DR. DIANE M MAGEAU (NPI# 1679746135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679746135 |
| Entity Type | Individual |
| Full Name | DR. DIANE M MAGEAU |
| Credential | DO |
| Practice Address |
201 Magnolia Ave Sw Winter Haven FL 33880-2943 |
| Mailing Address |
47 5th St Nw Winter Haven FL 33881-4672 |
| Practice Telephone | 8662348534 |
| Mailing Telephone | 8632297970 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | OS11324 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 012762700 | 05 |
| Street Address |
201 MAGNOLIA AVE SW |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33880-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842240 | Reginald A Allen | Urology | 201 Magnolia Ave Sw, Winter Haven, FL 33880 | 2005-06-24 |
| 1396200374 | Yamilet Pena | Dental Hygienist | 201 Magnolia Ave Sw, Winter Haven, FL 33880-2943 | 2019-02-05 |
| 1164907135 | Alesha Woolman | Dental Hygienist | 201 Magnolia Ave Sw, Winter Haven, FL 33880-2943 | 2018-09-26 |
| 1346729068 | Central Florida Health Care Inc | Non-Pharmacy Dispensing Site | 201 Magnolia Ave Sw, Winter Haven, FL 33880-2943 | 2018-08-13 |
| 1508215245 | Central Florida Health Care, Inc. | Pediatrics | 201 Magnolia Ave Sw, Winter Haven, FL 33880-2943 | 2016-06-03 |
| 1760841159 | Central Florida Health Care, Inc. | Dentist | 201 Magnolia Ave Sw, Winter Haven, FL 33880-2943 | 2016-02-15 |
| 1134586043 | Central Florida Health Care, Inc. | Clinic/Center | 201 Magnolia Ave Sw, Winter Haven, FL 33880-2943 | 2016-01-22 |
| 1659757946 | Sara Baker | Nurse Practitioner | 201 Magnolia Ave Sw, Winter Haven, FL 33880-2943 | 2015-08-10 |
| 1598142721 | Heather Mckently | Pediatrics | 201 Magnolia Ave Sw, Winter Haven, FL 33880-2943 | 2015-04-27 |
| 1851607766 | Archana Antony | Dentist | 201 Magnolia Ave Sw, Winter Haven, FL 33880-2943 | 2010-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
| 1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
| 1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
| 1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
| 1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
| 1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
| 1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
| 1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
| 1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
| 1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
| Find all providers in zip 33880 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
| 1760525471 | Mehar M Siddiqui | Pediatrics | 2544 Partridge Dr, Winter Haven, FL 33884-3035 | 2007-02-14 |
| 1275681736 | Raul Barroso | Pediatrics | 550 Pope Ave Nw Ste 100, Winter Haven, FL 33881-4679 | 2007-01-08 |
| 1699738013 | David J Green | Pediatrics | 7000 State Road 544, Suite 7, Winter Haven, FL 33881-9536 | 2006-04-07 |
| 1295704633 | Liana Sanchez | Pediatrics | 101 Avenue C Nw, Winter Haven, FL 33881-4527 | 2006-03-17 |
| 1760451132 | Elsa P Nelson | Pediatrics | 419 Flagler Rd, Winter Haven, FL 33884-1002 | 2006-03-16 |
| 1396719506 | Norah Maria Smith | Pediatrics | 550 Pope Ave Nw # 100, Winter Haven, FL 33881-4679 | 2006-02-14 |
| 1811986201 | Karin L Miller | Pediatrics | 400 Avenue K Se Ste 6, Winter Haven, FL 33880-4123 | 2005-10-18 |
| 1083618698 | Raul Alvarez Jr. | Pediatrics | 430 E Central Ave, Winter Haven, FL 33880-3050 | 2005-06-10 |
| 1538163159 | Donald Eason | Pediatrics | 1119 Interlochen Blvd, Winter Haven, FL 33884-3707 | 2005-06-10 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33880 |
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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.