DONALD RICHARD NETTLOW JR. (NPI# 1003859349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003859349 |
| Entity Type | Individual |
| Full Name | DONALD RICHARD NETTLOW JR. |
| Credential | MD |
| Practice Address |
200 Avenue F Ne Winter Haven FL 33881-4131 |
| Mailing Address |
Po Box 864165 Orlando FL 32886-4165 |
| Practice Telephone | 8632931121 |
| Mailing Telephone | 3176149863 |
| Mailing Fax Number | 8448760873 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2019-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | ME0050999 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 372397600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 567 Avenue K Se, Winter Haven, FL 338804215 | 8632991231 | 8632991233 |
| Street Address |
200 AVENUE F NE |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659353993 | Phillip C. Gordon | Pathology | 200 Avenue F Ne, Dept. of Pathology, Winter Haven, FL 33881-4131 | 2005-11-14 |
| 1679193726 | Maria Ann Cressman | Registered Nurse | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2020-04-19 |
| 1194386144 | James Ray Fuentes | Nurse Practitioner | 200 Avenue F Ne, Winter Haven, FL 33881-4193 | 2019-06-20 |
| 1023573961 | Candy Bridges | Registered Nurse | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2019-02-05 |
| 1093299380 | Amy Arlene Davis | Nurse Practitioner | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2018-09-21 |
| 1639656614 | Felix E Sanchez | Pharmacist | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2018-07-23 |
| 1801384243 | Tarsha Foreman | Nurse Practitioner | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2018-05-01 |
| 1265953178 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 200 Avenue F Ne, Winter Haven, FL 33881 | 2017-06-30 |
| 1518497601 | Hui Yang | Occupational Therapist | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2017-06-12 |
| 1093243552 | Chelsea Elizabeth Lenz | Emergency Medicine | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2017-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356425276 | Lesco L Rogers | Anesthesiology | 7518 Cypress Gardens Blvd, Winter Haven, FL 33884-3200 | 2006-10-25 |
| 1699712216 | William Patrick Myers | Anesthesiology | 567 Avenue K Se, Winter Haven, FL 33880-4215 | 2006-06-01 |
| 1770520538 | Patrick J Ruddy | Anesthesiology | 325 Avenue 'b', Nw, Winter Haven, FL 33881-4651 | 2006-06-01 |
| 1194798876 | Victoria Bodaj | Anesthesiology | 1802 Columbia Dr, Winter Haven, FL 33881-2748 | 2006-02-11 |
| 1013370584 | Silvana Rolong | Anesthesiology | 567 Avenue K Se, Winter Haven, FL 33880-4215 | 2016-04-01 |
| 1609260165 | Mandy S Bradshaw | Anesthesiology | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2015-03-23 |
| 1992123590 | Seth Andrew Macmahon | Anesthesiology | 50 2nd St Se, Winter Haven, FL 33880-6300 | 2014-04-01 |
| 1164740882 | Kristen B Williams | Anesthesiology | 567 Avenue K Se, Winter Haven, FL 33880 | 2010-05-05 |
| 1861663155 | Ediberto Cicilio | Anesthesiology | 567 Avenue K Se, Winter Haven, FL 33880-4215 | 2008-03-14 |
| 1386667715 | Monika Lippold | Anesthesiology | 567 Avenue K Se, Winter Haven, FL 33880-4215 | 2006-07-26 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
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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.