NPIMap

Organization Active NPI

Rodolfo L Dy MD PA

  • Surgery Physician
  • Hudson, FL
National Provider Identifier
1376733683
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME004985 Issued in FL
Legal business name
RODOLFO L DY MD PA
Practice address
14100 Fivay Road
Suite 130
Hudson, FL 34667-7159
Phone
(727) 863-0034
Fax
(727) 869-9465
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Rodolfo Lauigan Dy, M.D.
Title
President
Phone
(727) 863-0034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME004985 FL Primary

Addresses

Primary practice location

14100 Fivay Road
Suite 130
Hudson, FL 34667-7159

Mailing address

14100 Fivay Road
Suite 130
Hudson, FL 34667-7159
Phone (727) 863-0034

Other identifiers 1

IdentifierTypeStateIssuer
K1450OtherFLMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

14100 Fivay Rd
Ste 130
Hudson, FL 34667
Phone (727) 378-5808

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1376733683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 FIVAY ROAD",
            "address_2": "SUITE 130",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677159",
            "telephone_number": "727-863-0034",
            "fax_number": "727-869-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 FIVAY ROAD",
            "address_2": "SUITE 130",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677159",
            "telephone_number": "727-863-0034",
            "fax_number": "727-869-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODOLFO L DY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "DY",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "LAUIGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-863-0034",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME004985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K1450",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.