CHRISTINA PROUD (NPI# 1629028832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629028832 |
| Entity Type | Individual |
| Full Name | CHRISTINA PROUD |
| Credential | MD |
| Practice Address |
8404 Us Highway 441 Leesburg FL 34788-4016 |
| Mailing Address |
Po Box 490210 Leesburg FL 34749-0210 |
| Practice Telephone | 3523518881 |
| Mailing Telephone | 8007786623 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME0078846 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL DEA LICENSE NUMBER | BP6489543 | 01 |
| FL | BLUE SHIELD PROV NUMBER | 17236 | 01 |
| Street Address |
8404 US HIGHWAY 441 |
| City | LEESBURG |
| State | FL |
| Zip Code | 34788-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194799569 | Raymond D Dominick | Emergency Medicine | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2006-02-14 |
| 1245757327 | Nicole Carter | Nurse Practitioner | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2017-08-29 |
| 1043261415 | Medical Ventures of America | Clinic/Center | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2006-05-12 |
| 1073576146 | Medical Ventures of America | Legal Medicine | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346752060 | Latoya Luella Burnette | Homemaker | 9324 Cemetery Ave, Leesburg, FL 34788 | 2017-11-03 |
| 1407396781 | Rachelle Desir | Developmental Therapist | 33242 Kaylee Way, Leesburg, FL 34788 | 2017-03-06 |
| 1184752750 | Suzanne Mary Howard | Social Worker | 33057 Professional Drive, Lake Center of Hope, Leesburg, FL 34788 | 2007-03-02 |
| 1386798460 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 10041 Us Hwy 441, Suite E, Leesburg, FL 34788 | 2007-01-23 |
| 1558412486 | Samuel Bundz Md Pa | Surgery | 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 | 2007-01-16 |
| 1174628481 | Foy Edward Dark Jr. | Chiropractor | 32629 Blossom Lane, Leesburg, FL 34788 | 2006-09-13 |
| 1033220744 | Miguel A Gonzalez | Internal Medicine | 33025 Professional Drive, Leesburg, FL 34788 | 2006-08-31 |
| 1215968821 | N Chandramohan Md Pa | Internal Medicine | 32845 Radio Road, Ste 102, Leesburg, FL 34788 | 2006-07-05 |
| 1548296361 | Endosurg Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 8100 Cr 44 Leg A, Leesburg, FL 34788 | 2006-06-23 |
| 1629014956 | Steven Joseph Nerad | Technician, Cardiology | 8135 Centralia Court, Suite 102, Leesburg, FL 34788 | 2006-06-22 |
| Find all providers in zip 34788 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033679063 | Warren Joseph Marion | Internal Medicine | 38483 Forest Mills Rd, Leesburg, VA 20175 | 2019-03-25 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1124472873 | Adam Hines | Internal Medicine | 22381 Aging Oak Dr, Leesburg, VA 20175-4836 | 2016-04-19 |
| 1154714301 | Mid-atlantic Health Service Providers | Internal Medicine | 43713 Red House Dr, Leesburg, VA 20176-1628 | 2015-03-12 |
| 1104251370 | Mid-florida Primary Care Pa | Internal Medicine | 501 North Blvd West, Leesburg, FL 34748 | 2013-09-06 |
| 1013359975 | Lake Internal Medicine Pa | Internal Medicine | 293 Bent Oak Ct, Leesburg, FL 34748-9559 | 2013-07-20 |
| 1699069898 | Sepehr Mesdaghinia | Internal Medicine | 821 S King St Ste L, Leesburg, VA 20175-3922 | 2011-06-06 |
| 1003115098 | Amir Hesam Etemadnia | Internal Medicine | 1004 N 14th St, Leesburg, FL 34748-3850 | 2011-03-16 |
| 1518285139 | Sheyla Zelaya-aragon | Internal Medicine | 33049 Professional Dr Ste 103, Leesburg, FL 34788-3705 | 2010-05-06 |
| 1073845459 | Shakti Narain Md Pa | Internal Medicine | 1070 Flagler Ave, Leesburg, FL 34748-7633 | 2010-02-09 |
| Find all providers in LEESBURG | ||||
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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.