DR. SUJANA REDDY (NPI# 1811126253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811126253 |
| Entity Type | Individual |
| Full Name | DR. SUJANA REDDY |
| Credential | M.D. |
| Practice Address |
15901 Bass Rd Suite 102 Fort Myers FL 33908-3838 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393439890 |
| Practice Fax Number | 2393439898 |
| Mailing Telephone | 2393439890 |
| Mailing Fax Number | 2393439898 |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
LP01814 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 005970100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942348081 | Sujana Karra Reddy | Internal Medicine | 3601 Tvc, Nashville, TN 37232-0001 | 2007-02-01 |
| Street Address |
15901 BASS RD SUITE 102 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851819 | Tammy L Mccarty | Clinical Nurse Specialist | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2005-06-14 |
| 1174877104 | Kathleen N Tenrreiro | Nurse Practitioner | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2012-10-29 |
| 1821397456 | Natalie A Gillson | Psychiatry & Neurology | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908 | 2011-03-22 |
| 1992943781 | Guillermo A Philipps | Psychiatry & Neurology | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908-3838 | 2009-02-02 |
| 1336390970 | Melissa I Lee | Obstetrics & Gynecology | 15901 Bass Rd, Suite 100, Fort Myers, FL 33908-3838 | 2008-10-01 |
| 1326250523 | Dina Belachew Pearson | Pediatrics | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2007-05-03 |
| 1336368927 | Britt Allen Stroud | Psychiatry & Neurology | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908-3838 | 2007-04-24 |
| 1093875106 | Sheila Margaret Rossell | Nurse Practitioner | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908-3838 | 2006-12-11 |
| 1265444715 | Asjad U Khan | Pediatrics | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2006-08-13 |
| 1750313102 | Denise M Waszkowski | Advanced Practice Midwife | 15901 Bass Rd, Fort Myers, FL 33908-3838 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1023278645 | Cayce Jehaimi | Pediatrics | 15901 Bass Rd Ste 102, Fort Myers, FL 33908-3838 | 2008-06-17 |
| 1265444715 | Asjad U Khan | Pediatrics | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891359998 | Kids and Families Medical Clinic LLC | Pediatrics | 12086 Fort Caroline Rd Ste 404, Jacksonville, FL 32225-7640 | 2019-04-24 |
| 1942438767 | Lisa Erin Kenigsberg Fechter | Pediatrics | 9600 W Sample Rd Ste 505, Coral Springs, FL 33065-4037 | 2009-07-01 |
| 1063671212 | Miladys Miriam Palau Collazo | Pediatrics | 9401 Sw Discovery Way Ste 102, Port Saint Lucie, FL 34987-2381 | 2008-06-03 |
| 1043417421 | Omar Dean Hudson | Pediatrics | 1223 Gateway Dr Ste 1g, Melbourne, FL 32901-2607 | 2007-06-29 |
| 1790987964 | Konda Mohan Reddy | Pediatrics | 1801 Lee Rd Ste 170, Winter Park, FL 32789 | 2007-06-01 |
| 1477764207 | Sissi Cossio | Pediatrics | 7605 N State Rd 7, Parkland, FL 33067 | 2007-05-24 |
| 1588701379 | Samuel M Freedman | Pediatrics | 601 N Flamingo Rd Ste 207, Pembroke Pines, FL 33028-1009 | 2007-01-31 |
| 1326116443 | Kelly J Seiler | Pediatrics | 10383 Hagen Ranch Rd Ste 200, Boynton Beach, FL 33437-3782 | 2006-11-30 |
| 1447324744 | Luis E Gonzalez-mendoza | Pediatrics | 3100 Sw 62nd Ave Ste 122, Miami, FL 33155-3009 | 2006-11-20 |
| 1538240320 | Amid Habib | Pediatrics | 789 Douglas Ave, Suite 137, Altamonte Springs, FL 32714 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on DR. SUJANA REDDY.
| 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.