MR. DARRICK TODD AYNES (NPI# 1740414044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740414044 |
Entity Type | Individual |
Full Name | MR. DARRICK TODD AYNES |
Credential | H.I.S. |
Practice Address |
8112 Centralia Ct Suite #104 Leesburg FL 34788-3700 |
Practice Telephone | 3523600554 |
Practice Fax Number | 3523601799 |
Mailing Telephone | 3523600554 |
Mailing Fax Number | 3523601799 |
Enumeration Date | 2009-05-14 |
Last Update Date | 2009-05-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | AS 4310 | FL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBS - PROVIDER # | T0937 | 01 |
Street Address |
8112 CENTRALIA CT SUITE #104 |
City | LEESBURG |
State | FL |
Zip Code | 34788-3700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558412486 | Samuel Bundz Md Pa | Surgery | 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 | 2007-01-16 |
1669862298 | Sng Labs-sng Prosthetic Eye Institute, Inc. | Durable Medical Equipment & Medical Supplies | 8112 Centralia Ct, Suite 103, Leesburg, FL 34788-3701 | 2015-02-04 |
1386967438 | Cdpa, Inc | Hearing Aid Equipment | 8112 Centralia Ct, Suite 104, Leesburg, FL 34788-3700 | 2010-03-03 |
1437323664 | Maxim Healthcare Services, Inc. | Home Health | 8112 Centralia Ct, Suite 105, Leesburg, FL 34788-3700 | 2008-04-18 |
1457548844 | Samuel Bundz | Surgery | 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 | 2007-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346752060 | Latoya Luella Burnette | Homemaker | 9324 Cemetery Ave, Leesburg, FL 34788 | 2017-11-03 |
1407396781 | Rachelle Desir | Developmental Therapist | 33242 Kaylee Way, Leesburg, FL 34788 | 2017-03-06 |
1184752750 | Suzanne Mary Howard | Social Worker | 33057 Professional Drive, Lake Center of Hope, Leesburg, FL 34788 | 2007-03-02 |
1386798460 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 10041 Us Hwy 441, Suite E, Leesburg, FL 34788 | 2007-01-23 |
1174628481 | Foy Edward Dark Jr. | Chiropractor | 32629 Blossom Lane, Leesburg, FL 34788 | 2006-09-13 |
1033220744 | Miguel A Gonzalez | Internal Medicine | 33025 Professional Drive, Leesburg, FL 34788 | 2006-08-31 |
1215968821 | N Chandramohan Md Pa | Internal Medicine | 32845 Radio Road, Ste 102, Leesburg, FL 34788 | 2006-07-05 |
1548296361 | Endosurg Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 8100 Cr 44 Leg A, Leesburg, FL 34788 | 2006-06-23 |
1629014956 | Steven Joseph Nerad | Technician, Cardiology | 8135 Centralia Court, Suite 102, Leesburg, FL 34788 | 2006-06-22 |
1255376778 | Kenneth A. Henschel | Psychiatry & Neurology | 10123 Us Highway 441, Leesburg, FL 34788 | 2006-06-18 |
Find all providers in zip 34788 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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1972061679 | Interventional Associates of Leesburg, LLC | Specialist | 106 W North Blvd Ste 102, Leesburg, FL 34748-5039 | 2019-03-12 |
1063967149 | Tri-county Heart Institute Pa | Specialist | 5545 Windsong Oak Dr, Leesburg, FL 34748-7788 | 2016-08-18 |
1184093577 | Breast Reconstruction Specialists LLC | Specialist | 224-cornwall Street, Nw, Suite 300, Leesburg, VA 20176-2704 | 2015-09-16 |
1649592460 | Allison T. Shorb | Specialist | 217 S King St, Leesburg, VA 20175-2905 | 2010-02-20 |
1578899555 | William Barton Mahan | Specialist | 10601 Us Highway 441 Ste E1, Leesburg, FL 34788-7240 | 2009-10-26 |
1255527719 | Eze D. Uche, M.d., Pa | Specialist | 4646 Via Del Medico, Leesburg, FL 34748-6995 | 2007-09-19 |
1083742571 | Hear Care Inc | Specialist | 1108 W Dixie Ave, Leesburg, FL 34748-6312 | 2007-02-28 |
1700958600 | Lake Neurology Clinic, P.a. | Specialist | 608 S 9th Street, Ste A, Leesburg, FL 34748 | 2006-11-15 |
1134238140 | Pascual Herrera Jr. | Specialist | 215 Industrial Blouvard, Leesburg, AL 35983 | 2006-08-30 |
1578676953 | Alex Marin Uson | Specialist | 1039 W Dixie Ave, Leesburg, FL 34748-6349 | 2006-08-17 |
Find all providers in LEESBURG |
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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.