DR. RICHARD G RODRIGUEZ (NPI# 1942264957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942264957 |
| Entity Type | Individual |
| Full Name | DR. RICHARD G RODRIGUEZ |
| Credential | M.D. |
| Practice Address |
210 Lookout Pl Maitland FL 32751-4491 |
| Practice Telephone | 4072150400 |
| Practice Fax Number | 4072150402 |
| Mailing Telephone | 4072150400 |
| Mailing Fax Number | 4072150402 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2016-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME0060714 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA | 4369420 | 01 |
| UNITED HEALTHCARE MEDICAID | 1206414 | 01 | |
| FL | UNITED HEALTHCARE | 204965420 | 01 |
| FL | AVMED | 298310 | 01 |
| CIGNA | 4400683017 | 01 | |
| FL | LICENSE | ME0060714 | 01 |
| UNITED HEALTHCARE | 937409 | 01 | |
| FL | DEA | BR2871223 | 01 |
| FL | 055953900 | 05 | |
| BLUE CROSS BLUE SHIELD | 14420 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920134 | Richard Rodriguez | Technician | 4885 E New York Ave, Las Vegas, NV 89104-6137 | 2020-04-08 |
| 1023522331 | Richard Michael Rodriguez | Pediatrics | 2205 Concord Pl, Brownsville, TX 78520-3984 | 2017-11-22 |
| 1588198352 | Richard Rodriguez | Student in an Organized Health Care Education/Training Program | 1575 5th Ave, Apt 204, San Francisco, CA 94122-3885 | 2017-04-18 |
| 1376075010 | Richard Rodriguez | Behavior Technician | 1208 71st St Apt 8, Miami Beach, FL 33141-3649 | 2017-03-31 |
| 1083065379 | Richard Rodriguez | Specialist/Technologist | 5133 Fairbanks Way, Culver City, CA 90230-4904 | 2016-06-28 |
| 1114199585 | Richard Paul Rodriguez | Case Manager/Care Coordinator | 3606 Exposition Blvd, Los Angeles, CA 90016-4822 | 2008-03-26 |
| 1497927024 | Richard Michael Rodriguez | Optometrist | 1755 Hacienda Drive, Vista, CA 92083 | 2008-03-24 |
| 1144416033 | Richard Rodriguez | Respiratory Therapist, Certified | 32725 Mira St, Menifee, CA 92584-7854 | 2007-09-24 |
| 1740474980 | Richard M. Rodriguez | Psychologist | 704 Solar Rd Nw, Albuquerque, NM 87107-5746 | 2007-08-30 |
| 1356814214 | Richard Rodriguez | Behavior Technician | 204 E 35th St, New York, NY 10016-4202 | 2019-01-03 |
| Street Address |
210 LOOKOUT PL |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751-4491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730721309 | Kara Dobson | Pediatrics | 210 Lookout Pl, Maitland, FL 32751-4491 | 2019-10-15 |
| 1811539984 | Annis Amelin Trinidad | Nurse Practitioner | 210 Lookout Pl, Maitland, FL 32751-4491 | 2019-10-10 |
| 1205335007 | Julie Ann Muser | Pediatrics | 210 Lookout Pl, Maitland, FL 32751-4491 | 2018-02-07 |
| 1285168062 | Carrollann Bailey | Nurse Practitioner | 210 Lookout Pl, Maitland, FL 32751-4491 | 2017-04-18 |
| 1649719477 | Sunshine Pediatrics of Central Florida | Pediatrics | 210 Lookout Pl, Maitland, FL 32751-4491 | 2017-02-13 |
| 1821461476 | Alicia Gomrad | Nurse Practitioner | 210 Lookout Pl, Maitland, FL 32751-4491 | 2015-11-04 |
| 1063827855 | Andrea Ethel Thayer | Registered Nurse | 210 Lookout Pl, Maitland, FL 32751-4491 | 2014-06-30 |
| 1962411744 | Sunshine Pediatrics | Pediatrics | 210 Lookout Pl, Maitland, FL 32751-4491 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1437763497 | Allstar Kids Behavioral Services, Inc | Counselor | 467 Lake Howell Rd Suite 102, Maitland, FL 32751 | 2020-09-06 |
| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
| 1184255929 | Counseling Specialists, Inc. | Counselor | 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 | 2020-01-30 |
| 1427528074 | Auricular Health Center | Clinic/Center | 237 Lookout Place, Maitland, FL 32751 | 2018-11-27 |
| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1568441947 | Brenda B Holson | Pediatrics | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2006-01-12 |
| 1619968617 | Jennifer S. Thielhelm | Pediatrics | 800 N Maitland Ave Ste 102, Maitland, FL 32751-4499 | 2005-10-31 |
| 1275522757 | Howard M. Pelteson | Pediatrics | 800 N Maitland Ave, Suite 102, Maitland, FL 32751-4489 | 2005-10-18 |
| 1730721309 | Kara Dobson | Pediatrics | 210 Lookout Pl, Maitland, FL 32751-4491 | 2019-10-15 |
| 1205335007 | Julie Ann Muser | Pediatrics | 210 Lookout Pl, Maitland, FL 32751-4491 | 2018-02-07 |
| 1649719477 | Sunshine Pediatrics of Central Florida | Pediatrics | 210 Lookout Pl, Maitland, FL 32751-4491 | 2017-02-13 |
| 1477905156 | William Keith Beckman | Pediatrics | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2016-07-06 |
| 1790136901 | Shannon T. Hicks | Pediatrics | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2016-06-29 |
| 1538521307 | John Edward Clore | Pediatrics | 100 E Sybelia Ave Ste 100, Maitland, FL 32751-4748 | 2016-03-22 |
| 1376846733 | Florida Pediatric Associates, LLC | Pediatrics | 790 Concourse Pkwy S, Suite 200, Maitland, FL 32751-6114 | 2010-12-07 |
| Find all providers in MAITLAND | ||||
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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.