NAGULA & ASSOCIATES, PLLC (NPI# 1598015133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598015133 |
| Entity Type | Organization |
| Organization Name | NAGULA & ASSOCIATES, PLLC |
| Practice Address |
1361 13th Ave S Suite 140 Jacksonville Beach FL 32250-3233 |
| Practice Telephone | 9042618400 |
| Practice Fax Number | 9042612255 |
| Mailing Telephone | 9042618400 |
| Mailing Fax Number | 9042612255 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-10-30 |
| Authorized Official Name | DIWAKAR NAGULA (OWNER) |
| Authorized Official Telephone | 9126737074 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1361 13TH AVE S SUITE 140 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-3233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316949746 | Thomas Carens Hilton | Internal Medicine | 1361 13th Ave S, Ste 270, Jacksonville Beach, FL 32250 | 2005-08-15 |
| 1336511690 | Physicians Group Services, Pa | Pain Medicine | 1361 13th Ave S, Unit 250, Jacksonville Beach, FL 32250-3233 | 2015-10-27 |
| 1649672866 | Alesha Wilson | Nurse Practitioner | 1361 13th Ave S, Jacksonville Beach, FL 32250-3233 | 2014-09-18 |
| 1730590217 | Valerie Brink Lmhc Pa | Counselor | 1361 13th Ave S, Suite 215, Jacksonville Beach, FL 32250-3233 | 2014-05-18 |
| 1134548167 | Ashley Saliba Hill | Physician Assistant | 1361 13th Ave S, Suite 270, Jacksonville Beach, FL 32250-3233 | 2014-04-07 |
| 1326311465 | Baptist Cardiology, Inc. | Internal Medicine | 1361 13th Ave S, Suite 270, Jacksonville Beach, FL 32250-3233 | 2012-02-21 |
| 1912138512 | Hazeline Katherine Mccabe | Physician Assistant | 1361 13th Ave S, Ste 150, Jacksonville Beach, FL 32250-3233 | 2009-07-30 |
| 1538395116 | Michael William Riesmeyer | Massage Therapist | 1361 13th Ave S, Suite 210, Jacksonville Beach, FL 32250-3233 | 2009-06-09 |
| 1558509596 | Neurology Associates of North Florida Diagnostics,inc. | Legal Medicine | 1361 13th Ave S, Ste 170a, Jacksonville Beach, FL 32250-3233 | 2009-01-29 |
| 1427224617 | Latoya Lyles Hall | Physician Assistant | 1361 13th Ave S, Suite 245, Jacksonville Beach, FL 32250-3233 | 2008-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161214 | Radius Medical Center LLC | Physical Medicine & Rehabilitation | 2425 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4062 | 2020-07-17 |
| 1912460874 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 5701 21st Ave W Ste 3, Bradenton, FL 34209-5605 | 2019-04-08 |
| 1508320342 | Grigory Pogrebinsky Md Pa | Physical Medicine & Rehabilitation | 12450 Tamiami Trl S Unit E, North Port, FL 34287-1473 | 2019-01-25 |
| 1235611815 | Peter Danger Molina | Physical Medicine & Rehabilitation | 1190 Nw 95th St Ste 200, Miami, FL 33150-2064 | 2018-08-30 |
| 1497246540 | Restore Medical Partners Pllc | Physical Medicine & Rehabilitation | 333 Tamiami Trl S Ste 101, Venice, FL 34285-2425 | 2018-05-24 |
| 1568952240 | South Florida Physical Medicine and Rehabilitation Center LLC | Physical Medicine & Rehabilitation | 1200 S Main St Ste 200, Belle Glade, FL 33430-7808 | 2018-05-17 |
| 1235641655 | Boca Pain Care, Inc | Physical Medicine & Rehabilitation | 851 Meadows Rd Ste 213, Boca Raton, FL 33486-2348 | 2017-10-25 |
| 1558870477 | Pain Control Solutions II LLC | Physical Medicine & Rehabilitation | 8323 Nw 12th Street, Suite 115, Miami, FL 33126 | 2017-09-22 |
| 1245759851 | Chelsea Hakeem | Physical Medicine & Rehabilitation | 8936 77th Terrace East, Suit 101, Lakewood Ranch, FL 34202 | 2017-09-14 |
| 1508384165 | Destiny Therapy Center Inc | Physical Medicine & Rehabilitation | 7480 Fairway Dr., Suite 101, Miami Lakes, FL 33014 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
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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.