TARIQ KHALID HENDAWI (NPI# 1174818785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174818785 |
Entity Type | Individual |
Full Name | TARIQ KHALID HENDAWI |
Credential | M.D. |
Practice Address |
1020 Gulf Breeze Pkwy Gulf Breeze FL 32561-4838 |
Mailing Address |
2120 N Macarthur Blvd Ste 100 Irving TX 75061-2260 |
Practice Telephone | 5042344431 |
Mailing Telephone | 9724384636 |
Mailing Fax Number | 9724386585 |
Enumeration Date | 2011-06-10 |
Last Update Date | 2017-04-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD.205523 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 2148389 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518439819 | Tariq J Hendawi | Nurse Practitioner | 5072 W Plano Pkwy Ste 220, Plano, TX 75093-4475 | 2018-12-27 |
Street Address |
1020 GULF BREEZE PKWY |
City | GULF BREEZE |
State | FL |
Zip Code | 32561-4838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194808188 | Gulf Coast Family Medicine Pllc | Family Medicine | 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4838 | 2006-10-23 |
1316566631 | Seyed Alireza Emami | Student in an Organized Health Care Education/Training Program | 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4838 | 2020-04-16 |
1720509276 | Tammy Annette Lowrey-ridgley | Specialist/Technologist | 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4838 | 2017-07-05 |
1619328747 | Brent Hardy | Specialist/Technologist | 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4838 | 2016-06-30 |
1740662998 | Carl L Byrd IIi | Orthopaedic Surgery | 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4838 | 2015-06-24 |
1710368006 | Chelsea Peitz | Dietitian, Registered | 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4838 | 2015-06-12 |
1699195842 | R Chad Gilliland | Specialist/Technologist | 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4838 | 2014-04-25 |
1851711196 | Andrews Research and Education Institute | Clinic/Center | 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4838 | 2014-04-25 |
1043630155 | Andrew Tyler Wilkins | Specialist/Technologist | 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4838 | 2014-04-16 |
1104254556 | James Lyle Smuda | Specialist/Technologist | 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4838 | 2013-10-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700416815 | Susan Carol Bane | Physical Therapist | 1500 Via Deluna, D6, Pensacola Beach, FL 32561 | 2020-01-17 |
1174027478 | Aegis Group Practice LLC | Occupational Therapist | 50 Joachim Drive, Gulf Breeze, FL 32561 | 2018-03-21 |
1497296081 | Gulf Coast Health System Imaging, LLC | Clinic/Center | 4033 Gulf Breeze Parkway, Gulf Breeze, FL 32561 | 2017-03-15 |
1265836233 | Karen Tarvid | Radiologic Technologist | 1390 Fort Pickens Road, 212, Gulf Breeze, FL 32561 | 2014-10-20 |
1063825990 | Thomas Ryan Mcpherson | Dentist | 41 Fairpoint Dr Ste A, Gulf Breeze, FL 32561 | 2014-06-09 |
1316210974 | White Edward Gibson IIi | Internal Medicine | 408 N. Sunset Blvd., Gulf Breeze, FL 32561 | 2012-02-13 |
1467742866 | Katherine Seipel Crawford | Pediatrics | 15 Daniel Dr, Gulf Breeze, FL 32561 | 2011-04-19 |
1497067987 | Total Spinal Solutions LLC | Clinic/Center | 1300 Shoreline Drive, Ste. 104, Gulf Breeze, FL 32561 | 2010-07-13 |
1528184322 | Bonnie Dansby | Nurse Practitioner | 1600 Via Deluna Drive, E403, Pensacola Beach, FL 32561 | 2007-03-22 |
1891841425 | Darby Lynn Godwin | Psychologist | 7 Center Road, Gulf Breeze, FL 32561 | 2007-01-26 |
Find all providers in zip 32561 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790932473 | Andrews Foundation for Research & Education, LLC | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2008-08-25 |
1619027786 | Richard G Sellers Md Pa | Orthopaedic Surgery | 41 Fairpoint Dr Ste B, Gulf Breeze, FL 32561-4380 | 2007-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801401021 | Ortho Florida, LLC | Orthopaedic Surgery | 17425 7th St Ste 560174, Montverde, FL 34756-3206 | 2020-09-14 |
1801429022 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 | 2020-02-17 |
1750913141 | Tyrance Orthopedics and Sports Medicine | Orthopaedic Surgery | 1620 S Congress Ave Ste 201, Palm Springs, FL 33461-2128 | 2020-02-04 |
1255979076 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 | 2019-12-11 |
1730740218 | Baptist Physician Group LLC | Orthopaedic Surgery | 133 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1644 | 2019-06-25 |
1164984720 | Ortho Florida, LLC | Orthopaedic Surgery | 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 | 2019-04-03 |
1578043998 | Bahri Orthopedics Institute | Orthopaedic Surgery | 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 | 2018-08-15 |
1154834489 | Dorothy Richardson | Orthopaedic Surgery | 1120 W Lakeshore Dr, Clermont, FL 34711-2936 | 2017-11-08 |
1225541790 | Ortho Florida, LLC | Orthopaedic Surgery | 3702 Washington St Ste 202, Hollywood, FL 33021-8283 | 2017-11-07 |
1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
Find all providers with the same taxonomy |
City | GULF BREEZE |
Zip Code | 32561 |
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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.