KYLE IKETANI (NPI# 1639550478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639550478 |
| Entity Type | Individual |
| Full Name | KYLE IKETANI |
| Credential | MD |
| Practice Address |
6500 W Newberry Rd Gainesville FL 32605 |
| Mailing Address |
Po Box 100186 Gainesville FL 32610-0186 |
| Practice Telephone | 3523334000 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2019-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME133788 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1329 Sw 16th St, Gainesville, FL 326081128 | 3522655606 |
| Street Address |
6500 W NEWBERRY RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073507000 | Yvette Bazikian | Internal Medicine | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2005-09-06 |
| 1851901110 | Bennies Medical Services LLC | Internal Medicine | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-08-03 |
| 1710515283 | Arilda Margjoni | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-31 |
| 1447888037 | Samuel Josef Leetmaa | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1578191185 | Sandra Pyda | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1699303297 | Allyson Heatwole Montalvo | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1326676941 | Benjamin Sinyor | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1164050787 | Nzinga Tafari | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1801424411 | Laura Sanchez | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1831725118 | Mohammad Farsakh Md Pa | Internal Medicine | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558883306 | Rustlewood Emergency Physicians LLC | Emergency Medicine | 4388 Nv 53rd Street Avenue, Gainesville, FL 32653 | 2017-07-13 |
| 1285169367 | Ryan Michael Luevanos | Emergency Medicine | 1147 Nw 64th, Terrace, Gainesville, FL 32605 | 2017-04-26 |
| 1477088045 | Benjamin Huston Murphy | Emergency Medicine | 3558 Nw 97th Blvd Fl 32606, Gainesville, FL 32606-7323 | 2017-04-20 |
| 1104367549 | Justine Anne Falcone | Emergency Medicine | 2490 Sw 14th Dr, Apt 24, Gainesville, FL 32608-2064 | 2017-03-18 |
| 1487008454 | Brittany Charlotte Beel | Emergency Medicine | Dept of Emergency Medicine 1329 Sw 16th St, Room 5270, Gainesville, FL 32610-0001 | 2016-04-15 |
| 1861897480 | Emergency Physicians Medical Center, LLC | Emergency Medicine | 9181 Nw 39th Ave, Gainesville, FL 32606-7372 | 2014-10-24 |
| 1124432471 | Gainesville Medical Centers | Emergency Medicine | 805 Nw 13th St, Gainesville, FL 32601-2904 | 2014-06-15 |
| 1760894497 | Jordan Bell | Emergency Medicine | 3034 Sw 98th Way, Gainesville, FL 32608-8682 | 2014-05-29 |
| 1639517972 | Charles William Hwang Jr. | Emergency Medicine | 1329-sw 16 St, Gainesville, FL 32610-0186 | 2013-06-10 |
| 1689012932 | Pratik Shashikant Patel | Emergency Medicine | 1329 Sw 16th St Ste 1210, Box 100371, Gainesville, FL 32610-0186 | 2013-06-10 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
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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.