DR. KOTTAPURATH K KUNJUMOIDEEN (NPI# 1942436928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942436928 |
| Entity Type | Individual |
| Full Name | DR. KOTTAPURATH K KUNJUMOIDEEN |
| Credential | MD |
| Practice Address |
765 Image Way Orange City FL 32763-8399 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credential Department Fort Myers FL 33916-2216 |
| Practice Telephone | 3867747411 |
| Practice Fax Number | 3867747412 |
| Mailing Telephone | 2392748200 |
| Mailing Fax Number | 2392783350 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2013-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036.123349 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME107876 | FL | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
336.084650 | IL | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
036123349 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002746900 | 05 | |
| IL | 036123349 | 05 |
| Street Address |
765 IMAGE WAY |
| City | ORANGE CITY |
| State | FL |
| Zip Code | 32763-8399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447211818 | Lynn Van Ummersen | Internal Medicine | 765 Image Way, Orange City, FL 32763-8399 | 2006-03-28 |
| 1255984175 | Ana Paula Marcolina | Nurse Practitioner | 765 Image Way, Orange City, FL 32763-8399 | 2019-07-19 |
| 1700340130 | Courtney Nicole Allen | Nurse Practitioner | 765 Image Way, Orange City, FL 32763-8399 | 2019-01-30 |
| 1679825921 | Elisabeth Sosa | Nurse Practitioner | 765 Image Way, Orange City, FL 32763-8399 | 2012-10-11 |
| 1295023372 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 765 Image Way, Orange City, FL 32763-8399 | 2011-07-11 |
| 1033400791 | Sarah Jane Atkins | Nurse Practitioner | 765 Image Way, Orange City, FL 32763-8399 | 2011-04-28 |
| 1598935595 | Tara Monette | Nurse Practitioner | 765 Image Way, Orange City, FL 32763-8399 | 2008-03-05 |
| 1477744456 | Olivia S Willey | Physician Assistant | 765 Image Way, Orange City, FL 32763-8399 | 2007-08-06 |
| 1902903172 | Advanced Hematology and Oncology Centers | Specialist | 765 Image Way, Orange City, FL 32763-8399 | 2006-09-20 |
| 1386693331 | Victor Wady Melgen | Specialist | 765 Image Way, Orange City, FL 32763 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852783 | Khushboo Patel | Nurse Practitioner | 915 Harley Strickland Blvd, Orange City, FL 32763 | 2019-10-15 |
| 1598325466 | Steves Hearingllc | Hearing Aid Equipment | 742 N Volucia Ave., Orange City, FL 32763 | 2019-06-13 |
| 1740762194 | Jamie Elizabeth Price | Speech-Language Pathologist | 2705 Rebecca Lane Suite B, Orange City, FL 32763 | 2018-09-02 |
| 1841771821 | Ashley Katherine Taylor | Early Intervention Provider Agency | 358 W Wisconsin Ave, Orange City, FL 32763 | 2018-08-27 |
| 1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
| 1588198733 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1320 Saxon Blvd, Orange City, FL 32763 | 2017-04-14 |
| 1629515333 | Anewerface, Inc | Clinic/Center | Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 | 2017-01-20 |
| 1184073322 | Carolyn Ann Damato | Specialist/Technologist, Other | 1350 13th Street, Orange City, FL 32763 | 2016-06-08 |
| 1225451784 | Shamika Spencer | Nurse Practitioner | 932 Saxon Blvd Ste A, Orange City, FL 32763 | 2014-02-03 |
| 1972882314 | Orange City Anesthesia Services LLC | Anesthesiology | 975 Town Center Dr Ste 100, Orange City, FL 32763 | 2011-08-16 |
| Find all providers in zip 32763 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132844 | Bhanu Visvalingam | Internal Medicine | 2776 Enterprise Rd # 100, Orange City, FL 32763-8316 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE CITY |
| Zip Code | 32763 |
Please comment or provide details below to improve the information on DR. KOTTAPURATH K KUNJUMOIDEEN.
| 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.