VILLAGES TRI-COUNTY MEDICAL CENTER INC. (NPI# 1740276518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740276518 |
| Entity Type | Organization |
| Organization Name | VILLAGES TRI-COUNTY MEDICAL CENTER INC. |
| Practice Address |
1451 El Camino Real The Villages FL 32159-0041 |
| Practice Telephone | 3527518946 |
| Practice Fax Number | 3527518945 |
| Mailing Telephone | 3527518946 |
| Mailing Fax Number | 3527518945 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2015-11-13 |
| Authorized Official Name | DIANE HARDEN (SENIOR VP/CFO) |
| Authorized Official Telephone | 3523235002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS ID # | 588 | 01 |
| FL | 010317900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831649227 | Villages Tri-county Medical Center Inc. | Psychiatry & Neurology | 1451 El Camino Real, The Villages, FL 32159-0041 | 2016-10-10 |
| 1275902124 | Villages Tri-county Medical Center Inc. | Rehabilitation Hospital | 1451 El Camino Real, The Villages, FL 32159-0041 | 2015-09-22 |
| 1013336908 | Villages Tri-county Medical Center Inc. | Clinic/Center | 1501 N Us Highway 441, Suite 1830, The Villages, FL 32159-8999 | 2014-04-08 |
| Street Address |
1451 EL CAMINO REAL |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32159-0041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356346514 | Lora Lee Thaxton | Physical Medicine & Rehabilitation | 1451 El Camino Real, The Villages, FL 32159 | 2005-06-15 |
| 1972139822 | Sandra Ullian Pelton | Pharmacist | 1451 El Camino Real, The Villages, FL 32159-0041 | 2020-03-22 |
| 1659918837 | Stephanie Deianne Keen | Nurse Practitioner | 1451 El Camino Real, The Villages, FL 32159-0041 | 2019-12-05 |
| 1881156610 | Lora Graham | Occupational Therapist | 1451 El Camino Real, The Villages, FL 32159-0041 | 2019-04-01 |
| 1457820920 | Randall L Braddom Md LLC | Physical Medicine & Rehabilitation | 1451 El Camino Real, The Villages, FL 32159-0041 | 2018-11-14 |
| 1831682285 | Magalie J Alcinord | Nurse Practitioner | 1451 El Camino Real, The Villages, FL 32159-0041 | 2018-06-11 |
| 1831649227 | Villages Tri-county Medical Center Inc. | Psychiatry & Neurology | 1451 El Camino Real, The Villages, FL 32159-0041 | 2016-10-10 |
| 1275902124 | Villages Tri-county Medical Center Inc. | Rehabilitation Hospital | 1451 El Camino Real, The Villages, FL 32159-0041 | 2015-09-22 |
| 1316349939 | Brian Reinhartz | Nurse Practitioner | 1451 El Camino Real, The Villages, FL 32159-0041 | 2014-09-26 |
| 1285970541 | Heather Rose Schweizer | Family Medicine | 1451 El Camino Real, The Villages, FL 32159-0041 | 2012-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
| 1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
| 1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
| 1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
| 1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
| 1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
| Find all providers in zip 32159 | ||||
| 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 |
|---|---|---|---|---|
| 1568636967 | Derrick J Martin Md Pa | General Acute Care Hospital | 1501 N Us Highway 441, Bldg 1800 Suite 1832, The Villages, FL 32159-8999 | 2008-04-16 |
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| Find all providers with the same taxonomy | ||||
| City | THE VILLAGES |
| Zip Code | 32159 |
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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.