DR. TY RESO ANDERSON (NPI# 1851335988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851335988 |
| Entity Type | Individual |
| Full Name | DR. TY RESO ANDERSON |
| Credential | D.O. |
| Practice Address |
12855 Gorda Cir W Largo FL 33773-1712 |
| Practice Telephone | 7272867800 |
| Mailing Telephone | 7272867800 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2018-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | OS13386 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | OS7064 | FL | Allopathic & Osteopathic Physicians |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
OS15140 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8898 Hershey Lane, Seminole, FL 33777 | 7273194807 | 7273194807 |
| Street Address |
12855 GORDA CIR W |
| City | LARGO |
| State | FL |
| Zip Code | 33773-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407174204 | Mary Jacqueline Pugh | Nurse Practitioner | 12855 Gorda Cir W, Largo, FL 33773-1712 | 2010-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144719 | Rosabelle Magloire Chism | Nurse Practitioner | 11542 92nd Street North, Largo, FL 33773 | 2020-08-10 |
| 1265040976 | Gulf Coast Mental Health Services LLC | Clinic/Center | 10641 Whittngton Court, Largo, FL 33773 | 2020-07-20 |
| 1770930190 | Albert H Thurlow IIi | Nurse Practitioner | 10471 Whittington Ct, Largo, FL 33773 | 2016-05-16 |
| 1700264660 | Logan Kienholz | Behavioral Analyst | 12505 Sarky Rd, Suite G, Largo, FL 33773 | 2015-05-12 |
| 1093121998 | Dorit Morecraft | Nurse Practitioner | 10641 Whittington Court, Largo, FL 33773 | 2014-07-11 |
| 1891135281 | Shameka Jones | Pharmacist | 12091 Starkey Rd, Largo, FL 33773 | 2013-06-28 |
| 1427496942 | Kim Hoang T Vo | Podiatrist | 12685 Starkey Road, Largo, FL 33773 | 2013-06-06 |
| 1104165729 | Aaron Rigali | Pharmacist | 11701 S Belcher Rd Ste 126, Largo, FL 33773 | 2013-02-01 |
| 1518249648 | Jolynn Renee Dyer | Occupational Therapist | 8254 118th Ave Unit 100, Unit 100, Largo, FL 33773 | 2011-09-14 |
| 1366720161 | Sally Donna Plink | Massage Therapist | 10671 104th Ave N, Seminole, FL 33773 | 2011-07-27 |
| Find all providers in zip 33773 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028338 | Shanelle Moore | Family Medicine | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2019-08-17 |
| 1114312758 | Idongesit Iheanyichukwu Attang | Family Medicine | 1221 Mercantile Lane, Largo, MD 20774 | 2015-03-31 |
| 1659716256 | Cynthia Chika Odogwu | Family Medicine | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2013-05-08 |
| 1992979546 | Young Foundational Health Center | Family Medicine | 7241 Bryan Dairy Rd, Largo, FL 33777 | 2008-04-15 |
| 1548382153 | Esther Nnenna Nwogu | Family Medicine | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2007-04-04 |
| 1538230263 | Douglas Murray Baird IIi | Family Medicine | 13540 Walsingham Rd, Largo, FL 33774-3546 | 2006-11-13 |
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|---|---|---|---|---|
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| 1831704345 | Vasundhara Kuchibhotla | Family Medicine | 1630 Sw 75th Ter, Gainesville, FL 32607-6604 | 2020-09-11 |
| 1356952170 | Discreet Health Solutions, LLC | Family Medicine | 7124 Pelican Island Dr, Tampa, FL 33634-7463 | 2020-08-14 |
| 1033728019 | Nana Aisha Garba | Family Medicine | 11200 Sw 8th St Ahc2 Rm 589b, Miami, FL 33199-0001 | 2020-07-27 |
| 1043838451 | Lisa M Parker | Family Medicine | 7955 Bay St Ste 2, Sebastian, FL 32958-3282 | 2020-07-13 |
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1588287239 | Sarai L Gonzalez | Family Medicine | 16182 Nw 21st St, Pembroke Pines, FL 33028-1255 | 2020-05-28 |
| 1184247033 | Wellness Solutions 2020 LLC | Family Medicine | 2300 N Commerce Pkwy Ste 321, Weston, FL 33326-3257 | 2020-05-27 |
| 1780207910 | Homeville Medical Care | Family Medicine | 11040 Nw 18th Ct, Plantation, FL 33322-3407 | 2020-05-21 |
| 1942829536 | Health Medical Ultra Limited Liability Company | Family Medicine | 1760 Havendale Blvd Nw, Winter Haven, FL 33881-1224 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
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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.