DINO MADONNA (NPI# 1780684399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780684399 |
| Entity Type | Individual |
| Full Name | DINO MADONNA |
| Credential | M.D |
| Practice Address |
601 E Dixie Ave Medical Plaza 901 Leesburg FL 34748-5953 |
| Practice Telephone | 3527282404 |
| Practice Fax Number | 3527877401 |
| Mailing Telephone | 3527282404 |
| Mailing Fax Number | 3527877401 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2019-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | ME78248 | FL | Allopathic & Osteopathic Physicians |
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
ME78248 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 256975200 | 05 |
| Street Address |
601 E DIXIE AVE MEDICAL PLAZA 901 |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-5953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215571443 | Amanda Stollar | Hearing Instrument Specialist | 601 E Dixie Ave, Plaza 901, Leesburg, FL 34748 | 2019-10-31 |
| 1740727593 | Kirsten Nolan | Nurse Practitioner | 601 E Dixie Ave, Suite 1001, Leesburg, FL 34748-5953 | 2017-01-31 |
| 1205294212 | Central Florida Premier Eye Associates | Non-Pharmacy Dispensing Site | 601 E Dixie Ave, Suite 201, Leesburg, FL 34748-5953 | 2016-02-04 |
| 1649636192 | Emily Bean | Hearing Instrument Specialist | 601 E Dixie Ave, Plaza 901, Leesburg, FL 34748-5953 | 2016-01-13 |
| 1457734212 | Florida Physical Medicine & Pain Center LLC | Physical Medicine & Rehabilitation | 601 E Dixie Ave, Ste 101, Leesburg, FL 34748-5953 | 2015-06-29 |
| 1417348699 | Muni V. Padman, M.d., P.a. | Preferred Provider Organization | 601 E Dixie Ave, Plaza 101, Leesburg, FL 34748-5953 | 2015-02-10 |
| 1275876187 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 601 E Dixie Ave, Suite 1001, Leesburg, FL 34748-5953 | 2013-03-28 |
| 1679811459 | Muni V. Padman, M.d., P.a. | Internal Medicine | 601 E Dixie Ave, Plaza 101, Leesburg, FL 34748-5953 | 2013-01-29 |
| 1275883639 | Joann Gerri Newmons | Nurse Practitioner | 601 E Dixie Ave, Suite 1001, Leesburg, FL 34748-5953 | 2012-09-13 |
| 1710205810 | Painfree Physical Therapy Inc | Clinic/Center | 601 E Dixie Ave, Plaza 901, Leesburg, FL 34748-5953 | 2010-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205362183 | Clifton Bridges | Otolaryngology | 6970 Sunnyside Dr, Leesburg, FL 34748-9556 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093228587 | Cosmetic Medicine Enterprises Inc | Otolaryngology | 34156 Us Hwy 19 N, Palm Harbor, FL 34684 | 2017-11-07 |
| 1811305568 | Medney Tardy Jr. | Otolaryngology | 651 Jacana Cir, Naples, FL 34105-7400 | 2014-07-25 |
| 1699113605 | Lebeau Clinic Pl | Otolaryngology | 1020 N Palafox St, Pensacola, FL 32501-3118 | 2013-06-12 |
| 1164867644 | Joseph Samuel Moak IIi | Otolaryngology | 1819 Salk Ave, Tavares, FL 32778-4311 | 2013-05-09 |
| 1750661328 | Jesse Andrew Burnam | Otolaryngology | 15647 Carriedale Ln, Fort Myers, FL 33912-3904 | 2011-08-26 |
| 1619276102 | Thomas Lewis Tzikas | Otolaryngology | 526 Se 5th Ave, Delray Beach, FL 33483-5213 | 2011-03-23 |
| 1356595268 | Vijay M Sharma | Otolaryngology | 601 University Blvd Ste 201, Jupiter, FL 33458-2788 | 2008-11-05 |
| 1881846731 | Anthony Bared | Otolaryngology | 6280 Sunset Dr Ste 504, South Miami, FL 33143-4870 | 2008-10-22 |
| 1700034345 | Larry Nelson Smith | Otolaryngology | 10925 Sw 27th Ave, Gainesville, FL 32608-8937 | 2008-09-08 |
| 1821251216 | Jean-paul Azzi | Otolaryngology | 4495 Military Trl Ste 202, The Palm Beach Center for Facial Plastic and Laser Surg, Jupiter, FL 33458-4818 | 2008-07-07 |
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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.