YAZAN MAZEN SURADI (NPI# 1952600223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952600223 |
| Entity Type | Individual |
| Full Name | YAZAN MAZEN SURADI |
| Credential | M.D |
| Practice Address |
2 Tampa General Cir Fl Cir2 Tampa FL 33606-3603 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-7770 |
| Practice Telephone | 8133969478 |
| Mailing Telephone | 8139742201 |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
19223 | NH | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME120537 | FL | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
TM00784 | TX | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301116531 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 2084N0008X |
Psychiatry & Neurology Specialization: Neuromuscular Medicine |
ME120537 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018079600 | 05 | |
| FL | BLUE CROSS AND BLUE SHIELD | GW89I | 01 |
| NH | 3118015 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 172 Kinsley St, Nashua, NH 030603648 | 6038823000 | 6038893774 |
| 9110 College Pointe Ct, Fort Myers, FL 339193244 | 2392082212 | 2392083994 |
| Street Address |
2 TAMPA GENERAL CIR FL CIR2 |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 2084N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neuromuscular Medicine |
| A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome). |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316359664 | Sara Huser | Psychiatry & Neurology | 525 Okeechobee Blvd Fl 14, West Palm Beach, FL 33401-6349 | 2014-05-21 |
| 1356683395 | Melissa A Fellman | Psychiatry & Neurology | 1120 Nw 14th St Ste 1383, Miami, FL 33136-2107 | 2013-03-16 |
| 1316127988 | Florida Neuroligical Center, LLC | Psychiatry & Neurology | 1503 Sw 1st Ave, Ocala, FL 34471-6505 | 2007-11-12 |
| 1952803298 | Heartland Neurology, Pllc | Psychiatry & Neurology | 777 W Hickpochee Ave Unit C, Labelle, FL 33935-4330 | 2018-03-02 |
| 1124469218 | Synapse Neurological Care P.a. | Psychiatry & Neurology | 2753 Citrus Tower Blvd, Clermont, FL 34711-6699 | 2013-07-17 |
| 1225328933 | Nervepain Solutions LLC | Psychiatry & Neurology | 499 E Palmetto Park Rd, Suite # 204, Boca Raton, FL 33432-5080 | 2011-04-14 |
| 1871738948 | Michael Rosario-prieto | Psychiatry & Neurology | 1201 5th Ave N, Suite 202, St Petersburg, FL 33705-1410 | 2008-12-03 |
| 1417017823 | Neurology Consultants of South Florida Inc | Psychiatry & Neurology | 4160 W 16th Ave, Suite 100, Hialeah, FL 33012-5853 | 2006-12-08 |
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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.