DR. VATTI THECKLA ANTHONY


Address: 2392 Se Ocean Blvd, Stuart, FL 34996-3310
Phone: 7722235628

DR. VATTI THECKLA ANTHONY (NPI# 1205884590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205884590
Entity Type Individual
Full Name DR. VATTI THECKLA ANTHONY
Credential MD
Practice Address 2392 Se Ocean Blvd
Stuart
FL 34996-3310
Mailing Address Po Box 417
Stuart
FL 34995-0417
Practice Telephone 7722235628
Practice Fax Number 7722235652
Mailing Telephone 7722232832
Mailing Fax Number 7722235652
Enumeration Date 2006-05-05
Last Update Date 2018-09-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine ME135162 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL FLORIDA BLUE VVN40 01
FL 024761200 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4 Executive Park Ct, Germantown, MD 208742645 3019161119

Office Location

Street Address 2392 SE OCEAN BLVD
City STUART
State FL
Zip Code 34996-3310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790044725 Toribio Lugo Internal Medicine 2392 Se Ocean Blvd, Stuart, FL 34996-3310 2012-05-11
1528324613 Katie Cleary Alonso Internal Medicine 2392 Se Ocean Blvd, Stuart, FL 34996 2012-04-03
1174809594 Timothy Ramos Physician Assistant 2392 Se Ocean Blvd, Stuart, FL 34996-3310 2011-10-31
1912293028 Leighan H Talton Family Medicine 2392 Se Ocean Blvd, Stuart, FL 34996-3310 2011-06-27
1417247032 Joshua Leibner Psychiatry & Neurology 2392 Se Ocean Blvd, Stuart, FL 34996-3310 2011-04-15
1609189869 Juancarlo Martinez Gonzalez Internal Medicine 2392 Se Ocean Blvd, Stuart, FL 34996 2010-07-16
1164446290 Raiza Rodriguez Physician Assistant 2392 Se Ocean Blvd, Stuart, FL 34996-3310 2006-07-26
1023030749 Carlos Maldonado Surgery 2392 Se Ocean Blvd, Stuart, FL 34996-3310 2006-07-24
1912927781 Pete M. Decuir Nurse Practitioner 2392 Se Ocean Blvd, Stuart, FL 34996-3310 2006-07-21
1689693913 Sandra Clark-ragl Nurse Practitioner 2392 Se Ocean Blvd, Stuart, FL 34996-3310 2006-07-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164061578 See and Sun Optical Technician/Technologist 3736 Se Ocean Blvd, Stuart, FL 34996 2020-01-02
1528558822 Shweta Frechette Nurse Practitioner 2221 Se Ocean Blvd Ste 100, Stuart, FL 34996 2018-05-14
1790273944 Harbour Bay Pharmacy LLC Pharmacy 3754 Se Ocean Blvd Ste B, Stuart, FL 34996 2018-04-24
1053828921 Barbara Ann Ohara Counselor 2929 S.e. Ocean Blvd., Stuart, FL 34996 2018-01-02
1417370651 National Laboratories, LLC Clinical Medical Laboratory 1411 Se Ocean Avenue, Stuart, FL 34996 2014-01-23
1972871747 Cara Montgomery Counselor 850 Se Stafford Dr, Stuart, FL 34996 2011-12-08
1053557603 Glenn Allen Feigen Licensed Practical Nurse 3727 Se Ocean Blvd # 200b, General Healthcare Resources, Inc., Stuart, FL 34996 2009-01-05
1861665044 Robert O. Baratta Internal Medicine 2400 Se Monterey Road, Suite 300, Stuart, FL 34996 2008-04-08
1336343102 Avron H Lipschitz Plastic Surgery 903 Se Monterey Commons Blvd, Stuart, FL 34996 2007-06-13
1912129214 Eyewear of Stuart, Inc. Durable Medical Equipment & Medical Supplies 2090 S.e. Ocean Blvd, Stuart, FL 34996 2007-05-03
Find all providers in zip 34996

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114461977 Mehan Medical Consulting LLC Internal Medicine 509 Se Riverside Dr Ste 300, Stuart, FL 34994-2579 2016-12-14
1578012035 Essentials Medical Group, LLC Internal Medicine 2694 Se Willoughby Blvd, Stuart, FL 34994 2016-09-26
1750756276 Doctors House Calls of Florida, LLC Internal Medicine 1239 Se Indian St Ste 102, Stuart, FL 34997-5633 2015-12-09
1144631979 Lindsey Patterson Internal Medicine 2150 Se Salerno Rd Ste 200, Stuart, FL 34997-6572 2014-05-14
1942437090 Valerie Anne Barrett Internal Medicine 2410 N Federal Hwy, Stuart, FL 34994 2009-06-16
1861665044 Robert O. Baratta Internal Medicine 2400 Se Monterey Road, Suite 300, Stuart, FL 34996 2008-04-08
1649456443 Physician On Call LLC Internal Medicine 850 Nw Federal Hwy, Suite 151, Stuart, FL 34994-1000 2008-01-11
1598951949 Carl C Gittens Md Pa Internal Medicine 789 Sw Federal Hwy Ste 212, Stuart, FL 34994-2962 2007-09-19
1881894871 Gloria Garcia Internal Medicine 2021 Se Riverside Dr, Stuart, FL 34996-1209 2007-07-19
1679780563 Benjamin John Ngo Internal Medicine 509 Se Riverside Dr Ste 301, Stuart, FL 34994 2007-05-17
Find all providers in STUART

Competitor

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City STUART
Zip Code 34996

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Dataset Information

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.

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