TALLAHASSEE GYN-ONCOLOGY LLC


Address: 2770 Capital Medical Blvd, Suite 210, Tallahassee, FL 32308-8417
Phone: 8508777392

TALLAHASSEE GYN-ONCOLOGY LLC (NPI# 1750480380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750480380
Entity Type Organization
Organization Name TALLAHASSEE GYN-ONCOLOGY LLC
Practice Address 2770 Capital Medical Blvd
Suite 210
Tallahassee
FL 32308-8417
Mailing Address Po Box 100196
Atlanta
GA 30384-0196
Practice Telephone 8508777392
Practice Fax Number 8508771535
Mailing Telephone 8087805134
Mailing Fax Number 8507847706
Enumeration Date 2006-09-21
Last Update Date 2008-01-25
Authorized Official Name MR. MICKEY S PICKLER (VICE PRESIDENT)
Authorized Official Telephone 8505232117
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VX0201X Obstetrics & Gynecology
Specialization: Gynecologic Oncology
ME96687 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 2770 CAPITAL MEDICAL BLVD
SUITE 210
City TALLAHASSEE
State FL
Zip Code 32308-8417

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114920261 Richard Randall Thacker Internal Medicine 2770 Capital Medical Blvd, Ste 200, Tallahassee, FL 32308-8417 2005-05-23
1760880082 Paul Modafferi Nurse Practitioner 2770 Capital Medical Blvd, Tallahassee, FL 32308-8417 2014-12-18
1790181550 Capital Regional Medical Group Preferred Provider Organization 2770 Capital Medical Blvd, Suite 200, Tallahassee, FL 32308-8417 2014-11-06
1831520063 Molly Seal Nurse Practitioner 2770 Capital Medical Blvd, Suite 200, Tallahassee, FL 32308-8417 2013-12-13
1063758944 Jennifer Russell Nurse Practitioner 2770 Capital Medical Blvd, Suite 200, Tallahassee, FL 32308-8417 2012-12-20
1740449891 Jeffrey Shepard Kirk Specialist 2770 Capital Medical Blvd, Suite 200, Tallahassee, FL 32308-8417 2008-06-04
1023222361 Grant Center Hospital of Ocala Inc Internal Medicine 2770 Capital Medical Blvd, Suite 200, Tallahassee, FL 32308-8417 2007-05-09
1619030558 Stephanie Lee Obstetrics & Gynecology 2770 Capital Medical Blvd, Suite 110, Tallahassee, FL 32308-8417 2006-12-19
1336201771 Sean F Fitzgerald Surgery 2770 Capital Medical Blvd, Suite 200 Capital Regional Spine Center, Tallahassee, FL 32308-8417 2006-12-14
1184724239 Pain Institute of North Florida Pa Pain Medicine 2770 Capital Medical Blvd, Suite 100, Tallahassee, FL 32308-8417 2006-09-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215588306 Jmc Tallahassee, LLC Preventive Medicine 1838 Jacliff Court, Tallahassee, FL 32308 2019-09-20
1972165108 Covenant Home Health Care, LLC Home Health 1921 Capital Circle Ne, Tallahassee, FL 32308 2019-07-09
1548735798 North Florida Rehab Solutions Hospitalist 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 2018-10-03
1013491596 Injury and Rehab Centers of North Florida, LLC Neuromusculoskeletal Medicine & OMM 2268 Wednesday Street, Tallahassee, Florida, FL 32308 2018-09-20
1487133625 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 2018-08-08
1629566724 Total Health & Wellness Home Care, LLC Home Health 1325 Mahan Dr., Tallahassee, FL 32308 2018-04-25
1669979480 Beth North, Lcsw, LLC Social Worker 1325 Mahan Drive, Tallahassee, FL 32308 2018-04-09
1750885919 Robert E Ashmore Jr Md Obstetrics & Gynecology 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 2018-03-22
1225547243 William Michael Kunkle Physician Assistant 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 2017-09-21
1235657834 Traci R Raybon Occupational Therapist 1924 Hidden Valley, Tallahassee, FL 32308 2017-09-03
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Taxonomy Information

Taxonomy Code 207VX0201X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecologic Oncology

Taxonomy Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912197641 Gyn Oncology Associates Pl Obstetrics & Gynecology 2617 Mitcham Dr Ste 101, Tallahassee, FL 32308-5479 2007-07-30
1871591297 Margarett Conklin Ellison Obstetrics & Gynecology 2626 Care Dr Ste 101, Tallahassee, FL 32308-4489 2005-07-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487168233 Gynecologic Oncology & Urogynecology Obstetrics & Gynecology 1150 N 35th Ave Ste 670, Hollywood, FL 33021 2017-11-30
1851738793 Christopher De Haydu Obstetrics & Gynecology 1121 Nw 14th St Dept Gyn, Miami, FL 33136-2106 2013-06-02
1811330897 Maria Paula Ruiz Obstetrics & Gynecology 6400 W Newberry Rd Ste 103, Gainesville, FL 32605-4384 2013-04-09
1992005086 Jocelyn Garcia-sayre Obstetrics & Gynecology 5000 University Dr Ste 3300, Coral Gables, FL 33146-2008 2010-10-24
1063641827 Kenneth Daniel Webster Obstetrics & Gynecology 3825 Sw 86th St., Gainesville, FL 32608-7901 2009-07-14
1942444526 Mostafa A Selim Obstetrics & Gynecology 338 Wellington Dr., Palm Coast, FL 32164 2009-04-27
1063670255 Women's Choice Oncology, Pllc Obstetrics & Gynecology 3425 University Parkway Unit 102, Sarasota, FL 34243 2008-05-25
1336368547 Stacey Ann South Obstetrics & Gynecology 3425 University Pkwy Unit 102, Sarasota, FL 34243-4271 2007-04-25
1982766044 Philip Townsend Md Pa Obstetrics & Gynecology 675 Harvard St, Brooksville, FL 34601-2823 2006-12-15
1730279670 Antonella Restivo Leary Obstetrics & Gynecology 3401 Pga Blvd., Suite 200, Palm Beach Gardens, FL 33410-2824 2006-10-13
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Competitor

Search similar providers

City TALLAHASSEE
Zip Code 32308

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Dataset Information

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.

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