DR. VIMAL A REDDY (NPI# 1962470617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962470617 |
| Entity Type | Individual |
| Full Name | DR. VIMAL A REDDY |
| Credential | DPM |
| Practice Address |
8075 Gate Pkwy W Suite 301 Jacksonville FL 32216-3684 |
| Practice Telephone | 9047399129 |
| Practice Fax Number | 9047399127 |
| Mailing Telephone | 9047399129 |
| Mailing Fax Number | 9047399127 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2015-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3091 | FL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740689686 | Vimal Reddy | Exclusive Provider Organization | 700 Ackerman Rd, Suite 440, Columbus, OH 43202-1559 | 2014-08-16 |
| Street Address |
8075 GATE PKWY W SUITE 301 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-3684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366446908 | Henry Breitmoser Jr. | Dentist | 8075 Gate Pkwy W, Suite 303, Jacksonville, FL 32216-3684 | 2005-06-10 |
| 1265758353 | Rebekah Wilson | Dermatology | 8075 Gate Pkwy W, Suite 201, Jacksonville, FL 32216-3684 | 2010-04-14 |
| 1245460914 | Linda Quinn, Md | Dietitian, Registered | 8075 Gate Pkwy W, Bldg 1 Suite 101, Jacksonville, FL 32216-3684 | 2009-07-16 |
| 1932348976 | Jodi Petchauer | Registered Nurse | 8075 Gate Pkwy W, Suite 305, Jacksonville, FL 32216-3684 | 2009-02-16 |
| 1851554612 | Jacksonville Pediatric and Adult Congenital Cardiology | Clinic/Center | 8075 Gate Pkwy W, Suite 203, Jacksonville, FL 32216-3684 | 2008-07-02 |
| 1225226038 | Michelle Mclanahan, M.d., P.a. | Specialist | 8075 Gate Pkwy W, #305, Jacksonville, FL 32216-3684 | 2007-10-05 |
| 1568657476 | Anita Cecilia Byrd | Advanced Practice Midwife | 8075 Gate Pkwy W, #305, Jacksonville, FL 32216-3684 | 2007-09-13 |
| 1013120963 | First Coast Foot & Ankle Clinic Inc | Podiatrist | 8075 Gate Pkwy W, Suite 301, Jacksonville, FL 32216-3684 | 2007-05-08 |
| 1326171190 | Southside Family Practice &womens Health Pa | Specialist | 8075 Gate Pkwy W, Suite 102&103, Jacksonville, FL 32216-3684 | 2007-03-13 |
| 1790818466 | Innovision Medical Pa | Optometrist | 8075 Gate Pkwy W, Suite 102 & 103, Jacksonville, FL 32216-3684 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245751692 | Florida Foot and Ankle,inc | Podiatrist | 13241 Bartram Park Blvd Unit 1805, Jacksonville, FL 32258-5227 | 2017-07-06 |
| 1295264224 | Podiatrist On Call, LLC | Podiatrist | 2720 Park St Ste 210, Jacksonville, FL 32205-7645 | 2017-06-04 |
| 1992190524 | Richard C Harris IIi | Podiatrist | 655 W 8th St # C126, Jacksonville, FL 32209 | 2015-03-31 |
| 1497167779 | Jessica Isabel Popelka | Podiatrist | 13241 Bartram Park Blvd Unit 1809, Jacksonville, FL 32258-5227 | 2014-05-21 |
| 1417215609 | Samuel D Kulick Dpm | Podiatrist | 9397 San Jose Blvd Ste 1, Jacksonville, FL 32257-5587 | 2012-04-25 |
| 1699053819 | Troy A Harris | Podiatrist | 1560 Lancaster Ter Apt 206, Jacksonville, FL 32204-4116 | 2011-07-22 |
| 1679701429 | Lindsay Mae Chandler | Podiatrist | 655 W 8th St # C-126, Jacksonville, FL 32209-6511 | 2009-06-30 |
| 1659557239 | Foot Clinic-dr. S.f. Wernow | Podiatrist | 9397-1 San Jose Blvd, Jacksonville, FL 32257-5587 | 2008-01-14 |
| 1669692844 | Sheldon F Wernow | Podiatrist | 9397 San Jose Boulevard, Suite 1, Jacksonville, FL 32257-5587 | 2007-04-27 |
| 1144352386 | Richard I Polisner | Podiatrist | 4621 Emerson St, Jacksonville, FL 32207-4920 | 2007-03-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on DR. VIMAL A REDDY.
| 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.