DR. DAVID J. KADERIS


Address: 5149 N 9th Ave, Suite 246, Pensacola, FL 32504-8756
Phone: 8504166159

DR. DAVID J. KADERIS (NPI# 1922042738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922042738
Entity Type Individual
Full Name DR. DAVID J. KADERIS
Credential D.O.
Practice Address 5149 N 9th Ave
Suite 246
Pensacola
FL 32504-8756
Mailing Address Po Box 2699
Pensacola
FL 32513-2699
Practice Telephone 8504166159
Practice Fax Number 8504167198
Mailing Fax Number 8504754619
Enumeration Date 2006-06-15
Last Update Date 2014-03-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery OS12384 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 010322300 05

Office Location

Street Address 5149 N 9TH AVE
SUITE 246
City PENSACOLA
State FL
Zip Code 32504-8756

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164407607 Keane V Arney Internal Medicine 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8756 2005-12-07
1831563568 Up-standing Radiology Services LLC Radiology 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8756 2015-11-18
1487994497 Thomas Joseph Lawrence Pathology 5149 N 9th Ave, Suite 122, Pensacola, FL 32504-8756 2013-02-28
1184968281 Joey Lamar Hart Pharmacist 5149 N 9th Ave, Suite 1137, Pensacola, FL 32504-8756 2012-11-15
1841548955 Don S Angelo Do Pa General Practice 5149 N 9th Ave, Suite G39, Pensacola, FL 32504-8756 2012-08-21
1336402791 Charis Ophelia Rich Pharmacy Technician 5149 N 9th Ave, Pensacola, FL 32504-8756 2012-06-20
1851654214 Vickie Marie Campbell Pharmacist 5149 N 9th Ave, Pensacola, FL 32504-8756 2012-06-20
1699081117 Nir Joseph Hus Surgery 5149 N 9th Ave, Suite 246, Pensacola, FL 32504-8756 2010-08-21
1225287923 Richard D Sontchi Surgery 5149 N 9th Ave, Suite 246, Pensacola, FL 32504-8756 2008-09-17
1578720025 Rosanny Espinal-witter Pathology 5149 N 9th Ave, Pensacola, FL 32504-8779 2008-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659978393 Quinyatta Stride Behavior Technician 2511 Creighton Rd., Pensacola, FL 32504 2020-10-06
1962017657 Pt Solutions of Pensacola LLC Occupational Therapist 2114 Creighton Rd, Ste C, Pensacola, FL 32504 2020-09-10
1982226742 Elevate Behavioral Solutions Behavioral Analyst 4045 Renoir St, Pensacola, FL 32504 2020-05-14
1760021349 Veteran Evaluations of Florida Internal Medicine 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 2019-12-31
1215575527 First City Health LLC Pharmacy 6005 College Parkway, Suite 1, Pensacola, FL 32504 2019-12-17
1184261158 Claire Ann Letendre Audiologist 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 2019-12-09
1083275101 Benjamin Mcmillon Chiropractor 2629 Creighton Road, Suite 1, Pensacola, FL 32504 2019-06-28
1407342595 Faryal Munir Student in an Organized Health Care Education/Training Program Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 2018-07-02
1497252050 Sibyl Tenille Page Nurse Practitioner 5147 N 9th Ave Ste 322, Pensacola, FL 32504 2018-04-10
1396272589 Sacred Heart Hospital General Acute Care Hospital 2552 Carmel Heights Rd, Pensacola, FL 32504 2017-05-18
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699337857 The Surgery Center At Woodlands, LLC Surgery 4724 N Davis Hwy Ste 301, Pensacola, FL 32503-2339 2019-07-08
1992068183 Austin Younger Surgery 6000 W Hwy 98 Urology Department, Pensacola, FL 32512-8905 2012-06-21
1669627055 Jean-pierre Martucci Melo Surgery 1717 N E St Ste 205, Pensacola, FL 32501-6336 2008-11-26
1508934555 Leonardo Villegas Surgery 730 Bayfront Pkwy Ste 5a, Pensacola, FL 32502-6250 2006-11-30
1285690669 Ghazala Farah Rahman Surgery 350 W Cedar St, Pensacola, FL 32502-4910 2006-04-25
1932101458 Robert Bradford Pyle Surgery 1310 Sunrunner Road, Pensacola, FL 32504 2005-08-15
1255713772 John Hahn Surgery 2130 E Johnson Ave Ste 130, Pensacola, FL 32514-6065 2015-06-20
1932474111 George Heyward Fulghum IIi Surgery 5153 N 9th Ave Ste 305, Pensacola, FL 32504-5719 2012-03-20
1811280373 Daniel Joseph Ballow Surgery 1717 N E St, Suite 430, Pensacola, FL 32501-6339 2011-05-17
1386942860 Jeffrey B. Comitalo, Md, Pa Surgery 8333 N Davis Hwy, Pensacola, FL 32514-6050 2011-03-07
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Competitor

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City PENSACOLA
Zip Code 32504

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Dataset Information

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.

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