Kadir J Carruthers (NPI# 1093135220, PAC ID# 4789968520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1093135220 |
| PAC ID by PECOS | 4789968520 |
| Professional Enrollment ID | I20180815001894 |
| Full Name | Kadir J Carruthers |
| Organization Legal Name | REHABILITATION AND ELECTRODIAGNOSTICS PA |
| Address |
500 Vonderburg Dr Suite 205 Brandon FL 33511-5964 |
| Phone Number | 8132287696 |
| Gender | M |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 1153364955 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100128 | TAMPA GENERAL HOSPITAL |
| 100173 | FLORIDA HOSPITAL TAMPA |
| 100075 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 Vonderburg Dr, Suite 205, Brandon, FL 33511-5964 | 8132287696 | REHABILITATION AND ELECTRODIAGNOSTICS PA |
| 2914 N Blvd, Tampa, FL 33602-1208 | 8132287696 | REHABILITATION AND ELECTRODIAGNOSTICS PA |
| Organization Legal Name | REHABILITATION AND ELECTRODIAGNOSTICS PA |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberto V Dominguez | Physical Medicine and Rehabilitation | Rehabilitation and Electrodiagnostics Pa | 2914 N Blvd, Tampa, FL 33602-1208 |
| Melinda H Hayes | Physical Medicine and Rehabilitation | Rehabilitation and Electrodiagnostics Pa | 500 Vonderburg Dr, Suite 205, Brandon, FL 33511-5964 |
| Rigoberto Nicholas Nunez | Physical Medicine and Rehabilitation | Rehabilitation and Electrodiagnostics Pa | 500 Vonderburg Dr, Suite 205, Brandon, FL 33511-5964 |
| Patrick Michael Duffy | Nurse Practitioner | Rehabilitation and Electrodiagnostics Pa | 500 Vonderburg Dr, Suite 205, Brandon, FL 33511-5964 |
| Paul B Kornberg | Psychiatry | Rehabilitation and Electrodiagnostics Pa | 2914 N Blvd, Tampa, FL 33602-1208 |
| Venerando I Batas | Physical Medicine and Rehabilitation | Rehabilitation and Electrodiagnostics Pa | 2914 N Blvd, Tampa, FL 33602-1208 |
| Street Address |
500 VONDERBURG DR SUITE 205 |
| City | BRANDON |
| State | FL |
| Zip | 33511-5964 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvonne Santiago | Internal Medicine | Cornerstone Medical Care of Brandon P L | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Scott Mclaurin | Physician Assistant | Brandon Area Primary Care Pa | 500 Vonderburg Dr, Suite 311w, Brandon, FL 33511-5978 |
| Jerry L Hedrick | Dermatology | Suncoast Skin Solutions | 500 Vonderburg Dr, Suite 155w, Brandon, FL 33511-5964 |
| Dean A Bramlet | Cardiovascular Disease (cardiology) | Cornerstone Medical Care of Brandon P L | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Wali U Khan | Cardiovascular Disease (cardiology) | Bay Area Medical Clinic Pa | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Ron Mathew | Internal Medicine | Bay Area Medical Clinic Pa | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Matthew D Bowser | Family Medicine | Brandon Area Primary Care Pa | 500 Vonderburg Dr, Suite 311w, Brandon, FL 33511-5978 |
| Melinda H Hayes | Physical Medicine and Rehabilitation | Rehabilitation and Electrodiagnostics Pa | 500 Vonderburg Dr, Suite 205, Brandon, FL 33511-5964 |
| Pravinchandra Zala | Neurology | 500 Vonderburg Dr, Suite 314w, Brandon, FL 33511-5978 | |
| Julio A Enriquez | Internal Medicine | Cornerstone Medical Care of Brandon P L | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| In Soon Park | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Michael G Siegman | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Jeffrey Scott Mino | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Gopal Grandhige | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Richard G Picciocca Jr. | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Cristiano V Alpendre | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Donovan N Tapper | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Stephen Allen Jones | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Francisco H Itriago | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Paul Anthony Taiganides | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Find all physicians in zip 33511 | |||
| City | BRANDON |
| Zip Code | 33511 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | BRANDON + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Kadir J Carruthers.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.