Southeastern Center for Infectious Diseases PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME91513 Issued in FL

Legal business name

SOUTHEASTERN CENTER FOR INFECTIOUS DISEASES PA

Practice address

2009 Miccosukee Rd
Tallahassee, FL 32308-5359

Phone

(850) 942-2299

Fax

(850) 942-0322

NPI assigned

Feb 14, 2007

Last updated

Oct 26, 2011By 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

Dr. Philbert J Ford, M.D.NPI 1891711776

Title

Physician

Phone

(850) 942-2299

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

Enrollment records 2

Locations

Practitioners 7

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.

• Philbert J Ford, M.D.

  • Specialist
  • Tallahassee, FL
  • NPI 1891711776

  GA

  Medicare reassignment Care Compare group NPD Authorized official
• Romanise McSwain, BSN, FNP-C

  • Nurse Practitioner
  • Tallahassee, FL
  • NPI 1003550211
  Medicare reassignment Care Compare group NPD
• Rachel Christina Busby-Drewek

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1164075131
  Medicare reassignment NPD
• Renette Gabriel, APRN

  • Adult Health Nurse Practitioner
  • Labelle, FL
  • NPI 1982002788
  Medicare reassignment NPD
• Natasha Monique Hester, ARNP

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1235612821
  Medicare reassignment NPD
• Akshay Manohar, MD

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1124314703
  Medicare reassignment NPD
• Linda D Watson, NP

  • Nurse Practitioner
  • Titusville, FL
  • NPI 1326652579
  Medicare reassignment NPD

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1982747838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085359",
            "telephone_number": "850-942-2299",
            "fax_number": "850-942-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085359",
            "telephone_number": "850-942-2299",
            "fax_number": "850-942-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN CENTER FOR INFECTIOUS DISEASES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "PHILBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-942-2299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME91513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275226300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sousa
• Southeast Radiology Partners LTD
• Southeast Radiology Partners LTD
• Southeast Radiology Partners LTD (Radiology Associates of Tallahassee)
• Southeastern Behavioral Health, LLC
• Southeastern Dermatology, PA
• Southeastern Outpatient Surgery Center LLC
• Southeastern Plastic Surgery, P.a. (Southeastern Plastic Surgery)
• Southeastern Podiatry Clinic PA
• Southeastern Surgical Group PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.