Christina Proud, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0078846 Issued in FL

Practice address

8404 US Highway 441
Leesburg, FL 34788-4016

Phone

(352) 351-8881

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ambulatory Care Physicians of Sarasota LLC

  • General Practice Physician
  • Sarasota, FL
  • NPI 1417986084
  NPD (past)
• Medical Ventures of America

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1043261415
  NPD (past)
• Medical Ventures of America LLC

  • Legal Medicine
  • Mount Dora, FL
  • NPI 1073576146
  NPD (past)
• Sarasota Emergency Associates PA

  • Emergency Medicine Physician
  • Sarasota, FL
  • NPI 1831175306
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1629028832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490210",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347490210",
            "telephone_number": "800-778-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347884016",
            "telephone_number": "352-351-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUD",
        "first_name": "CHRISTINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0078846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV NUMBER",
            "identifier": "17236",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primary Care Physicians Consulting, Inc
• Prime Radiology of Leesburg Inc
• Professional Gastroenterology & Nutrition Associates, P.a.
• Professional Radiology Associates
• Professional Radiology Associates, P.a.
• Diane Marie Pruitt, RPH
• Publix
• Publix Super Markets Inc
• Publix Super Markets Inc
• Publix Super Markets, Inc.

• Internal Medicine Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.