TALLAHASSEE MEMORIAL HEALTHCARE INC (NPI# 1780025635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780025635 |
| Entity Type | Organization |
| Organization Name | TALLAHASSEE MEMORIAL HEALTHCARE INC |
| Other Organization Name | TMH PHYSICIAN PARTNERS NEUROLOGY SPECIALISTS |
| Practice Address |
1401 Centerville Road Suite 504 Tallahassee FL 32308 |
| Mailing Address |
1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 |
| Practice Telephone | 8504315037 |
| Practice Fax Number | 8504316101 |
| Mailing Telephone | 8504317021 |
| Mailing Fax Number | 8504316975 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | MR. ROBIN L MOSS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8504316256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4080 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| TMH PHYSICIAN PARTNERS NEUROLOGY SPECIALISTS | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1401 Centerville Rd Ste 506, Tallahassee, FL 323084640 | 8508783592 | 8508783970 |
| 7514 Park Springs Cir, Orlando, FL 328352619 | 4077180589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199236 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 877 3rd St Ste 3, Chipley, FL 32428-1855 | 2020-06-19 |
| 1396365623 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 2100 Centerville Rd, Tallahassee, FL 32308-4379 | 2020-04-16 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1447555743 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 4230 Hospital Dr Ste 202, Marianna, FL 32446-1955 | 2011-01-18 |
| 1558681684 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 555 North Byron Butler Parkway, Tmh Physician Partners, Perry, Perry, FL 32348-2315 | 2010-06-11 |
| 1386862852 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 1505 Surgeons Drive, Tallahassee, FL 32308 | 2007-04-23 |
| 1174539522 | Tallahassee Memorial Healthcare Inc | Home Health | 1619 Physicians Dr, Tallahassee, FL 32308-4620 | 2006-07-31 |
| 1649229402 | Tallahassee Memorial Healthcare Inc | Family Medicine | 1549 S Jefferson St, Monticello, FL 32344-1651 | 2006-05-09 |
| 1376140913 | Tallahassee Memorial Healthcare Inc | Family Medicine | 137 12th St, Apalachicola, FL 32320-2110 | 2020-10-07 |
| 1649892399 | Tallahassee Memorial Healthcare Inc | Dentist | 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 | 2020-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TALLAHASSEE MEMORIAL HEALTHCARE INC | 2039 N Monroe St, Tallahassee, FL 32303-4727 |
| Street Address |
1401 CENTERVILLE ROAD SUITE 504 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689634388 | Wade G Douglas | Surgery | 1401 Centerville Road, Suite 100, Tallahassee, FL 32308-3656 | 2006-03-25 |
| 1902353923 | Megan M May | Nurse Practitioner | 1401 Centerville Road, Suite 600, Tallahassee, FL 32308 | 2016-09-07 |
| 1710120183 | Alexander Ramirez Valderrama | Surgery | 1401 Centerville Road, Suite 100, Tallahassee, FL 32308-4638 | 2009-04-14 |
| 1336218791 | Idella Anne Struk | Nurse Practitioner | 1401 Centerville Road, Suite 600, Tallahassee, FL 32308 | 2006-11-07 |
| 1265512883 | Richard L Zorn | Surgery | 1401 Centerville Road, Suite 100, Tallahassee, FL 32308 | 2006-10-17 |
| 1669552519 | Southeastern Surgical Group Pa | Surgery | 1401 Centerville Road, Suite 100, Tallahassee, FL 32308 | 2006-10-16 |
| 1881787430 | Susan D Fischera | Nurse Practitioner | 1401 Centerville Road, Suite 100, Tallahassee, FL 32308 | 2006-10-02 |
| 1831282490 | Robert D Snyder | Surgery | 1401 Centerville Road, Suite 100, Tallahassee, FL 32308 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104071703 | Edmund Molis | Psychiatry & Neurology | 904 Hillcrest Ct, Tallahassee, FL 32308-5060 | 2008-11-24 |
| 1558467431 | Richard E Blackburn | Psychiatry & Neurology | 2868 Mahan Dr, Suite 5, Tallahassee, FL 32308-5468 | 2006-09-16 |
| 1972548279 | Jaroslaw Lucas Koberda | Psychiatry & Neurology | 4838 Kerry Forest Pkwy, Tallahassee, FL 32309-2272 | 2006-06-19 |
| 1134196215 | Winston R Ortiz | Psychiatry & Neurology | 1401 Centerville Rd Ste 600, Tallahassee, FL 32308-4675 | 2006-03-07 |
| 1720074610 | Roland Peter Jones | Psychiatry & Neurology | 1401 Oven Park Dr, Suite 201, Tallahassee, FL 32308-7959 | 2005-09-26 |
| 1407315948 | Southern Interventional Pain Center LLC | Psychiatry & Neurology | 1931 Welby Way Ste 4, Tallahassee, FL 32308-4473 | 2019-03-14 |
| 1427324888 | Tara Kimbason | Psychiatry & Neurology | 1401 Centerville Rd Ste 504, Tallahassee, FL 32308-4640 | 2012-03-29 |
| 1841564150 | Gery K Florek Md Pa | Psychiatry & Neurology | 1401 Centerville Rd, Suite 506, Tallahassee, FL 32308-4647 | 2012-03-05 |
| 1497047211 | Danny Estupinan | Psychiatry & Neurology | 1401 Centerville Rd Ste 600, Tallahassee, FL 32308 | 2011-05-12 |
| 1326281940 | Chaowen Chen | Psychiatry & Neurology | 1300 Miccosukee Road, Hospitalist Group, Tallahassee, FL 32308 | 2009-04-13 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on TALLAHASSEE MEMORIAL HEALTHCARE INC.
| 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.