| Tmh Physician Partners Neurology Specialists | |
|
1401 Centerville Road Suite 504 Tallahassee FL 32308 | |
| (850) 431-5037 | |
| (850) 431-6101 |
| Full Name | Tmh Physician Partners Neurology Specialists |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1401 Centerville Road, Tallahassee, Florida |
| Authorized Official Name and Position | Robin L Moss (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504316256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmh Physician Partners Neurology Specialists 1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 Ph: (850) 431-7021 | Tmh Physician Partners Neurology Specialists 1401 Centerville Road Suite 504 Tallahassee FL 32308 Ph: (850) 431-5037 |
| NPI Number | 1780025635 |
|---|---|
| Provider Enumeration Date | 07/08/2013 |
| Last Update Date | 04/30/2021 |
| Certification Date | 04/30/2021 |
| Medicare PECOS PAC ID | 6103724778 |
|---|---|
| Medicare Enrollment ID | O20170526001881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780025635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 4080 (Florida) | Primary |
| Provider Name | Bayard Dodge Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154331304 PECOS PAC ID: 2264346352 Enrollment ID: I20050521000055 |
| Provider Name | Amitabh Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174660278 PECOS PAC ID: 8224203575 Enrollment ID: I20111214000898 |
| Provider Name | Muhammad Salman Siddiqi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689839698 PECOS PAC ID: 2567696982 Enrollment ID: I20131017001412 |
| Provider Name | Arnaldo Efrain Velez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427242536 PECOS PAC ID: 3870736176 Enrollment ID: I20140903001579 |
| Provider Name | Chaowen Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326281940 PECOS PAC ID: 8820221237 Enrollment ID: I20141215001521 |
| Provider Name | Christian A Rosado |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871804468 PECOS PAC ID: 3274774930 Enrollment ID: I20151020000164 |
| Provider Name | Carlton Gass |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578672754 PECOS PAC ID: 6002100765 Enrollment ID: I20160803002894 |
| Provider Name | Miguel Chuquilin Arista |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982633251 PECOS PAC ID: 6901074814 Enrollment ID: I20161017000962 |
| Provider Name | Tara Kimbason |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427324888 PECOS PAC ID: 4688978091 Enrollment ID: I20181029000366 |
| Provider Name | Kauroon Mazdak Darya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922414796 PECOS PAC ID: 7012251713 Enrollment ID: I20181206003005 |
| Provider Name | Ferdinand L Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942767637 PECOS PAC ID: 0648511212 Enrollment ID: I20190417003032 |
| Provider Name | Ziad Alhumayyd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720375025 PECOS PAC ID: 0749613446 Enrollment ID: I20191211001523 |
| Provider Name | Oladotun Olayiwola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578115630 PECOS PAC ID: 8123455706 Enrollment ID: I20200220000220 |
| Provider Name | Allison Jane Moltisanti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528689320 PECOS PAC ID: 0648694547 Enrollment ID: I20200724001830 |
| Provider Name | Margi Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154704690 PECOS PAC ID: 8527371285 Enrollment ID: I20210604000951 |
| Provider Name | Concepcion Santillan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083647408 PECOS PAC ID: 2567402100 Enrollment ID: I20211203001174 |
| Provider Name | Shyamal Bir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407388804 PECOS PAC ID: 5991061012 Enrollment ID: I20220611000378 |
| Provider Name | Patrick John Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689328023 PECOS PAC ID: 0547649600 Enrollment ID: I20220620001429 |
| Provider Name | Indira De Jesus Alvelo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700074796 PECOS PAC ID: 2264651207 Enrollment ID: I20220729002936 |
| Provider Name | Virginia Persinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073093894 PECOS PAC ID: 6002150455 Enrollment ID: I20221012001891 |
| Provider Name | Yonglu Huang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861780926 PECOS PAC ID: 2466786868 Enrollment ID: I20230207003307 |
| Provider Name | Enrique Urrea Mendoza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578346243 PECOS PAC ID: 4789038720 Enrollment ID: I20230926000836 |
| Provider Name | Kaleb Culpepper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518426543 PECOS PAC ID: 5799013769 Enrollment ID: I20240313004390 |
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