TALLAHASSEE MEMORIAL HEALTHCARE INC (NPI# 1174888549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174888549 |
| Entity Type | Organization |
| Organization Name | TALLAHASSEE MEMORIAL HEALTHCARE INC |
| Other Organization Name | FSU/TMH GENERAL SURGERY RESIDENCY PROGRAM |
| Practice Address |
1401 Centerville Rd Suite 100 Tallahassee FL 32308-4647 |
| Mailing Address |
1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 |
| Practice Telephone | 8508775183 |
| Practice Fax Number | 8506561288 |
| Mailing Telephone | 8504317021 |
| Mailing Fax Number | 8504316975 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2019-05-09 |
| Authorized Official Name | MR. ROBIN L MOSS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8504316256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FSU/TMH General Surgery Residency Program | Doing Business As Name - Organization |
| TMHPP Surgical Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199236 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 877 3rd St Ste 3, Chipley, FL 32428-1855 | 2020-06-19 |
| 1396365623 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 2100 Centerville Rd, Tallahassee, FL 32308-4379 | 2020-04-16 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1447555743 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 4230 Hospital Dr Ste 202, Marianna, FL 32446-1955 | 2011-01-18 |
| 1558681684 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 555 North Byron Butler Parkway, Tmh Physician Partners, Perry, Perry, FL 32348-2315 | 2010-06-11 |
| 1386862852 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 1505 Surgeons Drive, Tallahassee, FL 32308 | 2007-04-23 |
| 1174539522 | Tallahassee Memorial Healthcare Inc | Home Health | 1619 Physicians Dr, Tallahassee, FL 32308-4620 | 2006-07-31 |
| 1649229402 | Tallahassee Memorial Healthcare Inc | Family Medicine | 1549 S Jefferson St, Monticello, FL 32344-1651 | 2006-05-09 |
| 1376140913 | Tallahassee Memorial Healthcare Inc | Family Medicine | 137 12th St, Apalachicola, FL 32320-2110 | 2020-10-07 |
| 1649892399 | Tallahassee Memorial Healthcare Inc | Dentist | 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 | 2020-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TALLAHASSEE MEMORIAL HEALTHCARE INC | 2039 N Monroe St, Tallahassee, FL 32303-4727 |
| Street Address |
1401 CENTERVILLE RD SUITE 100 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914084 | Charles G Maitland | Specialist | 1401 Centerville Rd, Suite 510, Tallahassee, FL 32308-4647 | 2005-07-05 |
| 1992287700 | Toriquic Jaba Dunkley | Nurse Practitioner | 1401 Centerville Rd, Tallahassee, FL 32308 | 2018-08-29 |
| 1063946374 | Heather Stewart | Student in an Organized Health Care Education/Training Program | 1401 Centerville Rd, Suite 107, Tallahassee, FL 32308-4647 | 2017-04-13 |
| 1275067589 | Blake Davis | Student in an Organized Health Care Education/Training Program | 1401 Centerville Rd, Suite 107, Tallahassee, FL 32308-4647 | 2017-04-13 |
| 1871027185 | Jessica Hill | Student in an Organized Health Care Education/Training Program | 1401 Centerville Rd, Suite 107, Tallahassee, FL 32308-4647 | 2017-04-13 |
| 1548713530 | David Wayne Lowery | Nurse Practitioner | 1401 Centerville Rd, Suite 5200, Tallahassee, FL 32308-4647 | 2016-07-26 |
| 1770946436 | Shlermine Aupont | Student in an Organized Health Care Education/Training Program | 1401 Centerville Rd, Suite 107, Tallahassee, FL 32308-4647 | 2016-03-31 |
| 1811359177 | Justin Lee | Student in an Organized Health Care Education/Training Program | 1401 Centerville Rd, Suite 107, Tallahassee, FL 32308-4647 | 2016-03-25 |
| 1750758132 | Jonathan Aaron Bussey | Nurse Practitioner | 1401 Centerville Rd, Suite 300, Tallahassee, FL 32308-4675 | 2015-09-01 |
| 1447633375 | Kendra Marcinowski | Nurse Practitioner | 1401 Centerville Rd, Suite 202, Tallahassee, FL 32308-4647 | 2015-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265792261 | Brett Michael Howard | Surgery | 1405 Centerville Rd Ste 4400, Tallahassee, FL 32308-4622 | 2012-05-23 |
| 1033399423 | John L Williams | Surgery | 4781 Williams Rd, Tallahassee, FL 32311-8523 | 2007-11-14 |
| 1023132024 | Herbert B Rubin | Surgery | 1460 Marion Ave, Tallahassee, FL 32303-5829 | 2007-03-17 |
| 1235223686 | Mahesh V Desai | Surgery | 3726 Wicklow Cir, Tallahassee, FL 32309-3216 | 2006-10-02 |
| 1447299979 | Shelby Larue Blank | Surgery | 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 | 2006-06-06 |
| 1306891239 | Al E. Deeb | Surgery | 1630 N Plaza Dr, Tallahassee, FL 32308-5346 | 2006-05-22 |
| 1689634388 | Wade G Douglas | Surgery | 1401 Centerville Road, Suite 100, Tallahassee, FL 32308-3656 | 2006-03-25 |
| 1063407104 | John Neal | Surgery | 2910 Capital Medical Blvd, Tallahassee, FL 32308-4408 | 2005-09-14 |
| 1790283133 | Tallahassee Memorial Healthcare Inc | Surgery | 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 | 2018-01-31 |
| 1972873354 | Herbert B. Rubin, M.d., P.a. | Surgery | 1460 Marion Ave, Tallahassee, FL 32303-5829 | 2012-01-03 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
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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.