JUDY LYNN BUSE (NPI# 1114037520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114037520 |
| Entity Type | Individual |
| Full Name | JUDY LYNN BUSE |
| Credential | CRNA |
| Practice Address |
1995 W Nasa Blvd Suite 200 Melbourne FL 32904-2300 |
| Mailing Address |
405 Hiawatha Way Melbourne Beach FL 32951-3539 |
| Practice Telephone | 3217224443 |
| Mailing Telephone | 3217282108 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
FL | Ambulatory Health Care Facilities |
| Street Address |
1995 W NASA BLVD SUITE 200 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174514053 | James N Mcmanus | Ophthalmology | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2005-10-31 |
| 1194158337 | Eric Robert Straut | Optometrist | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2013-08-12 |
| 1396080859 | Kyle E. Welton | Hearing Instrument Specialist | 1995 W Nasa Blvd, Suite 101, Melbourne, FL 32904-2300 | 2012-12-10 |
| 1134459928 | The Center for Hearing Improvement At The Eye Institute | Hearing Instrument Specialist | 1995 W Nasa Blvd, Suite 101, Melbourne, FL 32904-2300 | 2009-12-30 |
| 1518054956 | Eyewearllc | Eyewear Supplier (Equipment, not the service) | 1995 W Nasa Blvd, Suite 101, Melbourne, FL 32904-2300 | 2006-10-06 |
| 1013027408 | David Mccurdy | Clinic/Center | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2006-08-30 |
| 1548274061 | Eye Institute Surgery Center, LLC | Clinic/Center | 1995 W Nasa Blvd, Suite100, Melbourne, FL 32904-2300 | 2006-07-28 |
| 1962416511 | Florida Eye Consultants Inc | Clinic/Center | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2006-07-28 |
| 1720079577 | Michael N Mandese | Optometrist | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2005-11-01 |
| 1073504957 | Christopher S Shumake | Ophthalmology | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2005-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527680 | Intracoastal Surgery Center, LLC | Clinic/Center | 2200 W Eau Gallie Blvd Ste 100, Melbourne, FL 32935-3166 | 2018-08-08 |
| 1669803391 | Surgery Center of Viera LLC | Clinic/Center | 7955 Spyglass Hill Rd Ste B, Melbourne, FL 32940-8249 | 2013-12-05 |
| 1558694034 | Brevard Specialty Surgery Center LLC | Clinic/Center | 95 Bulldog Boulevard, Suite 104, Melbourne, FL 32901-3175 | 2009-09-15 |
| 1306087135 | Crane Creek Surgical Partners, LLC | Clinic/Center | 2222 South Harbor City Blvd, Suite 540, Melbourne, FL 32901 | 2009-03-06 |
| 1164473922 | Ophthalmology Center of Brevard Lp | Clinic/Center | 719 E New Haven Ave, Melbourne, FL 32901-5459 | 2006-05-15 |
| 1558323956 | Melbourne Surgery Center Lp | Clinic/Center | 1340 Medical Park Dr, Suite 101, Melbourne, FL 32901-3246 | 2006-04-03 |
| 1174594584 | Sheridan Surgery Center | Clinic/Center | 95 Bulldog Blvd, Ste104, Melbourne, FL 32901-3332 | 2006-02-01 |
| 1255311635 | Melbourne Asc Lp | Clinic/Center | 1401 S Apollo Blvd, Suite B, Melbourne, FL 32901-3179 | 2006-01-20 |
| 1063495257 | Doctors Surgical Partnership Ltd | Clinic/Center | 1035 S Apollo Blvd, Melbourne, FL 32901-1969 | 2005-11-22 |
| 1013309459 | Melbourne Surgery Center, LLC | Clinic/Center | 95 Bulldog Blvd, Suite 104, Melbourne, FL 32901-3332 | 2015-02-23 |
| 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.