DR. MELVIN EMEKA OMODON


Address: 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019
Phone: 8636807000

DR. MELVIN EMEKA OMODON (NPI# 1902192438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902192438
Entity Type Individual
Full Name DR. MELVIN EMEKA OMODON
Credential M.D.
Practice Address 1600 Lakeland Hills Blvd
Lakeland
FL 33805-3019
Practice Telephone 8636807000
Practice Fax Number 8662648519
Mailing Telephone 8636807000
Mailing Fax Number 8662648519
Enumeration Date 2011-06-23
Last Update Date 2019-06-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207T00000X Neurological Surgery 4301099187 MI Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
269481 MA Allopathic & Osteopathic Physicians
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
ME140585 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 1600 LAKELAND HILLS BLVD
City LAKELAND
State FL
Zip Code 33805-3019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316940695 Watson Clinic LLP Internal Medicine 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 2005-05-31
1134720261 Hope Dukes Family Medicine 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 2020-11-04
1659994259 Jessica Lynn Garber Physician Assistant 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 2020-05-19
1427681410 Paula Suryani Wibowo Nurse Practitioner 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 2020-02-18
1932739828 Ashley Duncan Nurse Anesthetist, Certified Registered 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 2020-01-21
1285273672 Nicholas Skulimoski Nurse Anesthetist, Certified Registered 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 2020-01-02
1134779812 Mallory Bastian Physician Assistant 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 2019-09-16
1730741356 Kellie L. Smaidi Nurse Anesthetist, Certified Registered 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 2019-07-03
1982265864 Alexandra Starzhevskiy Nurse Practitioner 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 2019-06-22
1548829666 Ashley Nicole Craig Nurse Practitioner 1600 Lakeland Hills Blvd, Lakeland, FL 33805 2019-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477188704 Ernie Tairon Lugo Nursing Home Administrator 5210 State Road N 33, Lot 8, Lakeland, FL 33805 2020-03-06
1912546631 Francis Esperanzate Physical Therapist 5070 Menlo Parke Way, Lakeland, FL 33805 2019-12-27
1689232514 Anointed Touch Home Health 617 S Robson Street, Lakeland, FL 33805 2019-06-05
1083160642 Cherlande Pierre Chiropractor 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 2016-09-01
1992251706 Damaris Salmeron Physical Therapy Assistant 3127 Us Hwy 98 N, Lakeland, FL 33805 2016-08-31
1831589076 Sarah Mcneill Pharmacist 3124 Lakeland Hills Blvd, Lakeland, FL 33805 2015-01-26
1750706479 Alison M Busby Counselor Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 2014-03-04
1174872907 William Vargas, M.d. P. A. Anesthesiology 202 Parkview Place, Lakeland, FL 33805 2012-09-07
1184998056 Eduardo Francisco Lopez Garcia Internal Medicine 135 E First Street, Lakeland, FL 33805 2012-02-24
1255625513 Navdeep Singh Jassal Physical Medicine & Rehabilitation 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 2011-06-04
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508286329 Michael Nagib Radiology 3021 Lakeland Highlands Rd, Lakeland, FL 33803-4339 2014-04-19
1427220235 Folayan Fatade Radiology 1600 Lakeland Hills Blvd, Lakeland, FL 33805 2008-04-01
1124080668 David M Epstein Radiology 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 2006-04-03
1770555641 Carol Johnson Ebersole Radiology 1600 Lakeland Hills Blvd, Lakeland, FL 33805 2006-02-06
1407827611 Evan Chambers Radiology 1600 Lakeland Hills Blvd, Lakeland, FL 33805 2006-01-27
1316918527 John R Bradshaw Radiology 1600 Lakeland Hills Blvd, Lakeland, FL 33805 2006-01-27
1861463069 Jerome Gerard Scavone Radiology 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 2006-01-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871100917 Emergency and Interventional Specialists, Inc Radiology 5626 Gulf Dr Ste 100, New Port Richey, FL 34652-4020 2020-09-23
1548879794 Vascular Specialist of Venice and Sarasota Pl Radiology 6600 University Parkway, #102, Sarasota, FL 34240 2020-07-23
1164060497 Advanced Vascular Cardiac & Veins, Pllc Radiology 7480 Bird Rd Ste 560, Miami, FL 33155-6657 2019-12-17
1801437041 Premier Interventional & Diagnostic Radiology, Corp Radiology 8495 Sw 56th St, Miami, FL 33155-5426 2019-09-30
1003476169 Hss-florida Physicians LLC Radiology 1395 S State Road 7 Ste 410, Wellington, FL 33414-9327 2019-06-19
1003302712 Ocuflow Doppler LLC Radiology 1855 Veterans Park Drive, Naples, FL 34109 2018-07-05
1972006351 Minimally Invasive Vascular, Inc Radiology 2720 Us Highway 1 S Ste C, St Augustine, FL 32086-6301 2018-03-13
1124530761 Radiology & Imaging Specialists of Lakeland, Pa Radiology 313 W Bass St, Kissimmee, FL 34741-5011 2017-11-03
1942727516 Inspired Interventional Radiology Services LLC Radiology 11011 Sheridan St Ste 102, Hollywood, FL 33026-1501 2017-08-24
1386004901 Precision Medical Imaging and Therapeutic Institute LLC Radiology 2540 Green Forest Ln, Suite #101, Lutz, FL 33558-5388 2016-02-24
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Competitor

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City LAKELAND
Zip Code 33805

Improve Information

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Dataset Information

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.

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