DR. HEATHER CAPPELLO (NPI# 1063623817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063623817 |
| Entity Type | Individual |
| Full Name | DR. HEATHER CAPPELLO |
| Credential | M.D. |
| Practice Address |
1515 S Osprey Ave Suite 1-a Sarasota FL 34239-2939 |
| Mailing Address |
Po Box 863407 Orlando FL 32886-0001 |
| Practice Telephone | 9419177197 |
| Practice Fax Number | 9419174016 |
| Mailing Telephone | 9419177197 |
| Mailing Fax Number | 9419174016 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2014-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
99923 | FL | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
251889 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002375700 | 05 | |
| FL | MEDICARE RR | P00913627 | 01 |
| FL | BCBS | 149PP | 01 |
| Street Address |
1515 S OSPREY AVE SUITE 1-A |
| City | SARASOTA |
| State | FL |
| Zip Code | 34239-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518922764 | Genevieve Patzner | Counselor | 1515 S Osprey Ave, Ste C 12, Sarasota, FL 34239 | 2006-04-19 |
| 1578998019 | Cynthia Darlene Jacobs | Nurse Practitioner | 1515 S Osprey Ave, Suite A1, Sarasota, FL 34239-2939 | 2013-09-03 |
| 1437592029 | Rosemary Angela Carrico | Nurse Practitioner | 1515 S Osprey Ave, Suite 1a, Sarasota, FL 34239-2939 | 2013-04-12 |
| 1700114501 | Elliot M. Livstone, Md, Pa | Internal Medicine | 1515 S Osprey Ave, Suite C11, Sarasota, FL 34239-2939 | 2009-12-07 |
| 1346412756 | William Jeffrey Dickinson | Dentist | 1515 S Osprey Ave, Bldg D, Sarasota, FL 34239-2939 | 2008-03-25 |
| 1386831840 | Linda J Button | Social Worker | 1515 S Osprey Ave, Suite C-12, Sarasota, FL 34239-2939 | 2007-09-28 |
| 1063629269 | Smh Physician Services Inc | Family Medicine | 1515 S Osprey Ave, Suite 1-a, Sarasota, FL 34239-2939 | 2007-05-17 |
| 1770613937 | Wilbur Eugene Bakke IIi | Dentist | 1515 S Osprey Ave, Suite A-1, Sarasota, FL 34239-2939 | 2007-03-06 |
| 1588701437 | Adrian E. Torres | Internal Medicine | 1515 S Osprey Ave, Suite 1a, Sarasota, FL 34239-2939 | 2007-01-31 |
| 1871661785 | Karen N Mcgough | Registered Nurse | 1515 S Osprey Ave, Suite 1-a, Sarasota, FL 34239-2939 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203327 | All-in-one Medical Clinic | Chiropractor | 3436 Bee Ridge Road, Sarasota, FL 34239 | 2019-12-26 |
| 1134782295 | Kafayat Adebukola Busari | Student in an Organized Health Care Education/Training Program | Florida State University/ Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239 | 2019-04-15 |
| 1235600495 | Karen Andrea Gonzalez | Speech-Language Pathologist | 1524 East Ave South, Sarasota, FL 34239 | 2018-12-16 |
| 1659852101 | Tori Alexandra Phelps | Behavioral Analyst | 2324 Prospect Street, Sarasota, FL 34239 | 2018-08-23 |
| 1518450519 | Love To Care4u Homecare | Adult Companion | 3800 Tamiami Trail Ste 105, Sarasota, FL 34239 | 2018-06-13 |
| 1881119691 | Life Awaits Acupuncture | Acupuncturist | 3030 S Tamiami Trail, Sarasota, FL 34239 | 2017-08-14 |
| 1275084600 | Srq Acupuncture & Massage | Acupuncturist | 1810 South Tuttle Ave, Sarasota, FL 34239 | 2016-10-20 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| 1407246093 | Rhett Ethan Bogacz | Chiropractor | 3400 Bee Ridge Rd Ste 100, Sarasota, FL 34239 | 2015-02-03 |
| 1023436136 | Sarah J. Somer | Obstetrics & Gynecology | 1921 Waldemere St Ste 307, Sarasota, FL 34239 | 2014-04-04 |
| Find all providers in zip 34239 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620618 | Heather J Cappello LLC | Family Medicine | 2571 Dick Wilson Dr, Sarasota, FL 34240-8722 | 2020-02-10 |
| 1063629269 | Smh Physician Services Inc | Family Medicine | 1515 S Osprey Ave, Suite 1-a, Sarasota, FL 34239-2939 | 2007-05-17 |
| 1659449916 | Leggett Medical Group Inc | Family Medicine | 5401 Sawyer Rd, Sarasota, FL 34233-2444 | 2006-12-02 |
| 1902919236 | Smh Physician Services Inc | Family Medicine | 1921 Waldemere St, Suite 403, Sarasota, FL 34239-2943 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225682784 | Brevard Geriatrics, LLC | Family Medicine | 720 E New Haven Ave Suite 11, Melbourne, FL 32901-5474 | 2019-08-01 |
| 1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1184137929 | Saint George Medical Center Inc | Family Medicine | 1118 Hospital Rd, Fort Walton Beach, FL 32547-6742 | 2017-11-15 |
| 1750835211 | Gainesville Geriatric Rehabilitation Medicine LLC | Family Medicine | 5002 Nw 15th Pl, Gainesville, FL 32605-4555 | 2016-08-12 |
| 1033570171 | Reliance Med, LLC | Family Medicine | 8450 Reymont St, Orlando, FL 32827-7430 | 2016-03-17 |
| 1013375062 | Kravitz Physician Services, P.a. | Family Medicine | 5150 Nw 82nd Ter, Coral Springs, FL 33067-2811 | 2016-02-05 |
| 1972968089 | Wm R George II Md Pa | Family Medicine | 327 Plaza Real Ste 307, Boca Raton, FL 33432-3944 | 2015-12-17 |
| 1710369020 | Robert N. Baskin, Md, P.a. | Family Medicine | 2108 N Golfview Dr, Plant City, FL 33566-6768 | 2015-06-23 |
| 1437557766 | Geriatric Care Associates LLC | Family Medicine | 10238 Sw 86th Cir, Suite 300, Ocala, FL 34481-7626 | 2014-12-18 |
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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.