W Robert Addington II DO LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

OS0006793 Issued in FL

Legal business name

W ROBERT ADDINGTON II DO LLC

Practice address

301 Sheridan Rd
Melbourne, FL 32901-3160

Phone

(321) 951-8137

Fax

(321) 951-8138

NPI assigned

Jul 24, 2007

Last updated

Apr 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ann M Miller

Title

Office Manager

Phone

(321) 951-8137

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Robert Addington II, DO

  • Specialist
  • Melbourne, FL
  • NPI 1396742961
  Medicare reassignment Care Compare group NPD
• Shelina Paradis, ARNP

  • Gerontology Nurse Practitioner
  • Melbourne, FL
  • NPI 1861772527
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1639379910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SHERIDAN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013160",
            "telephone_number": "321-951-8137",
            "fax_number": "321-951-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SHERIDAN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013160",
            "telephone_number": "321-951-8137",
            "fax_number": "321-951-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W ROBERT ADDINGTON II DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-951-8137",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS0006793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER",
            "identifier": "K5336",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delia Vona, RPA-C
• Kimberly Ann Vonderlieth, PA
• Kristy Vonploennies
• Anna Carmen Voyatzoglou, PA-C
• Adrianne Vyasulu Leonhardt, LCSW
• Allison Muia Wade, MD
• Travis Charles Wade, BS
• Rebecca A Wagaman, M.D.
• Donald C Wagner, M.D.
• Gisela L Wagner, MD

• Specialist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.