DR. VICTOR WADY MELGEN (NPI# 1386693331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386693331 |
| Entity Type | Individual |
| Full Name | DR. VICTOR WADY MELGEN |
| Credential | M.D. |
| Practice Address |
765 Image Way Orange City FL 32763 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Fort Myers FL 33916-2216 |
| Practice Telephone | 3867747411 |
| Practice Fax Number | 3867747412 |
| Mailing Telephone | 2392748200 |
| Mailing Fax Number | 2392783350 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ME52934 | FL | Other Service Providers |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
ME52934 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | UNITED HEALTHCARE | 1227562 | 01 |
| FL | FLORIDA HEALTHCARE | 006583 | 01 |
| FL | AETNA PPO | 4534587 | 01 |
| FL | MEDICAL LICENSE | ME 52934 | 01 |
| FL | CIGNA HEALTHCARE | 3968419008 | 01 |
| FL | HMO | 700979 | 01 |
| FL | PALMETTO GBA | P00178570 | 01 |
| FL | 035004400 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 07806 | 01 |
| FL | AVMED HEALTHCARE | 214866 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2572 W State Road 426 Ste 3080, Oviedo, FL 327658312 | 4075652192 | 4075652285 |
| 805 Currency Cir, Lake Mary, FL 327462115 | 4078046133 | 8664479143 |
| 810 N Spring Garden Ave Ste 100, Deland, FL 327203106 | 3869439446 | 3869439385 |
| Street Address |
765 IMAGE WAY |
| City | ORANGE CITY |
| State | FL |
| Zip Code | 32763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447211818 | Lynn Van Ummersen | Internal Medicine | 765 Image Way, Orange City, FL 32763-8399 | 2006-03-28 |
| 1255984175 | Ana Paula Marcolina | Nurse Practitioner | 765 Image Way, Orange City, FL 32763-8399 | 2019-07-19 |
| 1700340130 | Courtney Nicole Allen | Nurse Practitioner | 765 Image Way, Orange City, FL 32763-8399 | 2019-01-30 |
| 1679825921 | Elisabeth Sosa | Nurse Practitioner | 765 Image Way, Orange City, FL 32763-8399 | 2012-10-11 |
| 1295023372 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 765 Image Way, Orange City, FL 32763-8399 | 2011-07-11 |
| 1033400791 | Sarah Jane Atkins | Nurse Practitioner | 765 Image Way, Orange City, FL 32763-8399 | 2011-04-28 |
| 1942436928 | Kottapurath K Kunjumoideen | Internal Medicine | 765 Image Way, Orange City, FL 32763-8399 | 2009-06-04 |
| 1598935595 | Tara Monette | Nurse Practitioner | 765 Image Way, Orange City, FL 32763-8399 | 2008-03-05 |
| 1477744456 | Olivia S Willey | Physician Assistant | 765 Image Way, Orange City, FL 32763-8399 | 2007-08-06 |
| 1902903172 | Advanced Hematology and Oncology Centers | Specialist | 765 Image Way, Orange City, FL 32763-8399 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852783 | Khushboo Patel | Nurse Practitioner | 915 Harley Strickland Blvd, Orange City, FL 32763 | 2019-10-15 |
| 1598325466 | Steves Hearingllc | Hearing Aid Equipment | 742 N Volucia Ave., Orange City, FL 32763 | 2019-06-13 |
| 1740762194 | Jamie Elizabeth Price | Speech-Language Pathologist | 2705 Rebecca Lane Suite B, Orange City, FL 32763 | 2018-09-02 |
| 1841771821 | Ashley Katherine Taylor | Early Intervention Provider Agency | 358 W Wisconsin Ave, Orange City, FL 32763 | 2018-08-27 |
| 1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
| 1588198733 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1320 Saxon Blvd, Orange City, FL 32763 | 2017-04-14 |
| 1629515333 | Anewerface, Inc | Clinic/Center | Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 | 2017-01-20 |
| 1184073322 | Carolyn Ann Damato | Specialist/Technologist, Other | 1350 13th Street, Orange City, FL 32763 | 2016-06-08 |
| 1225451784 | Shamika Spencer | Nurse Practitioner | 932 Saxon Blvd Ste A, Orange City, FL 32763 | 2014-02-03 |
| 1972882314 | Orange City Anesthesia Services LLC | Anesthesiology | 975 Town Center Dr Ste 100, Orange City, FL 32763 | 2011-08-16 |
| Find all providers in zip 32763 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447211818 | Lynn Van Ummersen | Internal Medicine | 765 Image Way, Orange City, FL 32763-8399 | 2006-03-28 |
| 1295023372 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 765 Image Way, Orange City, FL 32763-8399 | 2011-07-11 |
| 1902868789 | Roderick Ropheo Lazo Paras | Internal Medicine | 2776 Enterprise Rd # 100, Orange City, FL 32763-8316 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079648 | The Oncology Institute Fl, LLC | Internal Medicine | 2105 W Watrous Ave, Tampa, FL 33606-3046 | 2020-09-23 |
| 1821626383 | Tampa General Medical Group Inc | Internal Medicine | 17416 Brookside Trace Ct, Tampa, FL 33647-3589 | 2020-03-31 |
| 1770143752 | Raul Vera-gimon | Internal Medicine | 10730 Nw 66th St Apt 312, Doral, FL 33178-3708 | 2019-06-20 |
| 1740748706 | 21st Century Oncology LLC | Internal Medicine | 3651 Fau Blvd Ste 100, Boca Raton, FL 33431-6489 | 2019-03-08 |
| 1699243501 | Jose Armando Villamil | Internal Medicine | 8356 Sw 40th St Ste J, Miami, FL 33155-3356 | 2018-11-08 |
| 1790287878 | South Florida Cancer Institute | Internal Medicine | 1005 Marina Mile Blvd, Fort Lauderdale, FL 33315-2433 | 2018-03-05 |
| 1912350596 | Gilberto Lopes | Internal Medicine | 8345 Nw 66th St # 9886, Miami, FL 33195-2696 | 2016-07-19 |
| 1013382399 | Neil Howard Love | Internal Medicine | 2 S Biscayne Blvd, Ste 3600, Miami, FL 33131-1806 | 2015-12-11 |
| 1790115681 | Calvin Collins Jr. | Internal Medicine | 4403 Vineland Rd, Suite B5, Orlando, FL 32811 | 2013-11-14 |
| 1275895047 | Ira D Stein | Internal Medicine | 19 Jewfish Ave, Key Largo, FL 33037-4711 | 2012-06-08 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE CITY |
| Zip Code | 32763 |
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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.