KNIZLEY ENDOCRINE AND DIABETIC CARE, PA (NPI# 1982743050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982743050 |
| Entity Type | Organization |
| Organization Name | KNIZLEY ENDOCRINE AND DIABETIC CARE, PA |
| Practice Address |
6800 Nw 9th Blvd Suite 2 Gainesville FL 32605-4231 |
| Practice Telephone | 3523327990 |
| Practice Fax Number | 3523329894 |
| Mailing Telephone | 3523327990 |
| Mailing Fax Number | 3523329894 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-10-09 |
| Authorized Official Name | DR. HOMER KNIZLEY JR. (PRESIDENT) |
| Authorized Official Telephone | 3523327990 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
ME13674 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE SHIELD | 01801 | 01 |
| Street Address |
6800 NW 9TH BLVD SUITE 2 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275649766 | Robert Grady Ashley Jr. | Family Medicine | 6800 Nw 9th Blvd, Suite 4, Gainesville, FL 32605-4231 | 2006-08-21 |
| 1659687507 | Robert G. Ashley, M.d., P.a. | Clinic/Center | 6800 Nw 9th Blvd, Suite 4, Gainesville, FL 32605-4231 | 2010-08-28 |
| 1265620793 | Homer Knizley Jr. | Specialist | 6800 Nw 9th Blvd, Suite 2, Gainesville, FL 32605-4231 | 2007-10-10 |
| 1104917541 | Judyth C Dawson | Physician Assistant | 6800 Nw 9th Blvd, Suite4, Gainesville, FL 32605-4231 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689931826 | Ashok K Srihari | Internal Medicine | 230 Sw 2nd Ave Apt 301, Gainesville, FL 32601-6267 | 2012-04-12 |
| 1689764367 | Whitney Woodmansee | Internal Medicine | 1600 Sw Archer Rd # 100226, Gainesville, FL 32610-1865 | 2006-10-13 |
| 1528056678 | Bruce J Rogers | Internal Medicine | 4739 Nw 53rd Ave, #a, Gainesville, FL 32653-4800 | 2005-10-12 |
| 1437562337 | Majlinda Xhikola | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-1865 | 2014-06-09 |
| 1356634265 | Deep Shikha | Internal Medicine | 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501-3861 | 2011-05-25 |
| 1336431386 | Sushma Kadiyala | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2011-05-10 |
| 1720234297 | Hans Kumar Ghayee | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2008-08-14 |
| 1730347311 | Diana Barb | Internal Medicine | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2008-05-30 |
| 1376756981 | Sadaf Jeelani | Internal Medicine | 4340 W Newberry Rd, #301, Gainesville, FL 32607-2557 | 2007-05-08 |
| 1730307927 | Eniki A Mack | Internal Medicine | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2007-04-23 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
Please comment or provide details below to improve the information on KNIZLEY ENDOCRINE AND DIABETIC CARE, PA.
| 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.