Active NPI
Ladapo Shyngle, M.D., MPH
- General Practice Physician
- Davenport, FL
National Provider Identifier
1477709160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME 94349
- Practice address
- 121 Webb Dr
Suite 100
Davenport, FL 33837-3904 - Phone
- (863) 422-0001
- Fax
- (863) 422-0003
- NPI assigned
- Aug 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME 94349 | FL | Primary |
Addresses
Primary practice location
121 Webb Dr
Suite 100
Davenport, FL 33837-3904
Mailing address
121 Webb Dr
Suite 100
Davenport, FL 33837-3904
Phone (863) 422-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 94349 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newsome Medical LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Davenport, FL
- NPI 1942640057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1477709160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 WEBB DR",
"address_2": "SUITE 100",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338373904",
"telephone_number": "863-422-0001",
"fax_number": "863-422-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 WEBB DR",
"address_2": "SUITE 100",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338373904",
"telephone_number": "863-422-0001",
"fax_number": "863-422-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHYNGLE",
"first_name": "LADAPO",
"credential": "M.D., MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-13",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME 94349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.