KEMBUKEM AMADI (NPI# 1871857276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871857276 |
| Entity Type | Individual |
| Full Name | KEMBUKEM AMADI |
| Credential | M.D. |
| Practice Address |
9981 S Healthpark Dr # 2-west Fort Myers FL 33908-3618 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2343432052 |
| Practice Fax Number | 2393435348 |
| Mailing Telephone | 2394241449 |
| Mailing Fax Number | 2394241421 |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | C10012939 | DE | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 57992 | TN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 081653 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 51687 | KY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 35.134448 | OH | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | ME125082 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2776 Cleveland Ave, Fort Myers, FL 339015855 | 2394241449 | 2394241421 |
| Street Address |
9981 S HEALTHPARK DR # 2-WEST |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265561369 | Daniel Delatorre | Internal Medicine | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2007-03-05 |
| 1093106239 | Fredrick Cadet | Internal Medicine | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2015-02-10 |
| 1104195973 | Leopoldo Daniel Duluc Vega | Internal Medicine | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2011-12-22 |
| 1083900476 | Ernesto Jose Badui Cantisano | Internal Medicine | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2011-06-23 |
| 1821384504 | Edwin Miguel Alberto Mercedes | Internal Medicine | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2011-06-22 |
| 1063716041 | Beatrice L Mohr | Nurse Practitioner | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2011-01-05 |
| 1467764381 | Elie Jose Checo Heinsen | Internal Medicine | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2010-07-08 |
| 1356583785 | Samina Azam | Internal Medicine | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2009-03-31 |
| 1619129350 | Kristina Bedynerman | Psychiatry & Neurology | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2008-10-14 |
| 1831382340 | Khaza Chowdhury | Internal Medicine | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2007-08-20 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404809 | Rhc Ft Myers LLC | Family Medicine | 7051 Cypress Ter Ste 106, Fort Myers, FL 33907-8801 | 2020-10-13 |
| 1295373660 | Caloosa Medical Center, LLC | Family Medicine | 14651 Palm Beach Blvd Ste 100, Fort Myers, FL 33905-2331 | 2019-12-17 |
| 1669945119 | Cleveland Rehabilitation Center, LLC | Family Medicine | 35 Barkley Cir Ste 1&2, Fort Myers, FL 33907-7601 | 2019-01-08 |
| 1003388083 | Annie Taylor Millis | Family Medicine | 15420 Cemetery Rd, Fort Myers, FL 33905-7532 | 2019-01-01 |
| 1194189852 | Hailon Wong | Family Medicine | 2780 Cleveland Ave Ste 8709, Fort Myers, FL 33901-5858 | 2016-04-08 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1801154794 | Ashley M Warmoth | Family Medicine | 12545 New Brittany Blvd Ste 26, Fort Myers, FL 33907-3625 | 2012-04-27 |
| 1699055376 | Health Bridges Medical Center | Family Medicine | 4380 Cleveland Ave, C3, Fort Myers, FL 33901 | 2011-08-25 |
| 1548587025 | Carl Russell Gillette | Family Medicine | 15448 Fiddlesticks Blvd, Fort Myers, FL 33912-4022 | 2010-04-23 |
| 1982920625 | Locums Doc Inc | Family Medicine | 8772 Tropical Ct, Fort Myers, FL 33908-9240 | 2010-04-19 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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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.