MEDICAL SPECIALISTS OF THE PALM BEACHES (NPI# 1114170206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114170206 |
| Entity Type | Organization |
| Organization Name | MEDICAL SPECIALISTS OF THE PALM BEACHES |
| Practice Address |
4685 S Congress Ave Suite 200 Lake Worth FL 33461-4761 |
| Mailing Address |
5700 Lake Worth Rd Suite 204 Greenacres FL 33463-4727 |
| Practice Telephone | 5619651864 |
| Practice Fax Number | 5619675005 |
| Mailing Telephone | 5619687968 |
| Mailing Fax Number | 5619644603 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-24 |
| Authorized Official Name | SHAWN FRANKLIN (CEO) |
| Authorized Official Telephone | 5619667703 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
4685 S CONGRESS AVE SUITE 200 |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33461-4761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303927 | Radiation Oncology Group, P.a. | Radiology | 4685 S Congress Ave, First Floor, Lake Worth, FL 33461-4710 | 2005-08-10 |
| 1659650620 | Stephanie L Ferrer | Physician Assistant | 4685 S Congress Ave, Suite 201, Lake Worth, FL 33461-4761 | 2011-08-09 |
| 1053426783 | Miguel Araneo | Internal Medicine | 4685 S Congress Ave, Suite 200, Lake Worth, FL 33461-4761 | 2006-08-21 |
| 1245229350 | Ben Hyung Han | Radiology | 4685 S Congress Ave, Lake Worth, FL 33461-4710 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073544532 | Stephen N Makoni | Internal Medicine | 3450 Lantana Rd Ste 100, Lake Worth, FL 33462 | 2006-07-05 |
| 1942254768 | Gracy Joshua | Internal Medicine | 3918 Via Poinciana, #1, Lake Worth, FL 33467-2991 | 2006-05-19 |
| 1487081196 | Harry Jack Goldsztajn | Internal Medicine | 3450 Lantana Rd, Ste 100, Lake Worth, FL 33462-1329 | 2013-09-27 |
| 1497933998 | Raymond Eric Tsao | Internal Medicine | 4801 S Congress Ave, Suite 201, Lake Worth, FL 33461-4746 | 2008-02-06 |
| 1376742833 | Jose Agustin Ortega IIi | Internal Medicine | 3450 Lantana Rd, Ste100, Lake Worth, FL 33462-1304 | 2007-07-15 |
| 1043428089 | Seetal Mewar | Internal Medicine | 3450 Lantana Rd, Ste 100, Lake Worth, FL 33462-1304 | 2007-05-21 |
| 1982611398 | Eduardo A Garcia | Internal Medicine | 3450 Lantana Rd, Suite 100, Lake Worth, FL 33462-1329 | 2006-08-01 |
| 1124032610 | William L Sternheim | Internal Medicine | 3450 Lantana Rd, Suite 100, Lake Worth, FL 33462-1329 | 2006-07-28 |
| 1346262193 | Roger D Rosenstock | Internal Medicine | 3450 Lantana Rd, Suite 100, Lake Worth, FL 33462-1329 | 2006-07-24 |
| 1538189915 | Arunachalam Thenappan | Internal Medicine | 3450 Lantana Rd, Suite 100, Lake Worth, FL 33462-1329 | 2006-07-20 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33461 |
Please comment or provide details below to improve the information on MEDICAL SPECIALISTS OF THE PALM BEACHES.
| 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.