STEPHANIE PRADA (NPI# 1053649566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053649566 |
| Entity Type | Individual |
| Full Name | STEPHANIE PRADA |
| Credential | MD. |
| Practice Address |
8745 N Wickham Rd Melbourne FL 32940-5997 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3214349358 |
| Practice Fax Number | 3214349170 |
| Mailing Telephone | 3214349358 |
| Mailing Fax Number | 3219517408 |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2019-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | ME113082 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 005946900 | 05 | |
| FL | MEDICARE | GI464X | 01 |
| Street Address |
8745 N WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-5997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558311464 | Beth Ann Burns | Internal Medicine | 8745 N Wickham Rd, Viera Hospital.hospitalist Dept, Melbourne, FL 32940-5997 | 2006-05-11 |
| 1518444124 | Devin King | Pharmacist | 8745 N Wickham Rd, Melbourne, FL 32940-5997 | 2018-07-26 |
| 1316478571 | Maria De Los M. Colon Perez | Internal Medicine | 8745 N Wickham Rd, Melbourne, FL 32940-5997 | 2017-03-21 |
| 1477940260 | Wael Sankar | Hospitalist | 8745 N Wickham Rd, Melbourne, FL 32940 | 2015-04-20 |
| 1073925442 | Kelvin Diosiris Santos | Internal Medicine | 8745 N Wickham Rd, Melbourne, FL 32940-5997 | 2014-05-20 |
| 1689961864 | Angela Candelaria | Internal Medicine | 8745 N Wickham Rd, Melbourne, FL 32940-5997 | 2011-07-07 |
| 1083900377 | Vanessa Joann Ohleyer | Internal Medicine | 8745 N Wickham Rd, Melbourne, FL 32940 | 2011-06-24 |
| 1710270095 | Brevard Pathology Pa | Pathology | 8745 N Wickham Rd, Melbourne, FL 32940-5997 | 2011-05-19 |
| 1730494816 | Viera Hospital, Inc. | General Acute Care Hospital | 8745 N Wickham Rd, Attention: Administration, Melbourne, FL 32940-5997 | 2010-08-12 |
| 1629270632 | Dean A. Post | Family Medicine | 8745 N Wickham Rd, Melbourne, FL 32940-5997 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184195083 | Michael Scott Gavigan | Hospitalist | 1314 Oak St, Melbourne, FL 32901 | 2018-12-17 |
| 1215435870 | Khashaba LLC | Hospitalist | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-01-30 |
| 1790283661 | Dr Joseph D Paolucci Md Pa LLC | Hospitalist | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-01-25 |
| 1952835399 | William Johnson Jr. | Hospitalist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2017-04-12 |
| 1902258775 | Lisa Linder | Hospitalist | 1314 Oak St, Melbourne, FL 32901-3111 | 2016-07-06 |
| 1831552264 | Daniel Cordiner | Hospitalist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2016-04-02 |
| 1215324512 | Stephen Dodson | Hospitalist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2015-04-24 |
| 1477940260 | Wael Sankar | Hospitalist | 8745 N Wickham Rd, Melbourne, FL 32940 | 2015-04-20 |
| 1225442569 | Idljona Gllava | Hospitalist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2014-06-15 |
| 1942620596 | Patrick Kyle Evers | Hospitalist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2014-04-22 |
| Find all providers in MELBOURNE | ||||
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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.