DR. TEDDY WALLACE BROWN JR. (NPI# 1588640015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588640015 |
| Entity Type | Individual |
| Full Name | DR. TEDDY WALLACE BROWN JR. |
| Credential | MD |
| Practice Address |
4655 Keysville Ave Spring Hill FL 34608-3516 |
| Mailing Address |
10002 Princess Palm Ave Ste 332 Tampa FL 33619-8327 |
| Practice Telephone | 3526880800 |
| Practice Fax Number | 3526880468 |
| Mailing Telephone | 8135717184 |
| Mailing Fax Number | 8136544695 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2019-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | TP896 | KY | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | ME85915 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 265323100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1818 Short Branch Dr Ste 103, Trinity, FL 346554425 | 3526880800 | 3526880468 |
| 4714 N Armenia Ave Ste 200, Tampa, FL 336032603 | 8138728794 | 8138791652 |
| 911 By Pass Road, Clinic 9, Pikeville, KY 415011689 | 6062183500 | 6062184562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164629622 | Teddy Brown | Social Worker | 118 W Spring St, Neosho, MO 64850-1720 | 2007-06-28 |
| Street Address |
4655 KEYSVILLE AVE |
| City | SPRING HILL |
| State | FL |
| Zip Code | 34608-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073955423 | Kimberly Sue Lamb | Audiologist | 4655 Keysville Ave, Spring Hill, FL 34608-3516 | 2013-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194227967 | Christina Lee O'connor | Nurse Anesthetist, Certified Registered | 10046 Hayward Rd, Spring Hill, FL 34608 | 2018-03-07 |
| 1003342114 | Kaitlyn Peters | Physical Therapy Assistant | 11236 Norvell Rd, Springhill, FL 34608 | 2017-05-10 |
| 1962855932 | Elizabeth Bair | Speech-Language Pathologist | 5136 Florentine Ct, Spring Hill, FL 34608 | 2016-07-14 |
| 1104209022 | Shirley Ann Malone | Home Health Aide | 2092 Landover Blvd, Spring Hill, FL 34608 | 2015-07-09 |
| 1508243155 | Ana Del Carmen Argueta | Pharmacist | 11092 Spring Hill Drive, Spring Hill, FL 34608 | 2015-05-04 |
| 1497151807 | Melissa Mayes | Occupational Therapist | 7045 Evergreen Trail, Spring Hill, FL 34608 | 2014-11-12 |
| 1194075218 | Stephanie S Andrews | Speech-Language Pathologist | 2939 Landover Blvd, Spring Hill, FL 34608 | 2012-09-17 |
| 1720317266 | Cezar Dungca Enriquez | Physical Therapist | 7030 Atria Evergreen Woods Trail, Spring Hill, FL 34608 | 2009-12-11 |
| 1922284363 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 5181 Pepper Street, Spring Hill, FL 34608 | 2008-01-16 |
| 1023187960 | Hoka Lisa Nyanda | Dermatology | 11021 Spring Hill Dr, Spring Hill, FL 34608 | 2006-11-07 |
| Find all providers in zip 34608 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801014253 | Beacon Head and Neck Clinic, Pa | Otolaryngology | 120 Medical Blvd Ste 100, Spring Hill, FL 34609-0221 | 2007-04-23 |
| 1124367511 | Hoa Van Nguyen | Otolaryngology | 3510 Mariner Blvd, Spring Hill, FL 34609-2492 | 2013-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870977 | Shanmugasundaram, Venkatachalam | Otolaryngology | 10131 W Forest Hill Blvd Ste 201, Wellington, FL 33414-6109 | 2020-04-24 |
| 1851910517 | Daniel Oswaldo Manrique | Otolaryngology | 325 Saddle Ridge Dr, Davenport, FL 33896-8176 | 2020-04-13 |
| 1932735768 | Martin Alvin Shugar | Otolaryngology | 3850 Hollywood Blvd Ste 401, Hollywood, FL 33021-6746 | 2020-03-12 |
| 1396219242 | North Broward Hospital Distric T | Otolaryngology | 1801 W Sample Rd Ste 101, Deerfield Beach, FL 33064-1370 | 2019-01-14 |
| 1356811194 | Donald Lee Roberts | Otolaryngology | 4251 Commons Dr W Unit 5211, Destin, FL 32541-8636 | 2018-12-04 |
| 1275022238 | Mary Teresa Garrish | Otolaryngology | 405 Sims Way, Merritt Island, FL 32952-5233 | 2018-05-05 |
| 1437658671 | Baptist Ent Specialists Inc | Otolaryngology | 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 | 2018-02-02 |
| 1467970368 | Portela E.n.t., Pa | Otolaryngology | 3100 Sw 62nd Ave Ste 124, Miami, FL 33155-3009 | 2017-08-31 |
| 1427414358 | Rufus Madison Holloway Jr. | Otolaryngology | 1616 Lake Shore Drive, Orlando, FL 32803 | 2016-01-07 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| Find all providers with the same taxonomy | ||||
| City | SPRING HILL |
| Zip Code | 34608 |
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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.