| 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 | () | 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 | Katie M Danielson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396255410 PECOS PAC ID: 9436418522 Enrollment ID: I20180118000315 |
| Provider Name | Ronald Lindquist |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073698031 PECOS PAC ID: 6608947544 Enrollment ID: I20191126000991 |
| Provider Name | Cristina Dubbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730724873 PECOS PAC ID: 0244663847 Enrollment ID: I20191212002544 |
| 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 |
| Provider Name | Nickisha Joyce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659986339 PECOS PAC ID: 8224403910 Enrollment ID: I20230411002431 |
| Provider Name | Meghan Chellman Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487418109 PECOS PAC ID: 5890215917 Enrollment ID: I20250219003763 |
| Provider Name | Natalie Seay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003387234 PECOS PAC ID: 8325370513 Enrollment ID: I20260514004495 |
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 |
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 |
Marsha Medical Group, P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Calhoun St Ste 4, Tallahassee, FL 32301 Phone: 617-958-5697 |
Gi Associates of Tallahassee P L Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2457 Care Dr Ste D100, Tallahassee, FL 32308 Phone: 850-933-1885 Fax: 850-309-7422 |