DR. JAMES L RADERS (NPI# 1548278245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548278245 |
| Entity Type | Individual |
| Full Name | DR. JAMES L RADERS |
| Credential | MD |
| Practice Address |
1421 Malabar Rd Ne Ste 245 Melbourne FL 32907-2586 |
| Mailing Address |
1130 S Harbor City Blvd Suite 101 Melbourne FL 32901-1966 |
| Practice Telephone | 3214348210 |
| Practice Fax Number | 3214348211 |
| Mailing Telephone | 3219144211 |
| Mailing Fax Number | 3219144212 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
ME111294 | FL | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
29481 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 107501500 | 05 | |
| FL | FL MEDICARE | MR643 | 01 |
| MN | 478877000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 880 37th Pl Ste 104, Vero Beach, FL 329606506 | 3214348210 | 3214348211 |
| Street Address |
1421 MALABAR RD NE STE 245 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32907-2586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
| 1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
| 1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
| 1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
| 1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
| 1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
| 1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
| 1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
| Find all providers in zip 32907 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073729240 | Ralph Zipper Md Pa | Obstetrics & Gynecology | 200 S Harbor City Blvd Ste 401, Melbourne, FL 32901-1389 | 2007-05-15 |
| 1578606869 | Osler Medical Inc | Obstetrics & Gynecology | 1208 S Harbor City Blvd, Melbourne, FL 32901-3207 | 2007-02-15 |
| 1568436277 | Esther Rose Clayton | Obstetrics & Gynecology | 410 N Wickham Rd Ste 201, Melbourne, FL 32935-8648 | 2006-02-17 |
| 1588648687 | Carlos Mario Oliveira | Obstetrics & Gynecology | 1223 Gateway Dr Ste 1d, Melbourne, FL 32901 | 2005-12-01 |
| 1659365401 | Diane Hermanie Mainwold | Obstetrics & Gynecology | 1318 S Pine St, Melbourne, FL 32901-3117 | 2005-09-08 |
| 1023012820 | Victor Manuel Alvarez | Obstetrics & Gynecology | 2200 W Eau Gallie Blvd, Ste 202-a, Melbourne, FL 32935-3165 | 2005-06-09 |
| 1225537731 | Benezra Gynecology | Obstetrics & Gynecology | 129 W Hibiscus Blvd, Ste A, Melbourne, FL 32901 | 2018-02-09 |
| 1780812586 | Aimee Lynn Tieu | Obstetrics & Gynecology | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2239 | 2009-06-30 |
| 1235123092 | Foster Women's Care | Obstetrics & Gynecology | 1318 S Pine St, Melbourne, FL 32901-3117 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910240 | Jeffrey M Greenberg Md Medical Services Inc | Obstetrics & Gynecology | 13324 Pond Apple Dr W, Naples, FL 34119-8556 | 2020-10-20 |
| 1497365464 | Hamel Foundation Inc | Obstetrics & Gynecology | 7777 N University Dr Ste 206, Tamarac, FL 33321-6106 | 2020-08-05 |
| 1336786466 | Manfred Emil Trostel | Obstetrics & Gynecology | 2425 Gulf of Mexico Dr Unit 8d, Longboat Key, FL 34228-3213 | 2019-12-09 |
| 1790335164 | Customized Wellness, LLC | Obstetrics & Gynecology | 131 W Center Avenue, Sebring, FL 33870 | 2019-09-17 |
| 1649737552 | Joe Walker Bancroft Jr. | Obstetrics & Gynecology | 4618 Long Bow Rd. South, Jacksonville, FL 32210-8144 | 2019-02-27 |
| 1649748666 | Kristin M Jackson LLC | Obstetrics & Gynecology | 260 Lookout Pl Ste 201, Maitland, FL 32751-4485 | 2018-11-07 |
| 1710476239 | Yvette Pereyra Ans | Obstetrics & Gynecology | 3990 Sheridan St Ste 214, Hollywood, FL 33021-3656 | 2018-05-10 |
| 1194223800 | Vandyke Md Ob/gyn Pa | Obstetrics & Gynecology | 9161 Narcoossee Rd Ste B209, Orlando, FL 32827-5764 | 2018-01-28 |
| 1538676515 | Adam Ostrzenski | Obstetrics & Gynecology | 7001 Central Ave Ste 3, St Petersburg, FL 33710-7549 | 2017-12-29 |
| 1144735945 | Judith Watson Bradfield | Obstetrics & Gynecology | 8024 Links Way, Port St Lucie, FL 34986-3035 | 2017-12-04 |
| Find all providers with the same taxonomy | ||||
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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.