MITCHELL J FLAXMAN (NPI# 1104908797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104908797 |
| Entity Type | Individual |
| Full Name | MITCHELL J FLAXMAN |
| Credential | M.D. |
| Practice Address |
1002 S Old Dixie Hwy Suite 201 Jupiter FL 33458-7202 |
| Mailing Address |
5431 N University Dr Coral Springs FL 33067-4639 |
| Practice Telephone | 5617442200 |
| Practice Fax Number | 5617443083 |
| Mailing Telephone | 9543442522 |
| Mailing Fax Number | 9543449189 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2012-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME0046424 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BC/BS GROUP PROVIDER NUM | 99485 | 01 |
| FL | BC/BS INDIV PROVIDER NUM | 03879 | 01 |
| Street Address |
1002 S OLD DIXIE HWY SUITE 201 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538121298 | Barry Marc Miskin | Surgery | 1002 S Old Dixie Hwy, Suite 304, Jupiter, FL 33458-7202 | 2006-04-06 |
| 1770010548 | Anesthesiology of Jupiter, Pa. | Anesthesiology | 1002 S Old Dixie Hwy, Suite 302, Jupiter, FL 33458-7202 | 2017-05-11 |
| 1538514195 | Primary Care Services of Jupiter Medical Specialists, LLC | Family Medicine | 1002 S Old Dixie Hwy, Suite 206, Jupiter, FL 33458-7202 | 2016-05-02 |
| 1235508185 | 21st Century Oncology LLC | Urology | 1002 S Old Dixie Hwy, Suite 104, Jupiter, FL 33458-7202 | 2015-09-22 |
| 1629446992 | 21st Century Oncology LLC | Urology | 1002 S Old Dixie Hwy, Suite 104, Jupiter, FL 33458-7202 | 2015-09-03 |
| 1891126082 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 1002 S Old Dixie Hwy, Suite 304, Jupiter, FL 33458-7202 | 2013-12-12 |
| 1073944260 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 1002 S Old Dixie Hwy, Suite 203, Jupiter, FL 33458-7202 | 2013-12-12 |
| 1467796797 | Jupiter Hand To Shoulder, LLC | Surgery | 1002 S Old Dixie Hwy, Suite 105, Jupiter, FL 33458 | 2012-11-27 |
| 1871854570 | Florida Hand Rehabilitation Inc | Occupational Therapist | 1002 S Old Dixie Hwy, Suite 105, Jupiter, FL 33458-7202 | 2012-05-30 |
| 1780900449 | Thebaut Consulting Inc., Dba Palm Beach Hand | Orthopaedic Surgery | 1002 S Old Dixie Hwy, Suite 105, Jupiter, FL 33458-7202 | 2010-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518486927 | Naveen Reddy Pllc | Internal Medicine | 210 Jupiter Lakes Blvd Ste 106, Jupiter, FL 33458-7187 | 2017-09-18 |
| 1588977409 | Miral A Subhani | Internal Medicine | 1094 Military Trl, Jupiter, FL 33458 | 2010-07-20 |
| 1558515106 | Michael E Schwartz Do Pa | Internal Medicine | 875 Military Trl, Suite 210, Jupiter, FL 33458-5700 | 2008-11-10 |
| 1073790903 | Louis C. Rosainz | Internal Medicine | 1002 S Old Dixie Hwy, Suite 201, Jupiter, FL 33458-7202 | 2008-01-22 |
| 1295881365 | Essam Attia | Internal Medicine | 210 Jupiter Lakes Blvd, Bldg 3000 Ste 201, Jupiter, FL 33458-7191 | 2007-01-25 |
| 1982787255 | North County Center for Digestive Health, Inc. | Internal Medicine | 1002 S Old Dixie Hwy, Suite 201, Jupiter, FL 33458-7202 | 2006-10-23 |
| 1134201874 | Roger S Koerner | Internal Medicine | 210 Jupiter Lakes Blvd, Suite 106, Bldg 3000, Jupiter, FL 33458-7191 | 2006-10-20 |
| 1306928908 | Chester J Maxson | Internal Medicine | 1002 S Old Dixie Hwy, Suite 201, Jupiter, FL 33458-7202 | 2006-10-20 |
| 1215019849 | Bernard Stein | Internal Medicine | 1002 S Old Dixie Hwy, Suite 201, Jupiter, FL 33458-7202 | 2006-10-20 |
| 1447332010 | Sheldon J Taub | Internal Medicine | 210 Jupiter Lakes Blvd, Suite 106, Bldg 3000, Jupiter, FL 33458-7191 | 2006-10-20 |
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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.