DR. RICHARD LEE BRAITHWAITE (NPI# 1730107509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730107509 |
| Entity Type | Individual |
| Full Name | DR. RICHARD LEE BRAITHWAITE |
| Credential | M.D. |
| Practice Address |
1340 Ridgewood Ave Holly Hill FL 32117-2320 |
| Mailing Address |
P.o. Box 9671 Daytona Beach FL 32120-9671 |
| Practice Telephone | 3866767130 |
| Practice Fax Number | 3866767125 |
| Mailing Telephone | 3866767130 |
| Mailing Fax Number | 3866767125 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | ME90496 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | TRICARE | 1730107509 | 01 |
| FL | RAILROAD | P01348388 | 01 |
| FL | BCBS | 01636 | 01 |
| FL | VHN | 1730107509 | 01 |
| FL | 275120800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568608081 | Richard Braithwaite | Specialist | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2009-01-06 |
| Street Address |
1340 RIDGEWOOD AVE |
| City | HOLLY HILL |
| State | FL |
| Zip Code | 32117-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102159 | Johnsie Carol Grigg | Emergency Medicine | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2005-05-23 |
| 1912419342 | Karen Michelle Berkeley | Social Worker | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2017-10-25 |
| 1316396492 | Jackie S Miller | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2016-06-08 |
| 1487008538 | Nikki Dungan | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2016-04-14 |
| 1568862852 | Jeremy Wright | Physician Assistant | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2014-08-25 |
| 1881015576 | Liem Phan | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2013-12-23 |
| 1013342617 | Terri Lynn Cimmerer | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2013-09-13 |
| 1205185154 | Kaila Lauren Letizia-wang | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2012-09-06 |
| 1669742474 | Mary Flynn Boener | Social Worker | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2012-01-10 |
| 1871879437 | Lisa Nowell | Counselor | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2011-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043687767 | Nemou Medical LLC | Hospitalist | 231 Riverside Dr Unit 2309, Holly Hill, FL 32117-4964 | 2015-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927632 | Leonor Balart | Hospitalist | 4302 W Carmen St Unit 5, Tampa, FL 33609-2270 | 2020-09-19 |
| 1114484813 | Best Medical LLC | Hospitalist | 11604 Orange Palm Way, Tampa, FL 33626-4746 | 2019-02-28 |
| 1053878157 | Hospitalists One, LLC | Hospitalist | 900 S Pine Island Rd Ste 205, Plantation, FL 33324-3920 | 2019-02-25 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1538652979 | Geobel Buchillon | Hospitalist | 4308 Alton Rd Ste 860, Miami Beach, FL 33140-4558 | 2018-06-11 |
| 1619469483 | Hospitalis10 Inc | Hospitalist | 5000 W Oklnd Prk Blvd, Lauderdale Lakes, FL 33313-1503 | 2018-06-06 |
| 1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
| 1467965947 | Acure Medical Group Corp | Hospitalist | 1261 Sw 153rd Path, Miami, FL 33194-2678 | 2017-11-07 |
| 1760992317 | Casey Miller | Hospitalist | 400 Health Park Blvd Ste 221, St Augustine, FL 32086-5784 | 2017-10-10 |
| 1720598741 | Gabrielle Mount Borrero | Hospitalist | 1611 Nw 12th Ave Rm 316e, Miami, FL 33136-1005 | 2017-10-04 |
| Find all providers with the same taxonomy | ||||
| City | HOLLY HILL |
| Zip Code | 32117 |
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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.