ANNAMMA UDAYA THOMAS (NPI# 1740528744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740528744 |
| Entity Type | Individual |
| Full Name | ANNAMMA UDAYA THOMAS |
| Credential | ARNP |
| Practice Address |
4105 Pembroke Rd Hollywood FL 33021-8103 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025 |
| Practice Telephone | 9542658100 |
| Practice Fax Number | 9549851411 |
| Mailing Telephone | 9542765663 |
| Mailing Fax Number | 9542760301 |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9349955 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447725544 | Annamma Thomas | Social Worker | 18 Field Ln, Roslyn Heights, NY 11577-2626 | 2018-10-04 |
| 1487965331 | Annamma Thomas | Registered Nurse | 6914 225th St, Oakland Gardens, NY 11364-3030 | 2010-06-25 |
| 1740757590 | Annamma Thomas | Nurse Practitioner | 94 Old Short Hills Road, Livingston, NJ 07039 | 2018-10-30 |
| 1326342056 | Annamma Thomas | Counselor | 1516 E Tropicana Ave, Suite 245, Las Vegas, NV 89119-6525 | 2011-01-10 |
| Street Address |
4105 PEMBROKE RD |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-8103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821070061 | All Womens Healthcare Inc | Advanced Practice Midwife | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2005-11-15 |
| 1508372939 | John Edmund Gall | Pharmacist | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2017-12-21 |
| 1093116592 | Akilah A Quallo | Nurse Practitioner | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2014-09-16 |
| 1982047056 | Janelle Smith | Pharmacist | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2013-04-09 |
| 1790128973 | Arul P Chacko | Pharmacist | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2013-04-08 |
| 1891036224 | Steven Nemeroff I | Pharmacist | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2013-03-11 |
| 1962769901 | Oludara Omobola Amole | Internal Medicine | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2012-04-16 |
| 1528324555 | Maheen Faridi | Family Medicine | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2012-04-04 |
| 1811281892 | Carla Brutus | Nurse Practitioner | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2011-06-07 |
| 1568689156 | Jennifer Michelle Goldman | Family Medicine | 4105 Pembroke Rd, Hollywood, FL 33021 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739897 | Vanessa Arias | Nurse Practitioner | 931 S Park Rd Apt 207, Hollywood, FL 33021-8762 | 2020-10-31 |
| 1659979656 | Hendy Aubourg | Nurse Practitioner | 6940 Tyler St, Hollywood, FL 33024-7456 | 2020-10-12 |
| 1811509920 | Cynthia Remy | Nurse Practitioner | 11178 Mainsail Dr, Hollywood, FL 33026-4726 | 2020-08-19 |
| 1487264040 | Jorge Rolando Remon | Nurse Practitioner | 6230 Garfield St, Hollywood, FL 33024-5943 | 2020-08-07 |
| 1922618115 | Alba M Beltran | Nurse Practitioner | 7361 Cleveland St, Hollywood, FL 33024-5463 | 2020-08-03 |
| 1588280630 | Jackelyn Mi Bhattarai | Nurse Practitioner | 11018 Nashville Dr, Hollywood, FL 33026-4966 | 2020-06-24 |
| 1194349308 | Bethany Laquell Ellis | Nurse Practitioner | 210 S Federal Hwy Ste 300, Hollywood, FL 33020-6811 | 2020-06-03 |
| 1255951026 | Nicole Blum | Nurse Practitioner | 4712 Arthur St, Hollywood, FL 33021-4737 | 2020-04-22 |
| 1497383103 | Vanessa D King-smith | Nurse Practitioner | 6660 Meade St, Hollywood, FL 33024-1914 | 2020-03-29 |
| 1538793039 | Lyudmyla Tymtsyas | Nurse Practitioner | 4200 Hillcrest Dr Apt 304, Hollywood, FL 33021-7900 | 2020-02-24 |
| Find all providers in HOLLYWOOD | ||||
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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.