Thyroid Diabetes Endocrinology and Wellness Inc

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

THYROID DIABETES ENDOCRINOLOGY AND WELLNESS INC

Practice address

11481 Old Saint Augustine Rd Ste 303
Jacksonville, FL 32258-1476

Phone

(904) 862-2070

Fax

(904) 712-6070

NPI assigned

Jun 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ramadan Hammoud, MD

Title

President

Phone

(904) 862-2070

Specialties & licenses 1

Addresses

Other names 2

• One Endocrine Doing business as
• TDEWellness Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1013402783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 OLD SAINT AUGUSTINE RD STE 303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322581476",
            "telephone_number": "904-712-6777",
            "fax_number": "904-508-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11481 OLD SAINT AUGUSTINE RD STE 303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322581476",
            "telephone_number": "904-862-2070",
            "fax_number": "904-712-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THYROID DIABETES ENDOCRINOLOGY AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "HAMMOUD",
        "authorized_official_first_name": "RAMADAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-862-2070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Endocrine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TDEWellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Michelle Thurman, FNP
• Kali Ashlyn Thurman, MSN, APRN, PMHNP-BC
• Dyvonnda Thurston
• Joan Elaine Thurston, LMHC
• Myint M Thway, MD
• Tia Dwana Collection LLC
• Sophia Nilen Tial
• Jinsong Tian, AP
• Kristine Jenny Tibavisky, M.D.
• Kylee Lynn Tibbetts, PTA

• Endocrinology, Diabetes & Metabolism Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.