TALLAHASSEE MEMORIAL HEALTHCARE INC (NPI# 1558310391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558310391 |
| Entity Type | Organization |
| Organization Name | TALLAHASSEE MEMORIAL HEALTHCARE INC |
| Other Organization Name | TMHPP CENTER FOR MATERNAL FETAL MEDICINE |
| Practice Address |
1401 Centerville Rd Suite 400 Tallahassee FL 32308-4647 |
| Mailing Address |
1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 |
| Practice Telephone | 8504313360 |
| Practice Fax Number | 8504313370 |
| Mailing Telephone | 8504317021 |
| Mailing Fax Number | 8504316975 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2019-01-28 |
| Authorized Official Name | MR. ROB L MOSS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8504316256 |
| Is Organization Subpart | Y |
| Parent Organization Name | TALLAHASSEE MEMORIAL HEALTHCARE INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS GROUP # | 24766F | 01 |
| FL | 375270411 | 05 |
| Other Name | Type Code |
|---|---|
| TMHPP Center for Maternal Fetal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199236 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 877 3rd St Ste 3, Chipley, FL 32428-1855 | 2020-06-19 |
| 1396365623 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 2100 Centerville Rd, Tallahassee, FL 32308-4379 | 2020-04-16 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1447555743 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 4230 Hospital Dr Ste 202, Marianna, FL 32446-1955 | 2011-01-18 |
| 1558681684 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 555 North Byron Butler Parkway, Tmh Physician Partners, Perry, Perry, FL 32348-2315 | 2010-06-11 |
| 1386862852 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 1505 Surgeons Drive, Tallahassee, FL 32308 | 2007-04-23 |
| 1174539522 | Tallahassee Memorial Healthcare Inc | Home Health | 1619 Physicians Dr, Tallahassee, FL 32308-4620 | 2006-07-31 |
| 1649229402 | Tallahassee Memorial Healthcare Inc | Family Medicine | 1549 S Jefferson St, Monticello, FL 32344-1651 | 2006-05-09 |
| 1376140913 | Tallahassee Memorial Healthcare Inc | Family Medicine | 137 12th St, Apalachicola, FL 32320-2110 | 2020-10-07 |
| 1649892399 | Tallahassee Memorial Healthcare Inc | Dentist | 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 | 2020-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TALLAHASSEE MEMORIAL HEALTHCARE INC | 2039 N Monroe St, Tallahassee, FL 32303-4727 |
| Street Address |
1401 CENTERVILLE RD SUITE 400 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914084 | Charles G Maitland | Specialist | 1401 Centerville Rd, Suite 510, Tallahassee, FL 32308-4647 | 2005-07-05 |
| 1992287700 | Toriquic Jaba Dunkley | Nurse Practitioner | 1401 Centerville Rd, Tallahassee, FL 32308 | 2018-08-29 |
| 1063946374 | Heather Stewart | Student in an Organized Health Care Education/Training Program | 1401 Centerville Rd, Suite 107, Tallahassee, FL 32308-4647 | 2017-04-13 |
| 1275067589 | Blake Davis | Student in an Organized Health Care Education/Training Program | 1401 Centerville Rd, Suite 107, Tallahassee, FL 32308-4647 | 2017-04-13 |
| 1871027185 | Jessica Hill | Student in an Organized Health Care Education/Training Program | 1401 Centerville Rd, Suite 107, Tallahassee, FL 32308-4647 | 2017-04-13 |
| 1548713530 | David Wayne Lowery | Nurse Practitioner | 1401 Centerville Rd, Suite 5200, Tallahassee, FL 32308-4647 | 2016-07-26 |
| 1770946436 | Shlermine Aupont | Student in an Organized Health Care Education/Training Program | 1401 Centerville Rd, Suite 107, Tallahassee, FL 32308-4647 | 2016-03-31 |
| 1811359177 | Justin Lee | Student in an Organized Health Care Education/Training Program | 1401 Centerville Rd, Suite 107, Tallahassee, FL 32308-4647 | 2016-03-25 |
| 1750758132 | Jonathan Aaron Bussey | Nurse Practitioner | 1401 Centerville Rd, Suite 300, Tallahassee, FL 32308-4675 | 2015-09-01 |
| 1447633375 | Kendra Marcinowski | Nurse Practitioner | 1401 Centerville Rd, Suite 202, Tallahassee, FL 32308-4647 | 2015-07-09 |
| Find all providers in the same location | ||||
| 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 | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 |
|---|---|---|---|---|
| 1073154894 | Pamela Dickens Hill | Obstetrics & Gynecology | 2626 Capital Medical Blvd, Tallahassee, FL 32308-4402 | 2019-10-02 |
| 1407307911 | Tallahassee Perinatal Consultants LLC | Obstetrics & Gynecology | 2418 E Plaza Dr, Tallahassee, FL 32308-5301 | 2016-10-19 |
| 1851434088 | William Joseph Dobak | Obstetrics & Gynecology | 1401 Centerville Rd, Suite 400, Tallahassee, FL 32308-4647 | 2007-02-15 |
| 1871516294 | Adanna Chioma Amanze | Obstetrics & Gynecology | 2418 E Plaza Dr, Tallahassee, FL 32308-5301 | 2006-07-26 |
| 1629015102 | Roderick F Hume | Obstetrics & Gynecology | 1401 Centerville Rd, Suite 400, Tallahassee, FL 32308-4647 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568877538 | Sunshine Perinatology Specialists, M.d., P.a. | Obstetrics & Gynecology | 2310 North Blvd W, Davenport, FL 33837 | 2014-06-27 |
| 1780983114 | Maternal Fetal Medicine of Southwest Florida | Obstetrics & Gynecology | 210 Del Prado Blvd, Suite 1, Cape Coral, FL 33990-1763 | 2011-03-24 |
| 1427357854 | Maternal Fetal Medine of Sw Flordia | Obstetrics & Gynecology | 26800 S. Tamiami Tr, Suite 230, Bonita Springs, FL 34134-4390 | 2011-03-24 |
| 1336305614 | Christensen Maternal & Fetal Medicine | Obstetrics & Gynecology | 2100 Aloma Ave, Suite 100, Winter Park, FL 32792-3301 | 2008-08-06 |
| 1871782748 | Jose R Duncan Arosemena | Obstetrics & Gynecology | 2 Tampa General Cir Fl Circle6, Tampa, FL 33606-3603 | 2007-10-17 |
| 1336350446 | Amy Alicia Flick | Obstetrics & Gynecology | 15735 Pines Blvd, Pembroke Pines, FL 33027-1207 | 2007-05-24 |
| 1639214190 | Fausto Innamorati | Obstetrics & Gynecology | 780 Sw 28th Street, Fort Lauderdale, FL 33315-2643 | 2007-02-21 |
| 1831299767 | Ruel Tyrone Stoessel | Obstetrics & Gynecology | 8645 N Military Trail, Suite 508, Palm Beach Gardens, FL 33410-6296 | 2006-09-22 |
| 1891709630 | Jerry N Gilles | Obstetrics & Gynecology | 300 Se 17th Street, Suite 300, Fort Lauderdale, FL 33316 | 2006-07-28 |
| 1003837527 | Daniel George Kiefer | Obstetrics & Gynecology | 3438 Lawton Rd Ste 2a, Orlando, FL 32803 | 2006-07-21 |
| Find all providers with the same taxonomy | ||||
| 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.