DR. ROBERT J KUDELKO (NPI# 1760412290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760412290 |
| Entity Type | Individual |
| Full Name | DR. ROBERT J KUDELKO |
| Credential | D.O. |
| Practice Address |
2025 Indian Rocks Rd S Largo FL 33774-1035 |
| Mailing Address |
Po Box 1391 Largo FL 33779-1391 |
| Practice Telephone | 7277332072 |
| Mailing Telephone | 7277332072 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OS0003558 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2025 INDIAN ROCKS RD S |
| City | LARGO |
| State | FL |
| Zip Code | 33774-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283589 | William Williams | Emergency Medicine | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2005-05-24 |
| 1952862492 | Lennox Kai-zoen Din | Student in an Organized Health Care Education/Training Program | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2019-03-27 |
| 1942767009 | Jaclyn Marie Gramazio | Social Worker | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2019-02-25 |
| 1871902791 | Sunbeam Point Emergency Physicians LLC | Physician Assistant | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2014-08-05 |
| 1841555398 | Carolyn Ellis | Dermatology | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2012-07-11 |
| 1861757320 | Khasha Touloei | Dermatology | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2012-07-11 |
| 1285999755 | Jonathan Dunn | Anesthesiology | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2012-07-10 |
| 1518222082 | Richard Limbert | Dermatology | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2012-07-10 |
| 1760740781 | Gulf-to-bay Anesthesiology Associates LLC | Anesthesiology | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2012-04-27 |
| 1407131055 | Largo Radiology Consultants | Clinic/Center | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2011-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930818 | Anthea Marina Dsouza | Physical Therapist | 3500 Oak Manor Lane, Largo, FL 33774 | 2018-07-29 |
| 1265918874 | Bertishia Lashanti Mosley | Home Health | 2308 Fulton Way, Largo, FL 33774 | 2018-07-17 |
| 1639660699 | Tanya Jadhav | Dentist | 12963 Walsingham Rd, Largo, FL 33774 | 2018-05-25 |
| 1588001390 | Lindsay Erin Spotts | Dietitian, Registered | 14763 Sunset Drive, Largo, FL 33774 | 2013-06-03 |
| 1235572314 | Jasmine Gardens LLC | Assisted Living Facility | 11355 131st St, Largo, FL 33774 | 2013-04-09 |
| 1033484183 | The Body Masters, Inc | Massage Therapist | 12552 Indian Rocks Road, Largo, FL 33774 | 2012-03-21 |
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1568777548 | Lee Laravia | General Practice | 2025 Indian Rocks Rd, Largo, FL 33774 | 2010-08-13 |
| 1699957068 | Indian Oaks Incorporated | Assisted Living Facility | 11355 131st Street North, Largo, FL 33774 | 2007-11-28 |
| 1487867164 | Eric Nathan Grosch | Internal Medicine | 11800 Hammock Drive, Largo, FL 33774 | 2007-05-08 |
| Find all providers in zip 33774 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306271457 | Florida United Radiology, Lc | Radiology | 10211 Falcon Ter, Largo, FL 33778-3828 | 2013-09-09 |
| 1104120112 | Adel M Abdelkader | Radiology | 9237 Jakes Path, Largo, FL 33771-6315 | 2011-01-05 |
| 1104140045 | Herbert Ezra Wollowick | Radiology | 104 Driftwood Lane, Largo, FL 33770-2601 | 2010-03-22 |
| 1710084710 | Marshall L Herbert | Radiology | 216 Harbor View Ln, Largo, FL 33770-4007 | 2006-09-20 |
| 1689091969 | Sheridan Radiology Services of Kentucky, Inc | Radiology | 10211 Falcon Ter, Largo, FL 33778-3828 | 2014-03-25 |
| 1740615897 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 10211 Falcon Ter, Largo, FL 33778-3828 | 2013-09-09 |
| 1639504780 | Sheridan Radiology Services of Pinellas, Inc. | Radiology | 10211 Falcon Ter, Largo, FL 33778-3828 | 2013-09-09 |
| 1740436195 | Sara Pingul Petrillo II | Radiology | 1221 Mercantile Ln, Kaiser Permenente Largo Medical Center, Largo, MD 20774-5374 | 2008-08-15 |
| 1699975029 | Michael Vermess | Radiology | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2007-07-24 |
| 1275664526 | Marie Ann Eason | Radiology | 1221 Mercantile Lane, Largo, MD 20774 | 2007-03-08 |
| Find all providers in LARGO | ||||
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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.