 | Phillip J Anderson | Nurse Practitioner | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2018-06-18 |
| 1700068707 | Phillip Edward Anderson | Pharmacist | 1875 Millikin Rd, Columbus, OH 43210-2200 | 2007-11-30 |
| Street Address |
1745 N MILLS AVE CENTRAL FLORIDA CARDIOLOGY GROUP |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629062245 | Scott J Pollak | Internal Medicine | 1745 N Mills Ave, Orlando, FL 32803-1851 | 2005-09-09 |
| 1477164226 | Rebecca Shindoll | Nurse Practitioner | 1745 N Mills Ave, Orlando, FL 32803-1876 | 2020-08-14 |
| 1306409032 | Colleen M Mcgovern | Nurse Practitioner | 1745 N Mills Ave, Orlando, FL 32803-1876 | 2019-04-18 |
| 1184116626 | Aimee Lee Larraga | Spec/Tech, Cardiovascular | 1745 N Mills Ave, Orlando, FL 32803-1876 | 2018-05-31 |
| 1982103222 | Lauren Delong | Nurse Practitioner | 1745 N Mills Ave, Orlando, FL 32803-1876 | 2018-02-01 |
| 1932443694 | Dawna C Hilton | Nurse Practitioner | 1745 N Mills Ave, Orlando, FL 32803-1876 | 2012-11-19 |
| 1952560070 | Tasha Lee Smith | Nurse Practitioner | 1745 N Mills Ave, Suite 100, Orlando, FL 32803-1876 | 2008-06-04 |
| 1467619775 | Milind G Parikh | Internal Medicine | 1745 N Mills Ave, Orlando, FL 32803-1876 | 2008-05-22 |
| 1831389147 | Susan Kay Johnson | Nurse Practitioner | 1745 N Mills Ave, Orlando, FL 32803-1876 | 2007-08-01 |
| 1083722524 | Guillermo Nava | Internal Medicine | 1745 N Mills Ave, Orlando, FL 32803-1876 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
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|---|---|---|---|---|
| 1558869339 | Joint Replacement Cin of Florida, LLC | Internal Medicine | 5401 S Kirkman Rd Ste 310c, Orlando, FL 32819-7940 | 2018-01-26 |
| 1821169244 | Leonard Gardberg | Internal Medicine | 11oo Yates St, Orlando, FL 32804 | 2006-11-10 |
| 1710987946 | Pradip K Jamnadas | Internal Medicine | 1900 N Mills Ave, Orlando, FL 32803-1444 | 2005-07-29 |
| 1285639435 | Zahid Amin | Internal Medicine | 2501 N Orange Ave Ste 209, Orlando, FL 32804-4641 | 2005-06-15 |
| 1124512694 | Ruth Fookes | Internal Medicine | 1900 N Mills Ave Ste 107, Orlando, FL 32803-1460 | 2018-06-19 |
| 1821296187 | Cardiovascular Solutions LLC | Internal Medicine | 7806 Lake Underhill Rd, Suite 104, Orlando, FL 32822-8232 | 2007-07-10 |
| 1992716690 | Carolina Raijer | Internal Medicine | 60 W Gore St, Orlando, FL 32806-1141 | 2006-08-10 |
| 1104820158 | Robert Paul Dalton | Internal Medicine | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2005-06-08 |
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| 1881212744 | North Broward Hospital District | Internal Medicine | 817 S University Dr Ste 104, Plantation, FL 33324-3345 | 2020-07-08 |
| 1821612821 | Satish Sivasankaran Md Pa | Internal Medicine | 5340 Gulf Dr Ste 101, New Port Richey, FL 34652-3922 | 2020-06-04 |
| 1699317933 | Abid A Shah Md LLC | Internal Medicine | 5741 Bee Ridge Rd Ste 420, Sarasota, FL 34233-5081 | 2019-10-08 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1205329620 | Central Florida Cardiovascular Imaging Center, LLC | Internal Medicine | 1717 Mayo Dr, Tavares, FL 32778-4307 | 2018-06-11 |
| 1568953511 | Orlando Lopez-fernandez Jr. | Internal Medicine | 2800 Ponce De Leon Blvd Ste 1480, Coral Gables, FL 33134-6921 | 2018-05-25 |
| 1467959668 | Cardiology Practice Pa | Internal Medicine | 5051 Ashington Landing Dr, Tampa, FL 33647-3515 | 2018-04-12 |
| 1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
| 1114425477 | Cardiac Cin of Miami LLC | Internal Medicine | 2 S Biscayne Blvd Ste 3760c, Miami, FL 33131-1815 | 2018-01-31 |
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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.