Tallahassee Memorial Healthcare Inc
Organization Active NPI Internal Medicine Physician · Tallahassee, FL
NPI 1487932422 · NPPES record last updated Jan 19, 2022
Key facts
- NPI
- 1487932422
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- TALLAHASSEE MEMORIAL HEALTHCARE INC
- Practice address
- 1300 Medical Dr
Tallahassee, FL 32308-4646 - Phone
- (850) 216-0190
- Fax
- (850) 216-0112
- NPI assigned
- Jul 25, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Robin L. Moss
- Title
- Executive Director
- Phone
- (850) 431-6256
Other NPIs on the same Medicare enrollment 39
Practitioners 161
-
Anju Agarwal, M.D.
-
Nectar Aintablian, M.D.
-
Ziad Alhumayyd, M.D.
-
Wade Baggs, MD
-
Julia Barry, D.O.
-
Karen M Bartley, MD
-
Megan L Bell, PA
-
Shyamal Bir, MD
-
Whitson Hines Boyd, PA-C
-
Sandra Leigh Brafford, M.D.
-
Francisco Carpio, M.D.,
-
David Castillo, M.D.
-
Miguel Chuquilin, M.D.
-
Bon M Clarke, APRN
-
Faith Moore Cruz, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031222000279 | FL | Part B Supplier - Clinic/Group Practice | 6103724778 |
Receives reassigned benefits from 702 practitioners 39 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tallahassee, FL; Blountstown, FL; Chipley, FL; Crawfordville, FL; Madison, FL; Marianna, FL; Monticello, FL; Panama City Beach, FL… |
National Provider Directory
Interoperability endpoints
- ryanhill@tmhpp.allscriptsdirect.net
- kathrynmadsen@tmhpp.allscriptsdirect.net
- anjuagarwal@tmhpp.allscriptsdirect.net
- brittanyschafer@tmhpp.allscriptsdirect.net
- jamiewilliams@tmhpp.allscriptsdirect.net
- ashleyjanney@tmhpp.allscriptsdirect.net
- johnwoltz@tmhpp.allscriptsdirect.net
- husseinrayatzadeh@tmhpp.allscriptsdirect.net
- enriqueurreamendoza@tmhpp.allscriptsdirect.net
- faithmoore@tmhpp.allscriptsdirect.net
- aaronwalker@tmhpp.allscriptsdirect.net
- sandra.brafford@tmhpp.allscriptsdirect.net
- jimmywyatt@tmhpp.allscriptsdirect.net
- diannepappachristo@tmhpp.allscriptsdirect.net
- juangallegos@tmhpp.allscriptsdirect.net
- ashley.fleming@tmhpp.allscriptsdirect.net
- melanietodd@tmhpp.allscriptsdirect.net
- fabioladambrosio@tmhpp.allscriptsdirect.net
- tanyaevers@tmhpp.allscriptsdirect.net
- ziadalhumayyd@tmhpp.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | FL | Yes | |
| Cardiovascular Disease Physician |
207RC0000X | FL | ||
| Clinical Cardiac Electrophysiology Physician |
207RC0001X | FL | ||
| Interventional Cardiology Physician |
207RI0011X | FL | ||
| Physician Assistant |
363A00000X | FL | ||
| Nurse Practitioner |
363L00000X | FL |
Addresses
Primary practice location
1300 Medical Dr
Tallahassee, FL 32308-4646
Mailing address
1607 Saint James CT Ste 1
Tallahassee, FL 32308-5352
Phone (850) 431-7021
Other practice location 1
555 N Byron Butler Pkwy
Perry, FL 32347-2315
Phone (850) 584-3090
Other practice location 2
333 N Byron Butler Pkwy
Perry, FL 32347-2300
Phone (850) 216-0100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24766T | Other | FL | BLUE CROSS BLUE SHIELD |
| 375270421 | Medicaid | FL |
Other providers in Tallahassee, FL
- Tallahassee Memorial Healthcare Inc
- Tallahassee Memorial Healthcare Inc
- Tallahassee Memorial Healthcare Inc
- Tallahassee Memorial Healthcare Inc
- Tallahassee Memorial Healthcare Inc
- Tallahassee Memorial Healthcare Inc
- Tallahassee Memorial Healthcare Inc
- Tallahassee Memorial Healthcare Inc
- Tallahassee Memorial Healthcare Inc
- Tallahassee Memorial Healthcare Inc
All providers in Tallahassee, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.