TALLAHASSEE MEMORIAL HEALTHCARE (NPI# 1518099779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518099779 |
| Entity Type | Organization |
| Organization Name | TALLAHASSEE MEMORIAL HEALTHCARE |
| Practice Address |
1300 Miccosukee Rd Tallahassee FL 32308-5054 |
| Mailing Address |
10085 Bull Headley Rd Tallahassee FL 32312-9075 |
| Practice Telephone | 8504315665 |
| Mailing Telephone | 8508939722 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEITH L. BERRY (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 8504315678 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | PA1620 | FL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669874566 | Tallahassee Memorial Healthcare | General Acute Care Hospital | 1309 Thomasville Rd, Tallahassee, FL 32303-5607 | 2014-09-23 |
| 1013145341 | Tallahassee Memorial Healthcare | Personal Emergency Response Attendant | 1324 E 6th Ave, Tallahassee, FL 32303-6506 | 2009-06-25 |
| 1134258726 | Tallahassee Memorial Healthcare | Psychiatric Hospital | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2007-03-02 |
| 1992841282 | Tallahassee Memorial Healthcare | Psychiatric Hospital | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2007-01-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TALLAHASSEE MEMORIAL HEALTHCARE INC | 2039 N Monroe St, Tallahassee, FL 32303-4727 |
| Street Address |
1300 MICCOSUKEE RD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-5054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841261336 | Gregory Sydnor Laffitte | Physician Assistant | 1300 Miccosukee Rd, Hospitalists Group, Tallahassee, FL 32308-5054 | 2006-02-01 |
| 1275132987 | Anthony George Delegato | Nurse Practitioner | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-10-23 |
| 1790394039 | Muhammad Yasir Baloch | Student in an Organized Health Care Education/Training Program | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-07-22 |
| 1174131585 | Jiun-jye Jack Lai | Internal Medicine | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-07-21 |
| 1629695697 | Anna Ciara Lindsay Mason | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-25 |
| 1578189528 | Rawan Majdalawi | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-24 |
| 1124644349 | Cherie Danielle Eddinger | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-23 |
| 1235754185 | Ricardo Manuel Morales | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-16 |
| 1043834088 | Nicholas Heyse | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-05 |
| 1558983205 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720491251 | Marta Klisinska | General Acute Care Hospital | 2748 Tess Cir, Tallahassee, FL 32304-1166 | 2014-06-02 |
| 1104200393 | Southern Medical Group, Pa | General Acute Care Hospital | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2015-07-17 |
| 1669874566 | Tallahassee Memorial Healthcare | General Acute Care Hospital | 1309 Thomasville Rd, Tallahassee, FL 32303-5607 | 2014-09-23 |
| 1548677446 | Sandra Jean Higham | General Acute Care Hospital | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2014-07-13 |
| 1437177664 | Tallahassee Memorial Healthcare Inc | General Acute Care Hospital | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2006-07-17 |
| 1790732303 | Tallahassee Medical Center Inc | General Acute Care Hospital | 2626 Capital Medical Blvd, Tallahassee, FL 32308-4402 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193664 | Central Florida Health Services, LLC | General Acute Care Hospital | 6700 Lake Nona Blvd, Orlando, FL 32827-7729 | 2020-10-29 |
| 1639783509 | Public Health Trust of Miami Dade County Florida | General Acute Care Hospital | 2801 Nw 79th Ave, Doral, FL 33122-1174 | 2020-09-08 |
| 1013534445 | Sarasota Memorial Hospital | General Acute Care Hospital | 2600 Laurel Rd E, North Venice, FL 34275-3226 | 2020-07-01 |
| 1528683257 | Gainesville Vamc | General Acute Care Hospital | 2080 Child St Bldg 200h, Jacksonville, FL 32214-5005 | 2020-06-09 |
| 1184246894 | Zbeiro Corp | General Acute Care Hospital | 13952 Sw 52nd Ln, Miami, FL 33175-5166 | 2020-05-15 |
| 1962053728 | Optimum Care Medical Group | General Acute Care Hospital | 10520 Alcon Blue Dr, Riverview, FL 33578-4116 | 2019-09-24 |
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1437652500 | Physicians On Call I Corp | General Acute Care Hospital | 10081 Pines Blvd Ste B, Pembroke Pines, FL 33024-6171 | 2018-03-14 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| 1659803435 | Palmetto General Hosptial | General Acute Care Hospital | 2001 West 68th St, Suite 202, Hialeah, FL 33016 | 2017-03-30 |
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| City | TALLAHASSEE |
| Zip Code | 32308 |
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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.