Gregory L. Nedurian, M.D., P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME0090819 Issued in FL

Legal business name

GREGORY L. NEDURIAN, M.D., P.A.

Doing business as

Gregory L. Nedurian, M.D., P.A.

Practice address

521 Buena Vista St
Lakeland, FL 33805-4504

Phone

(863) 687-0550

Fax

(863) 682-7700

NPI assigned

Mar 15, 2007

Last updated

Apr 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory L. Nedurian, M.D.NPI 1417942681

Title

Corporate President

Phone

(863) 687-0550

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gregory L. Nedurian, M.D., P.A. Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory L Nedurian, M.D.

  • Surgery Physician
  • Lakeland, FL
  • NPI 1417942681
  Medicare reassignment NPD Authorized official
• Laurence R Ferber, M.D.

  • Surgery Physician
  • Floral City, FL
  • NPI 1679540744
  Medicare reassignment NPD

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1265566012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 BUENA VISTA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054504",
            "telephone_number": "863-687-0550",
            "fax_number": "863-682-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BUENA VISTA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054504",
            "telephone_number": "863-687-0550",
            "fax_number": "863-682-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L. NEDURIAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "NEDURIAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "863-687-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0090819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270400500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00279741",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gregory L. Nedurian, M.D., P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Graham Foley Greene, MD
• Janice Greene, OTR/L
• Kyosha Greene
• Kerry-Ann Greensword
• Elise Greer, CRNA
• Denise Minette Gregory, LMT
• Dorothy M Gregory, APRN
• Jarett Aldon Gregory, DO
• Stuart J. Greif, PSY.D.
• Nathan Greiner

• Surgery Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.