THYROID DIABETES ENDOCRINOLOGY AND WELLNESS INC (NPI# 1013402783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013402783 |
| Entity Type | Organization |
| Organization Name | THYROID DIABETES ENDOCRINOLOGY AND WELLNESS INC |
| Other Organization Name | TDEWELLNESS |
| Practice Address |
8075 Gate Pkwy W Ste 306 Jacksonville FL 32216-3685 |
| Practice Telephone | 9048622070 |
| Practice Fax Number | 9045080228 |
| Mailing Telephone | 9048622070 |
| Mailing Fax Number | 9045080228 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | RAMADAN HAMMOUD (PRESIDENT) |
| Authorized Official Telephone | 9048622070 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| TDEWellness | Doing Business As Name - Organization |
| Street Address |
8075 GATE PKWY W STE 306 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-3685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1013461193 | Diabetes Management Partners LLC | Internal Medicine | 4190 Belfort Rd Ste 352, Jacksonville, FL 32216-1407 | 2016-08-07 |
| 1679910863 | Poonam Kalidas Kapadia | Internal Medicine | 653 W 8th St # L-14, Jacksonville, FL 32209-6511 | 2013-05-28 |
| 1679896401 | Robert Miller Md Pa | Internal Medicine | 1547 San Marco Blvd, Jacksonville, FL 32207-2905 | 2010-03-08 |
| 1467683524 | Salma Makhoul-ahwach | Internal Medicine | 3 Shircliff Way Ste 630, Jacksonville, FL 32204-4776 | 2009-08-06 |
| 1811134216 | Rafael Eligio Gomez Jr. | Internal Medicine | 1222 Molokai Rd, Jacksonville, FL 32216-3276 | 2009-01-07 |
| 1134328719 | Ramadan Hammoud | Internal Medicine | 9745 Touchton Rd Unit 1705, Jacksonville, FL 32246-9200 | 2007-07-13 |
| 1255541512 | Eric Charles Puestow | Internal Medicine | 7746 Miller Oaks Dr W, Jacksonville, FL 32217-3512 | 2007-05-23 |
| 1952387912 | Gunjan Y Gandhi | Internal Medicine | 653 W 8th St, Jacksonville, FL 32209-6511 | 2005-12-21 |
| 1821071903 | Melissa Anne Morgan | Internal Medicine | 11945 San Jose Blvd Ste 301, Credentialing Department, Jacksonville, FL 32223-1627 | 2005-11-22 |
| 1972067528 | First Choice Endocrinology LLC | Internal Medicine | 8837 Goodbys Executive Dr, Jacksonville, FL 32217-4605 | 2019-01-29 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on THYROID DIABETES ENDOCRINOLOGY AND WELLNESS INC.
| 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.