GLENN R SLOMIN (NPI# 1164486783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164486783 |
| Entity Type | Individual |
| Full Name | GLENN R SLOMIN |
| Credential | DO |
| Practice Address |
240 N Wickham Rd Suite 300 Melbourne FL 32935-8662 |
| Mailing Address |
2222 S Harbor City Blvd Melbourne FL 32901-5594 |
| Practice Telephone | 3213085050 |
| Practice Fax Number | 3219849497 |
| Mailing Telephone | 3215411783 |
| Mailing Fax Number | 3215040118 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2014-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DS5906 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 371129300 | 05 | |
| RAIL ROAD MEDICARE | 080077253 | 01 |
| Street Address |
240 N WICKHAM RD SUITE 300 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-8662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184624041 | Nowokere Esemuede | Surgery | 240 N Wickham Rd, Suite 204, Melbourne, FL 32935-8662 | 2005-07-21 |
| 1881096865 | Kristen Noel Lai | Physician Assistant | 240 N Wickham Rd, Suite 104, Melbourne, FL 32935-8662 | 2014-09-22 |
| 1033408646 | Rosanto Agpaoa Macam | Internal Medicine | 240 N Wickham Rd, Suite 304, Melbourne, FL 32935-8662 | 2011-04-04 |
| 1265760425 | Cardiology Associates of Brevard LLC | Internal Medicine | 240 N Wickham Rd, Suite 108, Melbourne, FL 32935-8662 | 2009-11-30 |
| 1871724955 | Osler Medical Inc | Radiology | 240 N Wickham Rd, Suite 101, Melbourne, FL 32935-8662 | 2009-08-06 |
| 1497989800 | Daniel Lai | Neuromusculoskeletal Medicine & OMM | 240 N Wickham Rd, Ste 311, Melbourne, FL 32935-8661 | 2009-05-13 |
| 1386847887 | Caritas Womancare Inc | Obstetrics & Gynecology | 240 N Wickham Rd, Ste 104, Melbourne, FL 32935-8662 | 2007-06-11 |
| 1427271345 | Brevard Health Care LLC | Internal Medicine | 240 N Wickham Rd, Suite 202, Melbourne, FL 32935-8662 | 2007-04-10 |
| 1437292711 | Osler Medical Inc | Internal Medicine | 240 N Wickham Rd, Melbourne, FL 32935-8662 | 2007-02-15 |
| 1467410167 | Internal Medicine and Geriatrics Associates, P.a. | Internal Medicine | 240 N Wickham Rd, Suite 110, Melbourne, FL 32935-8662 | 2006-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970277 | Kimberly Gayle Ross | Family Medicine | 1919 Slone Blvd, Melbourne, FL 32935-4756 | 2020-07-28 |
| 1245706423 | Vargas Medical Services LLC | Family Medicine | 606 Sheridan Rd, Melbourne, FL 32901-3227 | 2018-10-16 |
| 1013467554 | First Locums Inc | Family Medicine | 3248 Cortona Dr, Melbourne, FL 32940-8613 | 2016-10-07 |
| 1922327774 | Angela Matthews | Family Medicine | 2694 Judge Fran Jamieson Way, Overflow Parking Lot, Melbourne, FL 32940 | 2010-05-19 |
| 1013197201 | Lauren Romeo Md Pa | Family Medicine | 1698 W Hibiscus Blvd Ste B, Melbourne, FL 32901-2639 | 2007-11-06 |
| 1023220605 | Marta Cyzio | Family Medicine | 1368 Tipperary Dr, Melbourne, FL 32940-6030 | 2007-05-04 |
| 1578787941 | Donna J. Badolato, Md, Pa | Family Medicine | 8061 Spyglass Hill Rd., Suite 102, Melbourne, FL 32940 | 2007-04-13 |
| 1801914858 | Marilyn C. Moss, M.d. | Family Medicine | 3210 N Wickham Rd, Suite 1, Melbourne, FL 32935-2300 | 2007-03-27 |
| 1639217870 | Kenneth Robert Mcelynn | Family Medicine | 7925 N Wickham Rd Ste B, Melbourne, FL 32940-8211 | 2007-02-01 |
| 1760568935 | Kristine R Everding | Family Medicine | 2002 Pennwood Dr, Melbourne, FL 32901-5934 | 2006-10-31 |
| 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.