DR. PADMAJA YATHAM (NPI# 1699700187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699700187 |
| Entity Type | Individual |
| Full Name | DR. PADMAJA YATHAM |
| Credential | M.D. |
| Practice Address |
7000 Sw 97th Ave Ste 214 Miami FL 33173-1492 |
| Practice Telephone | 7867801800 |
| Practice Fax Number | 7867802500 |
| Mailing Telephone | 7867801800 |
| Mailing Fax Number | 7867802500 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME98251 | FL | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME98251 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | WELLCARE | 409417 | 01 |
| FL | CARE PLUS | 1070341 | 01 |
| FL | CIGNA | 6287092 | 01 |
| FL | BCBS | 95717 | 01 |
| FL | AETNA | 9788253 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Sw 129th Ave Ste 109, Pembroke Pines, FL 330271716 | 7867801800 | 7867802500 |
| 13055 Sw 42nd St Ste 105, Miami, FL 331753409 | 7867801832 |
| Street Address |
7000 SW 97TH AVE STE 214 |
| City | MIAMI |
| State | FL |
| Zip Code | 33173-1492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831618222 | Apollo Pain Care LLC | Clinic/Center | 7000 Sw 97th Ave Ste 214, Miami, FL 33173-1492 | 2017-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374613 | Derrick George Dyer | Behavioral Analyst | 11025 Sw 84t St. Cottage 8, Miami, FL 33173 | 2020-07-24 |
| 1306405477 | Erich Soto Del Valle | Dentist | 7125 Sw 111th Ct, Miami, FL 33173 | 2019-06-11 |
| 1356819247 | Berenice E De La Mota | Dietitian, Registered | 7500 Sw 87 Avenue # 200, Miami, FL 33173 | 2018-11-08 |
| 1386146850 | Yordanka Arango | Assistant Behavior Analyst | 11415 Sw 59 Terr, Miami, FL 33173 | 2018-03-01 |
| 1851806632 | Juliana Orozco | Acupuncturist | 9240 Sunset Dr Ste 229, Miami, FL 33173 | 2017-12-03 |
| 1447760749 | Irfan Saeed | Nurse Practitioner | 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 | 2017-10-02 |
| 1619491339 | Malciel Bonilla | Assisted Living Facility | 9830 Sw 80 Dr, Miami, FL 33173 | 2017-08-03 |
| 1144744467 | Yoislan Daniel Daniel | Behavioral Analyst | 10261 Sw 72 St Suite C104, Miami, FL 33173 | 2017-07-28 |
| 1083137061 | Berkis Serrat Esnobol | Behavior Technician | 8961 Sw 72nd St Apt 121, Miami, FL 33173 | 2017-07-20 |
| 1215478276 | Leonel Diaz Rapado | Behavior Technician | 8015 Sw 107 Ave, Apt 315, Miami, FL 33173 | 2017-03-10 |
| Find all providers in zip 33173 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979706 | Specialty Physician Services. LLC | Pain Medicine | 9150 Sw 87th Ave Ste 200, Miami, FL 33176-2313 | 2020-10-12 |
| 1346737749 | Ceda Orthopedics Group, LLC. | Pain Medicine | 815 Nw 57th Avenue, Ste. 202, Miami, FL 33126 | 2018-04-20 |
| 1124414875 | Roxanna Rasekhi | Pain Medicine | 1800 Nw 10th Ave # M820, Ryder Trauma Ctr- Department of Anesthesiology, Miami, FL 33136-1018 | 2015-04-09 |
| 1659562601 | Johana Medical Services Corp | Pain Medicine | 9821 Sw 73rd Ct, Miami, FL 33156-3112 | 2007-08-06 |
| 1205933678 | Ronald Freeman De Meo | Pain Medicine | 401 S.w. Lejuene Road, Suite 200, Miami, FL 33134 | 2006-09-20 |
| 1649793035 | Matmed LLC | Pain Medicine | 8501 Sw 124th Ave Ste 110, Miami, FL 33183-4631 | 2017-07-18 |
| 1902271182 | Apollo Pain Care LLC | Pain Medicine | 13055 Sw 42nd St, Suite 105, Miami, FL 33175-3406 | 2015-12-14 |
| 1578973939 | Castellanos & Associates LLC | Pain Medicine | 6401 Sw 87th Ave, Ste 109, Miami, FL 33173-2500 | 2014-05-06 |
| 1881012276 | Affiliated Healthcare Centers, Inc | Pain Medicine | 8000 Sw 67th Ave, Miami, FL 33143-7702 | 2014-04-02 |
| 1770907743 | Joaquin S Maury Md Pa | Pain Medicine | 8200 Sw 117th Ave Ste 416, Miami, FL 33183-4828 | 2014-02-12 |
| Find all providers in MIAMI | ||||
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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.