MARY SAMOGE-WISMER (NPI# 1033586060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033586060 |
| Entity Type | Individual |
| Full Name | MARY SAMOGE-WISMER |
| Credential | OTR |
| Practice Address |
18480 Cochran Blvd Port Charlotte FL 33948-3379 |
| Mailing Address |
3054 Mancini Ter Punta Gorda FL 33983-3311 |
| Practice Telephone | 9417434700 |
| Mailing Telephone | 9419160340 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | OT9256 | FL | Nursing & Custodial Care Facilities |
| Street Address |
18480 COCHRAN BLVD |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948-3379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043233992 | Port Charlotte Facility Operations, LLC | Skilled Nursing Facility | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2006-07-25 |
| 1871011494 | Katharyn Wegand | Occupational Therapist | 18480 Cochran Blvd, Port Charlotte, FL 33948 | 2017-09-04 |
| 1730624842 | Brittany Roy | Occupational Therapy Assistant | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2016-12-28 |
| 1912457433 | Kristine Hill | Physical Therapy Assistant | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2016-10-07 |
| 1881043636 | Amy Sandy | Physical Therapy Assistant | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2016-06-11 |
| 1710343884 | Lindsey Tyson | Student in an Organized Health Care Education/Training Program | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2016-01-05 |
| 1013346691 | Bobbi Hawver | Nurse Practitioner | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2013-11-05 |
| 1043647126 | Mark Role | Physical Therapy Assistant | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2013-10-03 |
| 1720422629 | Renee A Cassidy | Occupational Therapy Assistant | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2013-04-22 |
| 1730429960 | Ed Tyburski | Occupational Therapy Assistant | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2013-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396754230 | Health Center of Port Charlotte Inc | Skilled Nursing Facility | 4000 Kings Hwy, Port Charlotte, FL 33980-8413 | 2006-08-07 |
| 1043233992 | Port Charlotte Facility Operations, LLC | Skilled Nursing Facility | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2006-07-25 |
| 1396778825 | Hqm of Port Charlotte, LLC | Skilled Nursing Facility | 4033 Beaver Ln, Port Charlotte, FL 33952-9206 | 2006-07-08 |
| 1740220227 | Tandem Health Care of Port Charlotte, Inc. | Skilled Nursing Facility | 18480 Toledo Blade Blvd, Port Charlotte, FL 33948-3379 | 2006-06-07 |
| 1124002647 | Peace River Hma Nursing Center Inc | Skilled Nursing Facility | 2370 Harbor Blvd, Port Charlotte, FL 33952 | 2005-11-30 |
| 1679560262 | Deep Creek Rnc, LLC | Skilled Nursing Facility | 25325 Rampart Blvd, Port Charlotte, FL 33983 | 2005-09-29 |
| 1275904864 | Solaris Healthcare Charlotte Harbor LLC | Skilled Nursing Facility | 4000 Kings Hwy, Port Charlotte, FL 33980-8718 | 2015-10-08 |
| 1376957803 | Ccrc - South Port Square, LLC | Skilled Nursing Facility | 23013 Westchester Blvd, Port Charlotte, FL 33980-8448 | 2014-06-12 |
| 1467761783 | Charlotte Harbor Rehab LLC | Skilled Nursing Facility | 4000 Kings Hwy, Port Charlotte, FL 33980-8718 | 2010-10-04 |
| 1801062880 | Village Place Nh LLC | Skilled Nursing Facility | 2370 Harbor Blvd, Port Charlotte, FL 33952-5024 | 2008-04-30 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.