SOUTHEASTERN UROLOGICAL CENTER PA (NPI# 1588602999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588602999 |
Entity Type | Organization |
Organization Name | SOUTHEASTERN UROLOGICAL CENTER PA |
Practice Address |
2000 Centre Pointe Blvd Tallahassee FL 32308-4894 |
Practice Telephone | 8503090400 |
Practice Fax Number | 8503090404 |
Mailing Telephone | 8503090400 |
Mailing Fax Number | 8503090404 |
Enumeration Date | 2006-06-04 |
Last Update Date | 2012-04-13 |
Authorized Official Name | MRS. RITA LEDLOW (BUSINESS OFFICE MANAGER) |
Authorized Official Telephone | 8503090400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBS | 10265 | 01 |
Street Address |
2000 CENTRE POINTE BLVD |
City | TALLAHASSEE |
State | FL |
Zip Code | 32308-4894 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487639969 | Jon J Soble | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2005-12-07 |
1588102081 | Stephanie Derouin | Nurse Practitioner | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2017-02-03 |
1023480217 | Advanced Urology Institute, LLC | Non-Pharmacy Dispensing Site | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2015-10-27 |
1346621992 | Michele Lee Martinez | Nurse Practitioner | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2015-06-09 |
1407249402 | Harold Jackson | Nurse Practitioner | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2015-03-15 |
1750492849 | Gregory Edward Lamendola | Orthopaedic Surgery | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2006-08-31 |
1679594402 | David Evan Burday | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2006-07-21 |
1912950296 | Jamey Alan Sarvis | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2006-05-18 |
1891746863 | Rebecca Hankins-ivey | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308 | 2006-05-15 |
1801844386 | Southeastern Urological Partners Ltd | Clinic/Center | 2000 Centre Pointe Blvd, Tallahassee, FL 32308 | 2006-05-05 |
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 | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447213467 | Charles Warren Yowell | Urology | 1633 Physicians Dr, Tallahassee, FL 32308-4620 | 2006-04-10 |
1487639969 | Jon J Soble | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2005-12-07 |
1912261884 | David Durant Miles Jr. | Urology | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2012-06-26 |
1679594402 | David Evan Burday | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2006-07-21 |
1396791133 | Byron Blasko | Urology | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2006-05-25 |
1912950296 | Jamey Alan Sarvis | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2006-05-18 |
1891746863 | Rebecca Hankins-ivey | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308 | 2006-05-15 |
1740246768 | Julie K Holt | Urology | 2000 Centre Pointe Blvd, Southeastern Urological Center Pa, Tallahassee, FL 32308 | 2006-04-26 |
1083678254 | Joseph Levonne Camps | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2006-04-14 |
1871557165 | Robert Steward Bradford | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2006-04-13 |
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.