THEMIS KOMODROMOS (NPI# 1669478293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669478293 |
| Entity Type | Individual |
| Full Name | THEMIS KOMODROMOS |
| Credential | MD |
| Practice Address |
1613 N Mills Ave Orlando FL 32803-1849 |
| Practice Telephone | 4078944474 |
| Practice Fax Number | 4078947136 |
| Mailing Telephone | 4078944474 |
| Mailing Fax Number | 4078947136 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME0091359 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1613 N MILLS AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932105558 | Florida Heart Group | Internal Medicine | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2005-06-28 |
| 1740847144 | Boni May | Registered Nurse | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2019-05-22 |
| 1962966622 | Steven Andrew Wick | Internal Medicine | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2019-01-28 |
| 1851762082 | Danielle C Smith | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803 | 2015-10-14 |
| 1639447360 | Pavan Vishnubhai Patel | Internal Medicine | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2011-12-08 |
| 1730465113 | Melissa Suanne Buchanan | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2011-10-28 |
| 1023312071 | Abigail Katzman Hoffman | Registered Nurse | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2011-01-05 |
| 1770758021 | Rebecca Jean Payor | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2008-04-28 |
| 1962613570 | Dawn Michelle Derrick | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2007-05-24 |
| 1881813129 | John Michael William Woodward | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2007-04-25 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992282586 | Siddhi Pllc | Internal Medicine | 9398 Wickham Way, Orlando, FL 32836-5519 | 2018-07-26 |
| 1699018010 | Gregory Michael Sprung | Internal Medicine | 1745 N Mills Ave Ste 100, Orlando, FL 32803-1876 | 2013-04-03 |
| 1083990956 | C Raghavan Md Pa | Internal Medicine | 7484 Docs Grove Circle, Orlando, FL 32819 | 2011-10-24 |
| 1619260239 | Naveen Bellam | Internal Medicine | Florida Hospital, 2415 N Orange Ave Suite 700, Orlando, FL 32804 | 2011-05-16 |
| 1336470699 | Ernesto Fernandez, M.d., P.a. | Internal Medicine | 114 W. Underwood Street, Suite A, Orlando, FL 32806-1112 | 2010-01-26 |
| 1871734467 | Enrique A Calle M D Pa | Internal Medicine | 8519 Saint Marino Blvd, Orlando, FL 32836-8765 | 2009-03-12 |
| 1033306352 | Cardiac Consultants P.a. | Internal Medicine | 11183 S Orange Blossom Trl Ste F, Orlando, FL 32837-9402 | 2007-10-01 |
| 1477764900 | Suvarchala Devi Dara | Internal Medicine | 5540 E Grant St Ste B, Orlando, FL 32822-1668 | 2007-05-25 |
| 1235349762 | Jose Antonio Martinez-ojeda | Internal Medicine | 258 S Chickasaw Trl Ste 203, Orlando, FL 32825-3558 | 2007-05-23 |
| 1518175470 | Interventional Cardiology and Vascular Consultants, P.l.c. | Internal Medicine | 1206 N. Mills Ave, Orlando, FL 32803 | 2007-05-21 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on THEMIS KOMODROMOS.
| 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.