DARREN KENDRICK ADDERLY II (NPI# 1386904522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386904522 |
| Entity Type | Individual |
| Full Name | DARREN KENDRICK ADDERLY II |
| Credential | M.D. |
| Practice Address |
12901 Bruce B Downs Blvd # 41 Tampa FL 33612-4742 |
| Practice Telephone | 8132598725 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2017-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 54818 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
12901 BRUCE B DOWNS BLVD # 41 |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-4742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407170277 | Sungjune Kim | Radiology | 12901 Bruce B Downs Blvd # 41, Moffitt Cancer Center, Tampa, FL 33612-4742 | 2010-03-23 |
| 1225471022 | Kyle Jay Stephens | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-04-10 |
| 1124361753 | Jesse Vincent Dubey | Emergency Medicine | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-04-02 |
| 1831432418 | Lindsey Marie Joseph | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-04-01 |
| 1417290206 | Marcela Fernandes Chiste | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-04-01 |
| 1174866149 | Ian Michael Martin | Pathology | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-03-28 |
| 1518200609 | Moris Laca | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-03-27 |
| 1558603761 | Alexander John Boyle | Urology | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-03-26 |
| 1942542014 | Onjin Kim | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-03-26 |
| 1982961249 | Afshan Idrees | Pathology | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2012-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1417583956 | William F Mcgrogan Md Pllc | Internal Medicine | 2919 W Swann Ave Ste 402, Tampa, FL 33609-4083 | 2020-03-17 |
| 1679120471 | Printha Md Internal Medicine Inc | Internal Medicine | 5420 Webb Rd Ste B1, Tampa, FL 33615-3255 | 2019-08-26 |
| 1184185001 | A Plus Medcare LLC | Internal Medicine | 7211 N Dale Mabry Hwy Ste 100, Tampa, FL 33614-2669 | 2019-03-26 |
| 1770040685 | Skalan LLC | Internal Medicine | 14917 Smitter Reserve Dr, Tampa, FL 33618-2205 | 2019-02-27 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1568926038 | Karadayi Health Inc | Internal Medicine | 2916 W Bayshore Ct, Tampa, FL 33611-2808 | 2019-01-29 |
| 1881178242 | Angel Medical Clinic, LLC | Internal Medicine | 8001 N Dale Mabry Hwy Ste 701, Tampa, FL 33614-3218 | 2018-09-21 |
| Find all providers in TAMPA | ||||
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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.