GREGORY L. NEDURIAN, M.D., P.A. (NPI# 1265566012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265566012 |
| Entity Type | Organization |
| Organization Name | GREGORY L. NEDURIAN, M.D., P.A. |
| Other Organization Name | GREGORY L. NEDURIAN, M.D., P.A. |
| Practice Address |
521 Buena Vista St Lakeland FL 33805-4504 |
| Practice Telephone | 8636870550 |
| Practice Fax Number | 8636827700 |
| Mailing Telephone | 8636870550 |
| Mailing Fax Number | 8636827700 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | DR. GREGORY L. NEDURIAN (CORPORATE PRESIDENT) |
| Authorized Official Telephone | 8636870550 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME0090819 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | P00279741 | 01 |
| FL | 270400500 | 05 |
| Other Name | Type Code |
|---|---|
| Gregory L. Nedurian, M.D., P.A. | Doing Business As Name - Organization |
| Street Address |
521 BUENA VISTA ST |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417942681 | Gregory L Nedurian | Surgery | 521 Buena Vista St, Lakeland, FL 33805-4504 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| 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 |
|---|---|---|---|---|
| 1548601057 | Allan Cabrera Tiro | Surgery | 1721 Via Lago Dr, Lakeland, FL 33810-2371 | 2013-07-12 |
| 1043532377 | Toan Thien Nguyen | Surgery | 3525 Lakeland Hills Blvd # D, Lakeland, FL 33805-1965 | 2010-03-01 |
| 1588845119 | Cecilia Franke Wang | Surgery | 1629 Lakeland Hills Blvd., Lakeland, FL 33805 | 2007-11-26 |
| 1114127560 | Diana A Burgueno Vega | Surgery | 130 Pablo Street, Lakeland, FL 33803 | 2007-07-24 |
| 1033314190 | Gustavo Alberto De Jesus-gomez | Surgery | 5907 Hillside Heights Dr., Lakeland, FL 33812 | 2007-06-19 |
| 1306059092 | Juan Barrios | Surgery | 3030 Harden Blvd Ste 108, Wound Care Center, Lakeland, FL 33803-7973 | 2007-05-08 |
| 1104980812 | Derrick J Martin Sr. | Surgery | 3003 S Florida Ave Ste 101, Lakeland, FL 33803-4050 | 2006-12-20 |
| 1275622995 | Bartow Hma Physician Management, LLC | Surgery | 3644 Innovation Dr, Lakeland, FL 33812-4105 | 2006-10-12 |
| 1831161793 | Elisabeth Lynn Dupont | Surgery | 1420 Lakeland Hills Blvd, Women's Center Bldg B, Lakeland, FL 33805-3202 | 2006-02-06 |
| 1033105176 | Philip K. Thomas | Surgery | 4428 Sugartree Dr E, Lakeland, FL 33813-1861 | 2005-09-23 |
| Find all providers in LAKELAND | ||||
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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.