Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. David J. Kaderis, DO

Individual provider Surgery Physician · NPI 1922042738

Dr. David J. Kaderis, DO is a General Surgery in Pensacola, Florida. Graduated from Rowan University School of Osteopathic Medicine in 1990, 36 years ago. Practices with Holy Rosary Healthcare, a 46-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
36
Trained at
Rowan University School of Osteopathic Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5149 N 9th Ave Ste 246
Pensacola, FL 32504-8756
Phone: (850) 416-6159
Fax: (850) 416-7198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence OS12384 (FL)

Record details

NPI number1922042738
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESMarch 28, 2014
Mailing addressPo Box 2699, Pensacola, FL 32513-2699

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 1990 (36 years in practice)
Group practice Holy Rosary Healthcare — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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