DR. SAMARTH LAKSHMAIAH REDDY (NPI# 1851389514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851389514 |
Entity Type | Individual |
Full Name | DR. SAMARTH LAKSHMAIAH REDDY |
Credential | M.D. |
Practice Address |
9970 Central Park Blvd N Suite 304 Boca Raton FL 33428 |
Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
Practice Telephone | 5614826611 |
Practice Fax Number | 5614823056 |
Mailing Telephone | 2399317342 |
Mailing Fax Number | 2399317385 |
Enumeration Date | 2005-10-07 |
Last Update Date | 2018-08-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RH0000X |
Internal Medicine Specialization: Hematology |
ME87684 | FL | Allopathic & Osteopathic Physicians |
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME87684 | FL | Allopathic & Osteopathic Physicians |
N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
ME87684 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | RR MEDICARE | P01607918 | 01 |
FL | CIGNA | 8728512 | 01 |
FL | DIMENSION HEALTH | 10145 | 01 |
FL | OPTIMUM | P971539 | 01 |
FL | AVMED | 295515 | 01 |
FL | BCBS | 71687 | 01 |
FL | AETNA | 7625445 | 01 |
FL | FREEDOM | P1035777 | 01 |
Street Address |
9970 CENTRAL PARK BLVD N SUITE 304 |
City | BOCA RATON |
State | FL |
Zip Code | 33428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366445736 | Luis Yomtov Salazar | Internal Medicine | 9970 Central Park Blvd N, Ste 101, Boca Raton, FL 33428-2231 | 2005-05-31 |
1770089559 | Jolie Cannata | Obstetrics & Gynecology | 9970 Central Park Blvd N, Boca Raton, FL 33428-2231 | 2018-04-02 |
1851893986 | Alla Stepanova | Nurse Practitioner | 9970 Central Park Blvd N, Boca Raton, FL 33428-2231 | 2018-03-05 |
1831568179 | 21st Century Oncology LLC | Urology | 9970 Central Park Blvd N, Suite 207, Boca Raton, FL 33428-2231 | 2015-09-16 |
1831567296 | Gensiscare Usa of Florida LLC | Internal Medicine | 9970 Central Park Blvd N, Suite 304, Boca Raton, FL 33428-2231 | 2015-09-02 |
1093101784 | Island Life Md LLC | Family Medicine | 9970 Central Park Blvd N, Suite 102, Boca Raton, FL 33428-2231 | 2015-04-09 |
1033522677 | Krista Farnes | Specialist/Technologist | 9970 Central Park Blvd N, Suite 300, Boca Raton, FL 33428-2231 | 2014-06-10 |
1487085809 | Palm Beach Psychology Group, LLC | Psychologist | 9970 Central Park Blvd N, Sutie 207, Boca Raton, FL 33428-2231 | 2013-12-11 |
1952656951 | Jennifer Cadena Lopez | Physician Assistant | 9970 Central Park Blvd N, Suite 403, Boca Raton, FL 33428-2231 | 2012-07-17 |
1174881163 | Katherine Paige Crawford | Physical Therapist | 9970 Central Park Blvd N, Suite 300-b, Boca Raton, FL 33428-2231 | 2012-04-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
Find all providers in zip 33428 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326279241 | Karl Enselberg | Internal Medicine | 1560 Royal Palm Way, Boca Raton, FL 33432-7543 | 2009-07-28 |
1144354028 | Dorothy M. Murray | Internal Medicine | 2501 Nw 39th St, Boca Raton, FL 33434-4443 | 2007-03-15 |
1396801494 | William Howard Meyerson | Internal Medicine | 4885 Oxford Way, Boca Raton, FL 33434-5325 | 2006-12-31 |
1245227818 | Fernando O Recio | Internal Medicine | 6200 N Federal Hwy, Boca Raton, FL 33487-3230 | 2005-09-29 |
1831567296 | Gensiscare Usa of Florida LLC | Internal Medicine | 9970 Central Park Blvd N, Suite 304, Boca Raton, FL 33428-2231 | 2015-09-02 |
1730582883 | Aurea R Tomeski Md Pa | Internal Medicine | 801 Meadows Rd, Suite 111, Boca Raton, FL 33486-2346 | 2014-10-03 |
1477709244 | Boca Raton Regional Hospital | Internal Medicine | 690 Meadows Road, Boca Raton, FL 33486-2344 | 2008-08-13 |
1033159637 | Steven Earl Morris | Internal Medicine | 2900 N Military Trl, Suite #245, Boca Raton, FL 33431-6365 | 2006-06-08 |
1639149420 | Aurea Redondo Tomeski | Internal Medicine | 801 Meadows Rd, Suite 111, Boca Raton, FL 33486-2346 | 2006-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
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City | BOCA RATON |
Zip Code | 33428 |
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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.