JOLENE KEIKO GORANOVIC (NPI# 1083967806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083967806 |
Entity Type | Individual |
Full Name | JOLENE KEIKO GORANOVIC |
Credential | AA-C |
Practice Address |
1304 Oak St Melbourne FL 32901-3111 |
Mailing Address |
Po Box 2400 Melbourne FL 32902-2400 |
Practice Telephone | 3217234723 |
Mailing Telephone | 3212559671 |
Enumeration Date | 2012-10-17 |
Last Update Date | 2018-02-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367H00000X | Anesthesiologist Assistant | AA 132 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1304 OAK ST |
City | MELBOURNE |
State | FL |
Zip Code | 32901-3111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962419820 | Daniel Mcdonough | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2006-08-02 |
1548629108 | The Stingl Family Foundation, Inc | Clinic/Center | 1304 Oak St, Melbourne, FL 32901-3111 | 2016-02-11 |
1902243504 | Amanda Nicole Hughes | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2013-05-23 |
1225383318 | Tiffany Anne Vaughn | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2012-07-16 |
1104181742 | Trisha Jones | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2012-07-10 |
1538422688 | Melba Dolores Lopez De Victoria | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32904-3111 | 2012-06-22 |
1619250404 | James Dieckman | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2011-09-28 |
1649568858 | Jenifer Lee James | Nurse Anesthetist, Certified Registered | 1304 Oak St, Brevard Anesthesia Servcies, Melbourne, FL 32901-3111 | 2011-07-21 |
1477782282 | Robert Frank Novo | Anesthesiology | 1304 Oak St, Melbourne, FL 32901-3111 | 2009-07-14 |
1619110400 | Renee Espinoza Rittgers | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2009-04-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
Find all providers in zip 32901 |
Taxonomy Code | 367H00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Anesthesiologist Assistant |
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
1528311172 | Krzysztof Cieslik | Anesthesiologist Assistant | 1304 Oak Street, Brevard Anesthesia Services, Melbourne, FL 32901 | 2012-10-19 |
1346855301 | Anushree Patel | Anesthesiologist Assistant | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-09-15 |
1184239006 | Daniel Belnap | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2020-09-09 |
1508414848 | James Crunkilton | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2019-08-29 |
1629637566 | Jessie Lee Mccoy | Anesthesiologist Assistant | 1775 W Hibiscus Blvd, Melbourne, FL 32901-2620 | 2019-06-12 |
1235618042 | Anna Joy Miller | Anesthesiologist Assistant | 1350 Hickory St, Melbourne, FL 32901-3224 | 2018-08-13 |
1134608201 | Gregory Michael Hendershot | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2018-08-09 |
1538670963 | Robert Franklin Hardy | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2017-10-12 |
1578082806 | Andrew Blanke | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2017-09-19 |
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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.