Individual provider Active NPI

Deborah Cuadra, M.D.

  • Obstetrics & Gynecology Physician
  • Bradenton, FL
National Provider Identifier
1831203249
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME81821 Issued in FL
Practice address
2318 Manatee Ave W
Bradenton, FL 34205-5432
Phone
(941) 714-7150
Fax
(941) 405-1145
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME81821 FL Primary

Addresses

Primary practice location

2318 Manatee Ave W
Bradenton, FL 34205-5432

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000

Other practice location 1

10011 Seminole Blvd
Seminole, FL 33772-2539
Phone (727) 393-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000724 FL Practitioner - Obstetrics/Gynecology 5092994616 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 5, 2018 Accepting new patients
MCR Health, Inc. CurrentSince Aug 17, 2022 Accepting new patients
MCR Health, Inc. CurrentSince Aug 17, 2022 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 5, 2018 Accepting new patients
MCR Health, Inc. Past Accepting new patients

Locations

2318 Manatee Ave W
Bradenton, FL 34205
Phone (941) 714-7150

4805 26th St W
Bradenton, FL 34207
Phone (941) 753-7843

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Interoperability endpoints

  • Direct secure messaging: deborah.cuadra.1@11352.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1831203249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055432",
            "telephone_number": "941-714-7150",
            "fax_number": "941-405-1145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10011 Seminole Blvd",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337722539",
            "country_code": "US",
            "telephone_number": "727-393-2800",
            "fax_number": "727-393-2801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUADRA",
        "first_name": "DEBORAH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME81821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.