Total Medical Healthcare PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

60 257261 Issued in NY

Legal business name

TOTAL MEDICAL HEALTHCARE PC

Practice address

550 E Main St Ste 100
Riverhead, NY 11901-2672

Phone

(631) 591-3093

Fax

(631) 317-1010

NPI assigned

Aug 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Dimos Kanakoudas, M.D.

Title

President

Phone

(646) 824-1380

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1619377488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 TREEHOUSE CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320956837",
            "telephone_number": "904-654-2410",
            "fax_number": "904-417-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E MAIN ST STE 100",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012672",
            "telephone_number": "631-591-3093",
            "fax_number": "631-317-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL MEDICAL HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "KANAKOUDAS",
        "authorized_official_first_name": "DIMOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-824-1380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "60 257261",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33 337755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey Tiu, D.O.
• TMH Medical Home PC
• Total Medical and Rehabilitation PC
• Latenice Trent, LPN
• Nicole Trentadue, RPH,PHARM D.
• Nishant Jayesh Trivedi, MD
• Michael Trocchia, PA
• Marcela Trocha, MD, MSC

• Family Medicine Physician in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.