MIDWAY INFECTIOUS DISEASES, LLC (NPI# 1902466287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902466287 |
| Entity Type | Organization |
| Organization Name | MIDWAY INFECTIOUS DISEASES, LLC |
| Practice Address |
356 E Midway Rd Fort Pierce FL 34982-7148 |
| Practice Telephone | 7724649746 |
| Practice Fax Number | 7724649750 |
| Mailing Telephone | 7724649746 |
| Mailing Fax Number | 7724649750 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | MOTI N RAMGOPAL (CEO) |
| Authorized Official Telephone | 7724649746 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
356 E MIDWAY RD |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34982-7148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801884028 | Darla L Bagwell | Nurse Practitioner | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2005-10-11 |
| 1306487400 | Tiffany Marie Black | Physician Assistant | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2019-10-01 |
| 1366942039 | Suzette Wood | Pharmacist | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2018-02-19 |
| 1306393145 | Lauren Leeflang | Physician Assistant | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2016-09-09 |
| 1598114779 | Midway Primary Care LLC | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2016-06-08 |
| 1376970814 | Midway Specialty Care Center Inc | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2013-09-30 |
| 1477818367 | Nichole M Castle | Nurse Practitioner | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2012-07-07 |
| 1447544408 | Moti Ramgopal Mdpa | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2011-06-07 |
| 1356580518 | Midway Immunology and Research Center | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2009-02-11 |
| 1730389982 | Makondo Shimukowa | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2007-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932759305 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Employee Health and Wellness, 2200 Virginia Avenue, Fort Pierce, FL 34982 | 2019-09-17 |
| 1548732159 | Regenerative Medical Group Inc | Family Medicine | 2624 S, Us1, Fort Pierce, FL 34982 | 2018-12-20 |
| 1609352905 | Shapiro Family Dentistry of Fort Pierce Pa | Dentist | Coral Square Shoppes 3006 Us Highway 1, Suite D2/d3, Fort Pierce, FL 34982 | 2018-07-19 |
| 1821585514 | Coralis Ivette Reyes | Social Worker | 2814 South U.S. Hwy1, Suite D4, Fort Pierce, FL 34982 | 2018-04-18 |
| 1720509441 | Quality Care Holdings Inc | Non-emergency Medical Transport (VAN) | 3247 Oleander Ave Suite A5, Fort Pierce, FL 34982 | 2017-07-03 |
| 1770013377 | Kira Patricia Omeally | Assistant Behavior Analyst | 2106 Linda Sue Circle #105, Fort Pierce, FL 34982 | 2017-06-15 |
| 1124557483 | Linda S Colebrooke | Marriage & Family Therapist | 2814 South U.S. Hwy 1, Suite D4, Fort Pierce, FL 34982 | 2017-06-08 |
| 1619404845 | Angili Hamilton | Social Worker | 2814 South .s. Hwy 1 Suite D4, Fort. Pierce, FL 34982 | 2017-05-18 |
| 1881146652 | Tasha Daley | Community Health Worker | 3215 S Hwy 1 Suite F, Fort Pierce, FL 34982 | 2016-10-27 |
| 1952792764 | Casper Lockwood | Case Manager/Care Coordinator | 2814 South U.s Hwsy 1, Suite D4, Fort Pierce, FL 34982 | 2015-02-16 |
| Find all providers in zip 34982 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972514073 | Mariana R Loor | Internal Medicine | 2407 Okeechobee Rd, Fort Pierce, FL 34950-6556 | 2006-08-11 |
| 1376970814 | Midway Specialty Care Center Inc | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2013-09-30 |
| 1447544408 | Moti Ramgopal Mdpa | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2011-06-07 |
| 1356580518 | Midway Immunology and Research Center | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2009-02-11 |
| 1457329450 | Moti N Ramgopal | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2006-03-08 |
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|---|---|---|---|---|
| 1427659002 | Sq2 Medical Pllc | Internal Medicine | 13172 N Dale Mabry Hwy, Tampa, FL 33618-2406 | 2020-11-02 |
| 1750998654 | Marian Infectious Disease Pllc | Internal Medicine | 10174 Belcrest Blvd, Fort Myers, FL 33913-2607 | 2020-09-25 |
| 1356957146 | Nathaniel Duke Md Pa | Internal Medicine | 825 Sunflower Cir, Weston, FL 33327-2112 | 2020-09-17 |
| 1538771803 | Infectious Disease Medical Care Pa | Internal Medicine | 5258 Linton Blvd Ste 203, Delray Beach, FL 33484-6529 | 2020-08-18 |
| 1659998573 | Aids Healthcare Foundation | Internal Medicine | 4308 Alton Rd # 950960, Miami Beach, FL 33140-4556 | 2020-06-26 |
| 1063031524 | Overflow Health Alliance Inc | Internal Medicine | 3416 Moncrief Rd # 101, Jacksonville, FL 32209-4340 | 2020-04-14 |
| 1366076515 | Kielle Medical Limited Liability Company | Internal Medicine | 5988 Duckweed Rd, Lake Worth, FL 33449-5810 | 2020-02-26 |
| 1538709993 | First Class Medicine LLC | Internal Medicine | 4699 Fox View Pl, Lake Worth, FL 33467-3540 | 2020-01-13 |
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1881162402 | Lisa Jeanne Sanders | Internal Medicine | 1315 E 7th Ave Ste 104, Tampa, FL 33605-3606 | 2018-11-13 |
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| City | FORT PIERCE |
| Zip Code | 34982 |
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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.