SRDJAN PRODANOVICH (NPI# 1871540377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871540377 |
| Entity Type | Individual |
| Full Name | SRDJAN PRODANOVICH |
| Credential | MD |
| Practice Address |
90 Cypress Way E Suite 50 Naples FL 34110-9275 |
| Practice Telephone | 2395983200 |
| Practice Fax Number | 2395980233 |
| Mailing Telephone | 2395983200 |
| Mailing Fax Number | 2395980233 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2014-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME95851 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 276398200 | 05 | |
| FL | MEDICARE RAILROAD | P00423914 | 01 |
| FL | BCBS | 53224 | 01 |
| AETNA | 7613852 | 01 |
| Street Address |
90 CYPRESS WAY E SUITE 50 |
| City | NAPLES |
| State | FL |
| Zip Code | 34110-9275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871592360 | William George Aughton | Dentist | 90 Cypress Way E, Suite 30, Naples, FL 34110-9275 | 2005-07-18 |
| 1477928810 | Nms Weightloss Clinic II LLC | Family Medicine | 90 Cypress Way E, Suite 45, Naples, FL 34110-9275 | 2015-12-10 |
| 1609256528 | K4 Outcomes, Inc | Prosthetic/Orthotic Supplier | 90 Cypress Way E, Suite 60, Naples, FL 34110-9275 | 2015-06-05 |
| 1699043653 | Fili-mele Rodriguez | Orthotist | 90 Cypress Way E, Ste 60, Naples, FL 34110-9275 | 2011-12-06 |
| 1386972644 | Sean Patrick Carr | Dentist | 90 Cypress Way E, Suite #20, Naples, FL 34110-9275 | 2009-11-25 |
| 1144375684 | Richard Rodrigue Gingras | Orthotist | 90 Cypress Way E, Ste 60, Naples, FL 34110-9275 | 2007-01-24 |
| 1871604389 | David Jack Lesansky | Dentist | 90 Cypress Way E, #20, Naples, FL 34110-9275 | 2006-08-31 |
| 1912932732 | Oivind E Jensen | Dentist | 90 Cypress Way E, Suite #20, Naples, FL 34110-9275 | 2006-07-11 |
| 1639125735 | Advanced Dermatologic & Cosmetic Institute Inc | Dermatology | 90 Cypress Way E, Suite 50, Naples, FL 34110-9275 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235633488 | Ana Laura Leyva | Nurse Practitioner | 16010 Old 41 N Unit 102, Naples, FL 34110 | 2018-03-22 |
| 1598295495 | At Home Services of Swfl | Home Health | 161 Crown Dr, Naples, FL 34110 | 2017-06-14 |
| 1497100101 | Zumedic LLC | Nurse Practitioner | 16010 Old 41 Rd. Suite 102, Naples, FL 34110 | 2016-05-01 |
| 1386043024 | Specialty Home Health Agency | Home Health | 11983 Us Tamiami Trail North, Suite 132, Naples, FL 34110 | 2014-08-19 |
| 1457762403 | Better At Home Health Services, LLC | Home Health | 5683 Strand Court, Suite 101, Naples, FL 34110 | 2014-05-13 |
| 1447500970 | Epiphany Salon & Spa | Durable Medical Equipment & Medical Supplies | 14700 Tamiami Trail N., Suite #13, Naples, FL 34110 | 2012-09-12 |
| 1902172828 | Omar M Saleh | Internal Medicine | 2338 Immokalee Road, Naples, FL 34110 | 2012-03-25 |
| 1962785337 | Shannon Kathleen Perry | Speech-Language Pathologist | 16165 Learning Ln, Naples, FL 34110 | 2011-09-22 |
| 1417238338 | Virtus Health, LLC | Community/Behavioral Health | 90 Cypress Way E Ste 60, Naples, FL 34110 | 2011-09-06 |
| 1902113202 | Laura L Jones | Nurse Practitioner | 15450 Tamiami Trl N, Naples, FL 34110 | 2010-09-08 |
| Find all providers in zip 34110 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585447 | Alexander F Wong | Dermatology | 1300 Goodlette-frank Rd N, Naples, FL 34102-5243 | 2020-07-07 |
| 1841833928 | Carly Marie Maher | Dermatology | 90 Cypress Way E Ste 50, Naples, FL 34110-9275 | 2019-10-22 |
| 1225680317 | Joseph Onorato M.d., P.C. | Dermatology | 13800 Tamiami Trl N, Naples, FL 34110-6201 | 2019-07-10 |
| 1174987259 | John Derek Denigris Iv | Dermatology | 1000 Goodlette Frank Rd Ste 100, Naples, FL 34102-5474 | 2016-04-05 |
| 1306245980 | High Tide Dermatology Center LLC | Dermatology | 221 Harbour Dr, Naples, FL 34103-4027 | 2014-08-19 |
| 1295145100 | Bobbi Georgia Brady | Dermatology | 335 Soll St, Naples, FL 34109-3942 | 2014-04-30 |
| 1861836389 | Brandon Michael Kirsch | Dermatology | 1333 3rd Ave S Ste 501, Naples, FL 34102-6538 | 2013-04-26 |
| 1104006030 | Naples Dermatology Pa | Dermatology | 4085 Tamiami Tr N, Suite B203, Naples, FL 34103 | 2007-11-08 |
| 1285838219 | John Woolman Cox | Dermatology | 650 Bridgeway Lane, Naples, FL 34108 | 2007-06-13 |
| 1659402196 | Christopher M Buckley | Dermatology | 261 9th St S, Naples, FL 34102-6258 | 2007-03-08 |
| Find all providers in NAPLES | ||||
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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.