AMY HADDOCK (NPI# 1275976862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275976862 |
| Entity Type | Individual |
| Full Name | AMY HADDOCK |
| Credential | M.D. |
| Practice Address |
1401 Centerville Rd Ste 202 Tallahassee FL 32308-4638 |
| Practice Telephone | 8508777241 |
| Practice Fax Number | 8508771338 |
| Mailing Telephone | (850) 877-7241 |
| Mailing Fax Number | 8508771338 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2017-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME130982 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1401 CENTERVILLE RD STE 202 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324804 | Kelley Lynn Stem | Physician Assistant | 1401 Centerville Rd Ste 202, Tallahassee, FL 32308-4638 | 2020-01-06 |
| 1841847753 | Jasmine Renay Dillard | Nurse Practitioner | 1401 Centerville Rd Ste 202, Tallahassee, FL 32308-4638 | 2019-08-26 |
| 1164920351 | Erin Roberts Thames | Nurse Practitioner | 1401 Centerville Rd Ste 202, Tallahassee, FL 32308-4638 | 2018-01-23 |
| 1497268635 | Candice Priscilla Gregg | Nurse Practitioner | 1401 Centerville Rd Ste 202, Tallahassee, FL 32308-4638 | 2017-11-09 |
| 1235542192 | Briana Nicole Thompson | Obstetrics & Gynecology | 1401 Centerville Rd Ste 202, Tallahassee, FL 32308 | 2014-06-09 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912468323 | Gynecology & Obstetrics Associates of Tallahassee Pllc | Obstetrics & Gynecology | 1405 Centerville Rd Ste 4200, Tallahassee, FL 32308-4622 | 2019-03-28 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1386177384 | Robert Mcdavid | Obstetrics & Gynecology | 919 W Pensacola St, Tallahassee, FL 32304-8037 | 2017-04-06 |
| 1710148853 | Dorothy Duryea White | Obstetrics & Gynecology | 1405 Centerville Road, Ste 4200, Tallahassee, FL 32308 | 2008-06-20 |
| 1346410263 | Alfredo Nova Pa | Obstetrics & Gynecology | 1405 Centerville Rd Ste 4000, Tallahassee, FL 32308-4648 | 2008-03-06 |
| 1669666764 | Alex Davenport Md PC | Obstetrics & Gynecology | 2418 E Plaza Drive, Tallahassee, FL 32308-5301 | 2007-08-31 |
| 1083817308 | Robert Lesllie Steele, Sr | Obstetrics & Gynecology | 2830 Cline St, Tallahassee, FL 32308-0814 | 2007-06-06 |
| 1275734881 | Efren L Baltazar | Obstetrics & Gynecology | 2571 Executive Center Circle East, Howard Building Division of Disability Determination, Tallahassee, FL 32321 | 2007-05-30 |
| 1265650766 | Shawn Robert Ramsey | Obstetrics & Gynecology | 2414 E Plaza Dr, Tallahassee, FL 32308-5301 | 2007-04-23 |
| 1962561084 | Acquinonette Nicole Bryant | Obstetrics & Gynecology | 1983 Centre Pointe Blvd, Suite 104, Tallahassee, FL 32308-7822 | 2006-12-06 |
| 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.