TALLAHASSEE MEMORIAL HEALTHCARE INC (NPI# 1770647620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770647620 |
| Entity Type | Organization |
| Organization Name | TALLAHASSEE MEMORIAL HEALTHCARE INC |
| Practice Address |
1301 Hodges Dr Tallahassee FL 32308-4614 |
| Mailing Address |
1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 |
| Practice Telephone | 8504313456 |
| Practice Fax Number | 8504316403 |
| Mailing Telephone | 8504317021 |
| Mailing Fax Number | 8504316975 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2019-01-28 |
| Authorized Official Name | MR. ROBIN L MOSS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8504316256 |
| Is Organization Subpart | Y |
| Parent Organization Name | TALLAHASSEE MEMORIAL HEALTHCARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | FL | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | FL | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS GROUP NUMBER | 99325 | 01 |
| FL | 060409700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199236 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 877 3rd St Ste 3, Chipley, FL 32428-1855 | 2020-06-19 |
| 1396365623 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 2100 Centerville Rd, Tallahassee, FL 32308-4379 | 2020-04-16 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1447555743 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 4230 Hospital Dr Ste 202, Marianna, FL 32446-1955 | 2011-01-18 |
| 1558681684 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 555 North Byron Butler Parkway, Tmh Physician Partners, Perry, Perry, FL 32348-2315 | 2010-06-11 |
| 1386862852 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 1505 Surgeons Drive, Tallahassee, FL 32308 | 2007-04-23 |
| 1174539522 | Tallahassee Memorial Healthcare Inc | Home Health | 1619 Physicians Dr, Tallahassee, FL 32308-4620 | 2006-07-31 |
| 1649229402 | Tallahassee Memorial Healthcare Inc | Family Medicine | 1549 S Jefferson St, Monticello, FL 32344-1651 | 2006-05-09 |
| 1376140913 | Tallahassee Memorial Healthcare Inc | Family Medicine | 137 12th St, Apalachicola, FL 32320-2110 | 2020-10-07 |
| 1649892399 | Tallahassee Memorial Healthcare Inc | Dentist | 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 | 2020-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TALLAHASSEE MEMORIAL HEALTHCARE INC | 2039 N Monroe St, Tallahassee, FL 32303-4727 |
| Street Address |
1301 HODGES DR |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710965843 | Heather Stroh | Midwife | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2006-01-09 |
| 1083222160 | Misty Leeana Gangar | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-07-15 |
| 1366050528 | Thandi Walters | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-07-14 |
| 1356969653 | Paul Anthony Junior Mcfarlane | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-07-13 |
| 1609491638 | Molly Mckinney | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-06-16 |
| 1518582543 | Dylan Petkus | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-06-16 |
| 1427673458 | Alexis Jibril | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-06-16 |
| 1700401734 | Katherine Cone | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-06-16 |
| 1619592649 | Joseph Chen | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-06-16 |
| 1528683554 | Kyle Andrew Webster | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-06-16 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770084824 | Bond Community Health Center, Inc. | Family Medicine | 2200 South Monroe, Tallahassee, FL 32301 | 2018-02-23 |
| 1336500669 | Paul Arons | Family Medicine | 1706 Beechwood Cir N, Tallahassee, FL 32301-6765 | 2016-03-15 |
| 1093176711 | Anjali Arun Joshi | Family Medicine | 4012 Brandon Hill Drive, Tallahassee, FL 32309-2654 | 2016-03-08 |
| 1760740237 | North Meridian Medical Services Corporation | Family Medicine | 12449 Chimney Lane, Tallahassee, FL 32312-0961 | 2012-05-02 |
| 1366753527 | Abeer Moustafa Elmohandes | Family Medicine | 2888 Mahan Dr Ste 6, Tallahassee, FL 32308 | 2010-06-23 |
| 1518114685 | Kerwyn Lakaye Flowers | Family Medicine | 2911 Robers Avenue, Suite 201, Tallahassee, FL 32310 | 2008-08-20 |
| 1629234968 | Amanda Lauramore Shearer | Family Medicine | 4004 Norton Ln Ste 101, Tallahassee, FL 32308-5966 | 2008-08-06 |
| 1780843003 | Virden Evans | Family Medicine | 1607 St. James Court, Tallahassee, FL 32308-0001 | 2008-06-02 |
| 1154509743 | Urgent Care of America | Family Medicine | 3077 Saint Andrews Way, Tallahassee, FL 32312-4266 | 2008-02-05 |
| 1912109166 | Paul Frederick Hartsfield | Family Medicine | 1843 Fiddler Ct, Tallahassee, FL 32308-4450 | 2007-06-01 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
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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.