DR. MEDNEY TARDY JR. (NPI# 1811305568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811305568 |
| Entity Type | Individual |
| Full Name | DR. MEDNEY TARDY JR. |
| Credential | MD |
| Practice Address |
651 Jacana Cir Naples FL 34105-7400 |
| Practice Telephone | 2393988471 |
| Mailing Telephone | 2393988471 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
01019128A | IN | Allopathic & Osteopathic Physicians |
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
336.009854 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
651 JACANA CIR |
| City | NAPLES |
| State | FL |
| Zip Code | 34105-7400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346593647 | Derek Paul Wimmer | Physician Assistant | 1410 Mariposa Circle #105, Naples, FL 34105 | 2012-10-24 |
| 1851522007 | Excel Physical Therapy of Naples, Inc. | Physical Therapist | 13020 Livingston Rd., Suite #9, Naples, FL 34105 | 2009-08-06 |
| 1902057235 | Dewayne Lockhart Jr. | Anesthesiology | 3555 Kraft Rd Suite 120, Naples, FL 34105 | 2008-10-06 |
| 1578789830 | John Urban Peters | Family Medicine | 4745 Europa Dr, Naples, FL 34105 | 2007-04-17 |
| 1386799534 | Suncoast Dental Center | Dentist | 13040 Livingston Rd Suite 3, Naples, FL 34105 | 2007-01-25 |
| 1326198862 | Amanda Weaver | Specialist/Technologist | 1220 Reserve Way, #306, Naples, FL 34105 | 2007-01-10 |
| 1093813669 | Jeffrey Michael Rosenfield | Emergency Medicine | 13030 Livingston Road, Suite 3, Naples, FL 34105 | 2006-09-20 |
| 1871916486 | Anik Lauzon | Physical Therapist | 13020 Livingston Rd, #9, Naples, FL 34105 | 2014-02-03 |
| 1578581773 | Mark Goldstein | Internal Medicine | 132 Moorings Park Dr, Naples, FL 34105 | 2006-07-17 |
| 1851454094 | Moorings Park Community Health | Clinic/Center | 111 Moorings Park Dr, Naples, FL 34105-2118 | 2006-12-19 |
| Find all providers in zip 34105 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972539237 | Anurag Agarwal | Otolaryngology | 1175 Creekside Pkwy Ste 100, Naples, FL 34108-2068 | 2006-06-25 |
| 1881702785 | Andrew Hawrych, M.d., P.a. | Otolaryngology | 840 111th Ave N, Suite 4, Naples, FL 34108-1877 | 2006-08-29 |
| 1245348291 | Andrew Hawrych | Otolaryngology | 840 111th Ave N, Suite 4, Naples, FL 34108-1877 | 2006-08-29 |
| 1023121936 | Richard Weaver Maloney | Otolaryngology | 11181 Health Park Blvd, Suite 1115, Naples, FL 34110-5738 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093228587 | Cosmetic Medicine Enterprises Inc | Otolaryngology | 34156 Us Hwy 19 N, Palm Harbor, FL 34684 | 2017-11-07 |
| 1205362183 | Clifton Bridges | Otolaryngology | 6970 Sunnyside Dr, Leesburg, FL 34748-9556 | 2017-05-11 |
| 1699113605 | Lebeau Clinic Pl | Otolaryngology | 1020 N Palafox St, Pensacola, FL 32501-3118 | 2013-06-12 |
| 1164867644 | Joseph Samuel Moak IIi | Otolaryngology | 1819 Salk Ave, Tavares, FL 32778-4311 | 2013-05-09 |
| 1750661328 | Jesse Andrew Burnam | Otolaryngology | 15647 Carriedale Ln, Fort Myers, FL 33912-3904 | 2011-08-26 |
| 1619276102 | Thomas Lewis Tzikas | Otolaryngology | 526 Se 5th Ave, Delray Beach, FL 33483-5213 | 2011-03-23 |
| 1356595268 | Vijay M Sharma | Otolaryngology | 601 University Blvd Ste 201, Jupiter, FL 33458-2788 | 2008-11-05 |
| 1881846731 | Anthony Bared | Otolaryngology | 6280 Sunset Dr Ste 504, South Miami, FL 33143-4870 | 2008-10-22 |
| 1700034345 | Larry Nelson Smith | Otolaryngology | 10925 Sw 27th Ave, Gainesville, FL 32608-8937 | 2008-09-08 |
| 1821251216 | Jean-paul Azzi | Otolaryngology | 4495 Military Trl Ste 202, The Palm Beach Center for Facial Plastic and Laser Surg, Jupiter, FL 33458-4818 | 2008-07-07 |
| Find all providers with the same taxonomy | ||||
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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.