ELLEN M ALTENBURG (NPI# 1134193816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134193816 |
| Entity Type | Individual |
| Full Name | ELLEN M ALTENBURG |
| Credential | MD |
| Practice Address |
6300 N Wickham Rd Ste 132b Melbourne FL 32940-2023 |
| Practice Telephone | 3214256900 |
| Practice Fax Number | 3218025599 |
| Mailing Telephone | 3214256900 |
| Mailing Fax Number | 3218025599 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME0073871 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 259127800 | 05 |
| Street Address |
6300 N WICKHAM RD STE 132B |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477029825 | The Brevard Health Alliance, Inc. | Pediatrics | 2120 Sarno Rd Ste 2, Melbourne, FL 32935-3084 | 2018-10-23 |
| 1891150231 | Sharon Dillon Md, Pa | Pediatrics | 3150 N Wickham Rd Ste 6, Melbourne, FL 32935-2322 | 2015-12-30 |
| 1396962734 | Florida Pediatric Group Pa | Pediatrics | 240 N Wickham Rd Ste 102, Melbourne, FL 32935-8663 | 2007-04-19 |
| 1669559563 | Anne H Beressi | Pediatrics | 1270 N Wickham Rd Ste 50, Melbourne, FL 32935-8939 | 2006-11-01 |
| 1558311282 | Sharon Angela Dillon | Pediatrics | 3150 N Wickham Rd, Melbourne, FL 32935-2322 | 2006-05-11 |
| 1235139973 | Paul Tebbe | Pediatrics | 7332 Office Park Pl, Suite 103, Melbourne, FL 32940-8241 | 2005-07-22 |
| 1841290566 | Heather Findlan | Pediatrics | 1755 W Hibiscus Blvd, Melbourne, FL 32901-2616 | 2005-07-22 |
| 1912901455 | Robert D. Karch | Pediatrics | 1350 S Hickory Street, Holmes Regional Medical Center, Melbourne, FL 32901 | 2005-06-13 |
| 1649273178 | David Andrew Helft | Pediatrics | 1310 W Eau Gallie Blvd, Suite C, Melbourne, FL 32935-5300 | 2005-05-30 |
| 1740635747 | Binh Vu | Pediatrics | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2016-04-27 |
| 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.