VIDYA SAGAR JAIN (NPI# 1750360046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750360046 |
| Entity Type | Individual |
| Full Name | VIDYA SAGAR JAIN |
| Credential | MD |
| Practice Address |
800 Zeagler Dr Ste 100 Palatka FL 32177 |
| Practice Telephone | 3863257711 |
| Practice Fax Number | 3863253020 |
| Mailing Telephone | 3863257711 |
| Mailing Fax Number | 3863253020 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2010-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
ME57658 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 063376300 | 05 |
| Street Address |
800 ZEAGLER DR STE 100 |
| City | PALATKA |
| State | FL |
| Zip Code | 32177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175235 | Holly A Sheets Dpm Pa | Podiatrist | 800 Zeagler Dr, Ste 510, Palatka, FL 32177-3867 | 2005-06-28 |
| 1518493667 | Infectious Diseases & Tropical Medicine Pa | Internal Medicine | 800 Zeagler Dr, Suite 210, Palatka, FL 32177-3883 | 2017-05-11 |
| 1376904417 | Mandal's Conservative Nephrology Practice, LLC | Internal Medicine | 800 Zeagler Dr, Palatka, FL 32177-3883 | 2016-03-17 |
| 1003201906 | The Orthopaedic Institute, P.a. | Surgery | 800 Zeagler Dr, Suite 100, Palatka, FL 32177 | 2015-03-30 |
| 1346647435 | Putnam Neurology Group, Inc. | Specialist | 800 Zeagler Dr, Suite #230, Palatka, FL 32177-3883 | 2014-12-04 |
| 1962830521 | Vip Doctors Care of Palatka LLC | Family Medicine | 800 Zeagler Dr, Suite 510, Palatka, FL 32177-3883 | 2013-10-17 |
| 1013349802 | Putnam Physicians Group LLC | Internal Medicine | 800 Zeagler Dr, Suite 430, Palatka, FL 32177-3883 | 2013-08-02 |
| 1154684850 | Hussein Zabad Md Pa | Internal Medicine | 800 Zeagler Dr, Suite 430, Palatka, FL 32177-3883 | 2012-06-19 |
| 1689931727 | George A. Davis, M.d., P.a. | Ophthalmology | 800 Zeagler Dr, Suite 120, Palatka, FL 32177-3827 | 2012-04-13 |
| 1881962439 | Putnam Physician Practices | Psychiatry & Neurology | 800 Zeagler Dr, Suite 230, Palatka, FL 32177-3883 | 2011-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003201906 | The Orthopaedic Institute, P.a. | Surgery | 800 Zeagler Dr, Suite 100, Palatka, FL 32177 | 2015-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679006373 | Hand Surgery of Central Florida | Surgery | 1241 S. Ridgewood Ave., Daytona Beach, FL 32114 | 2017-04-10 |
| 1841427861 | Jose L Borrero | Surgery | 630 Jasmine Rd, Altamonte Springs, FL 32701-4807 | 2009-06-17 |
| 1982895223 | George Dimitrios Papanicolaou | Surgery | 3272 W Lake Mary Blvd Ste 1810, Lake Mary, FL 32746-3589 | 2007-08-01 |
| 1629268842 | Jesse O Basadre Md Pa | Surgery | 1699 Sw 27th Ave, Miami, FL 33145 | 2007-07-25 |
| 1073712071 | Ehsan Esmaeili | Surgery | 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 | 2007-07-11 |
| 1770704520 | Medlink Management Services Inc | Surgery | 575 Se 3rd Ave, Lake Butler, FL 32054-2647 | 2007-05-01 |
| 1619196185 | Khader Muqtadir | Surgery | 13905 Bruce B Downs Blvd Ste B, Tampa, FL 33613-3998 | 2007-04-24 |
| 1609941244 | Jesse Orlando Basadre | Surgery | 1699 Sw 27 Avenue, Miami, FL 33145 | 2006-11-21 |
| 1275606634 | William W Adams | Surgery | 2299 9th Ave North, Suite 2c, Saint Petersburg, FL 33713 | 2006-11-15 |
| 1427089309 | Vikram P Mehta | Surgery | 4106 W. Lake Mary Blvd, Suite 224, Lake Mary, FL 32746 | 2006-07-06 |
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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.