| Digestive Disease Clinic | |
|
2400 Miccosukee Rd Tallahassee FL 32308-5314 | |
| (850) 877-2105 | |
| (850) 216-1321 |
| Full Name | Digestive Disease Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 2400 Miccosukee Rd, Tallahassee, Florida |
| Authorized Official Name and Position | Charlotte L Madani (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 8502058404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Disease Clinic 2400 Miccosukee Rd Tallahassee FL 32308-5314 Ph: (850) 877-2105 | Digestive Disease Clinic 2400 Miccosukee Rd Tallahassee FL 32308-5314 Ph: (850) 877-2105 |
| NPI Number | 1871549998 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 01/12/2010 |
| Medicare PECOS PAC ID | 8628054053 |
|---|---|
| Medicare Enrollment ID | O20040626000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871549998 | NPI | - | NPPES |
| 374312800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Louisa L Dowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245281336 PECOS PAC ID: 0547222630 Enrollment ID: I20041101000702 |
| Provider Name | Hardeep Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104876127 PECOS PAC ID: 4284677212 Enrollment ID: I20050609000838 |
| Provider Name | Andres F Rodriguez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477503480 PECOS PAC ID: 9638113632 Enrollment ID: I20050610000293 |
| Provider Name | Todd E Chenicek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437100724 PECOS PAC ID: 5890724876 Enrollment ID: I20050810000372 |
| Provider Name | Charles Cottrell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811911829 PECOS PAC ID: 6709786643 Enrollment ID: I20060104000177 |
| Provider Name | Joshua D Somerset |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609827914 PECOS PAC ID: 6709899388 Enrollment ID: I20060727000080 |
| Provider Name | Shirleen S Dupont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699933440 PECOS PAC ID: 9638243942 Enrollment ID: I20080805000521 |
| Provider Name | Amulya Konda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932143179 PECOS PAC ID: 5890726350 Enrollment ID: I20090903000371 |
| Provider Name | Jose I Diaz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093787913 PECOS PAC ID: 8729045844 Enrollment ID: I20100924001128 |
| Provider Name | Michael J Mangan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245280106 PECOS PAC ID: 5395815161 Enrollment ID: I20110201000350 |
| Provider Name | Angela Nicole Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427508217 PECOS PAC ID: 0446531065 Enrollment ID: I20161219002560 |
| Provider Name | Hong Gao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376502740 PECOS PAC ID: 0244242899 Enrollment ID: I20170928002732 |
| Provider Name | Jessica L Lash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194374322 PECOS PAC ID: 3274965751 Enrollment ID: I20191121002499 |
| Provider Name | Prashanth R Vennalaganti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205032612 PECOS PAC ID: 1557486396 Enrollment ID: I20200824001028 |
| Provider Name | Manoela Mota |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548689060 PECOS PAC ID: 1254555238 Enrollment ID: I20200925001212 |
| Provider Name | Rachel Naomi Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013660323 PECOS PAC ID: 9830586189 Enrollment ID: I20220505000232 |
Healing Hearts Music Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1862 Newman Ln, Tallahassee, FL 32312 Phone: 229-400-0722 | |
Titan Hospitalist Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 Capital Medical Blvd, Tallahassee, FL 32308 Phone: 904-332-4316 Fax: 904-332-4339 | |
Big Bend Hospice, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 Mahan Center Blvd, Tallahassee, FL 32308 Phone: 702-960-2272 | |
Guidewell Sanitas I, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Timberlane Rd, Tallahassee, FL 32312 Phone: 844-665-4827 | |
Guidewell Sanitas I, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Timberlane Rd, Tallahassee, FL 32312 Phone: 844-665-4827 | |
Tallahassee Memorial Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Esplanade Way, Tallahassee, FL 32311 Phone: 850-431-3867 Fax: 850-431-3879 | |
Transition Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3333 Capital Oaks Dr, Tallahassee, FL 32308 Phone: 850-431-4470 Fax: 850-431-4471 |