SEAN PATRICK ALONZA BANNISTER (NPI# 1205976487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205976487 |
| Entity Type | Individual |
| Full Name | SEAN PATRICK ALONZA BANNISTER |
| Credential | PA-C |
| Practice Address |
501 Se Osceola St Ste 201 Stuart FL 34994-2334 |
| Mailing Address |
Po Box 3130 Ocala FL 34478-3130 |
| Practice Telephone | 7724192137 |
| Practice Fax Number | 7724192138 |
| Mailing Telephone | 3528678311 |
| Mailing Fax Number | 3528671053 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2018-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003293800 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | Y06TH | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 524 Se Osceola St Ste 100, Stuart, FL 349942322 | 7724192379 | 7724192377 |
| Street Address |
501 SE OSCEOLA ST STE 201 |
| City | STUART |
| State | FL |
| Zip Code | 34994-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528030731 | Edward B Savage | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 501 Se Osceola St Ste 201, Stuart, FL 34994-2334 | 2006-02-02 |
| 1174098933 | Taylor Leigh Vanderark | Nurse Practitioner | 501 Se Osceola St Ste 201, Stuart, FL 34994-2334 | 2018-10-09 |
| 1922404722 | Frank Joseph Pezzimenti | Physician Assistant | 501 Se Osceola St Ste 201, Stuart, FL 34994-2334 | 2014-11-06 |
| 1639376106 | Brett Alan Beecher | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 501 Se Osceola St Ste 201, Stuart, FL 34994-2334 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195790 | Caitlyn Diane Helm | Physician Assistant | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2019-10-09 |
| 1043750839 | Christopher Andrew Royall | Physician Assistant | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2017-02-28 |
| 1982065264 | Nicholas Demarco | Physician Assistant | 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 | 2016-03-14 |
| 1609208545 | Morgan Mathias Dembinski | Physician Assistant | 509 Se Riverside Dr Ste 303, Stuart, FL 34994-2579 | 2013-08-02 |
| 1083977805 | Brian B Foster | Physician Assistant | 509 Se Riverside Dr, Suite 203, Stuart, FL 34994-2579 | 2012-06-18 |
| 1629022322 | Kym A Pallatto | Physician Assistant | 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 | 2006-05-19 |
| 1043289630 | Tara Ann Cobb | Physician Assistant | 1050 Se Monterey Rd, Suite 400, Stuart, FL 34994-4512 | 2006-03-16 |
| 1811966351 | Kevin Francis Barnewold | Physician Assistant | 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 | 2006-03-16 |
| 1871562728 | David P Hendry | Physician Assistant | 1050 Se Monterey Rd, Suite 400, Stuart, FL 34994-4512 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
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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.