ASSOCIATED COASTAL EAR NOSE & THROAT PHYSICIANS PA (NPI# 1134299753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134299753 |
Entity Type | Organization |
Organization Name | ASSOCIATED COASTAL EAR NOSE & THROAT PHYSICIANS PA |
Practice Address |
4632 S. 25th Street Fort Pierce FL 34981 |
Mailing Address |
4632 S 25th Street Fort Pierce FL 34981 |
Practice Telephone | 9545874218 |
Practice Fax Number | 9545874219 |
Mailing Telephone | 7724649595 |
Mailing Fax Number | 7724649582 |
Enumeration Date | 2006-11-09 |
Last Update Date | 2018-04-30 |
Authorized Official Name | BARBARA S ALLEN (OFFICE MANAGER) |
Authorized Official Telephone | 7725191504 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Y00000X | Otolaryngology | ME33479 | FL | Allopathic & Osteopathic Physicians |
Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 261395600 | 05 | |
FL | BCBSFL GRP# | 34174 | 01 |
FL | 253536000 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
4632 S 25th St, Fort Pierce, FL 349815057 | 7724649595 | 7724649582 |
Street Address |
4632 S. 25TH STREET |
City | FORT PIERCE |
State | FL |
Zip Code | 34981 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477033173 | Florida Center for Recovery Inc. | Clinic/Center | 3463 W. Midway Rd., Ft Pierce, FL 34981 | 2018-08-21 |
1003225996 | Beth A Hutchinson | Occupational Therapy Assistant | 4715 Kirby Loop Road, Fort Pierce, FL 34981 | 2014-08-05 |
1538419106 | Jessica Lynn Brinkerhoff | Social Worker | 2920 S 25th St., Ft. Pierce, FL 34981 | 2012-09-11 |
1407105620 | Shanedelle Norford | Pathology | 2500 S 35th St, Fort Pierce, FL 34981 | 2012-09-04 |
1710271333 | Fort Pierce Family Care, Inc. | Clinic/Center | 3851 Virginia Avenue, Fort Pierce, FL 34981 | 2011-05-31 |
1194030155 | Grace Therapies, LLC. | Speech-Language Pathologist | 4715 Kirby Loop Rd, Fort Pierce, FL 34981 | 2010-08-15 |
1184817934 | John Anthony Schwerer | Dentist | 4634 S 25th St, Ft Pierce, FL 34981 | 2007-08-24 |
1720180912 | Mary E Thomas | Social Worker | 4500 West Midway Road, Fort Pierce, FL 34981 | 2006-09-01 |
1598876088 | Hospice of The Treasure Coast Inc | Hospice Care, Community Based | 5000-5090 Dunn Road, Fort Pierce, FL 34981 | 2006-08-31 |
1821042425 | Nancy Deane Newbury | Nurse Practitioner | 4500 W Midway Rd, New Horizons of The Treasure Coast Inc, Ft Pierce, FL 34981 | 2006-05-19 |
Find all providers in zip 34981 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548261472 | Ibrahim Bohsali | Otolaryngology | 2215 Nebraska Ave, Ste 1-d, Fort Pierce, FL 34950-4864 | 2005-08-02 |
1407275829 | Elizabeth Anne Blasberg | Otolaryngology | 4632 S 25th St, Fort Pierce, FL 34981-5057 | 2014-04-14 |
1326156217 | Michele L Richards | Otolaryngology | 4632 S 25th St, Fort Pierce, FL 34981-5057 | 2006-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447870977 | Shanmugasundaram, Venkatachalam | Otolaryngology | 10131 W Forest Hill Blvd Ste 201, Wellington, FL 33414-6109 | 2020-04-24 |
1851910517 | Daniel Oswaldo Manrique | Otolaryngology | 325 Saddle Ridge Dr, Davenport, FL 33896-8176 | 2020-04-13 |
1932735768 | Martin Alvin Shugar | Otolaryngology | 3850 Hollywood Blvd Ste 401, Hollywood, FL 33021-6746 | 2020-03-12 |
1396219242 | North Broward Hospital Distric T | Otolaryngology | 1801 W Sample Rd Ste 101, Deerfield Beach, FL 33064-1370 | 2019-01-14 |
1356811194 | Donald Lee Roberts | Otolaryngology | 4251 Commons Dr W Unit 5211, Destin, FL 32541-8636 | 2018-12-04 |
1275022238 | Mary Teresa Garrish | Otolaryngology | 405 Sims Way, Merritt Island, FL 32952-5233 | 2018-05-05 |
1437658671 | Baptist Ent Specialists Inc | Otolaryngology | 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 | 2018-02-02 |
1467970368 | Portela E.n.t., Pa | Otolaryngology | 3100 Sw 62nd Ave Ste 124, Miami, FL 33155-3009 | 2017-08-31 |
1427414358 | Rufus Madison Holloway Jr. | Otolaryngology | 1616 Lake Shore Drive, Orlando, FL 32803 | 2016-01-07 |
1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
Find all providers with the same taxonomy |
City | FORT PIERCE |
Zip Code | 34981 |
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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.