JOSEPH A WASSELLE (NPI# 1245295898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245295898 |
Entity Type | Individual |
Full Name | JOSEPH A WASSELLE |
Credential | MD |
Practice Address |
2222 S Harbor City Blvd Suite 450 Melbourne FL 32901-5594 |
Mailing Address |
2222 S Harbor City Blvd Melbourne FL 32901-5594 |
Practice Telephone | 3215411715 |
Practice Fax Number | 3217258739 |
Mailing Telephone | 3215411715 |
Mailing Fax Number | 3217258739 |
Enumeration Date | 2006-04-18 |
Last Update Date | 2016-10-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | ME54118 | FL | Allopathic & Osteopathic Physicians |
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME54118 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RAIL ROAD MEDICARE | 020025955 | 01 | |
FL | 373041700 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598260754 | Joseph Adam Wasselle | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2018-03-28 |
Street Address |
2222 S HARBOR CITY BLVD SUITE 450 |
City | MELBOURNE |
State | FL |
Zip Code | 32901-5594 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639163975 | Neuroskeletal Imaging LLC | Radiology | 2222 S Harbor City Blvd, Melbourne, FL 32901-5591 | 2005-09-01 |
1164897575 | Anesthesiology Consultants of Melbourne, Pa | Anesthesiology | 2222 S Harbor City Blvd, #610, Melbourne, FL 32901-5594 | 2015-12-10 |
1346662103 | Casey W Langel | Physician Assistant | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5594 | 2014-01-14 |
1528406402 | Jessica Herraiz | Nurse Practitioner | 2222 S Harbor City Blvd, Ste 610, Melbourne, FL 32901-5591 | 2013-06-12 |
1285988279 | Amanda Ann Folkers | Physician Assistant | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5594 | 2012-10-30 |
1295013415 | Brevard Hma Hme, LLC | Durable Medical Equipment & Medical Supplies | 2222 S Harbor City Blvd, Suite 630, Melbourne, FL 32901-5594 | 2011-07-22 |
1003100504 | Brevard Orthopaedic Spine & Pain Clinic Inc | Chiropractor | 2222 S Harbor City Blvd, Suite 530, Melbourne, FL 32901-5594 | 2011-06-02 |
1164716676 | Brevard Orthopaedics Spine & Pain Clinic, Inc | Orthopaedic Surgery | 2222 S Harbor City Blvd, Suite 510, Melbourne, FL 32901-5594 | 2011-06-01 |
1518259050 | Osler Hma Medical Group LLC | Chiropractor | 2222 S Harbor City Blvd, Suite 420, Melbourne, FL 32901-5594 | 2011-05-03 |
1790014942 | Evangelia Fotopoulos | Family Medicine | 2222 S Harbor City Blvd, Suite 430, Melbourne, FL 32901-5594 | 2009-12-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
Find all providers in zip 32901 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902844699 | Irfan Riaz Imami | Surgery | 1223 Gateway Dr Ste 2c, Melbourne, FL 32901-2607 | 2006-06-03 |
1689652729 | James W. Battaglini | Surgery | 1601 S Apollo Blvd, Suite B, Melbourne, FL 32901-4484 | 2006-01-09 |
1730178641 | Fuad M Ramadan | Surgery | 1250 S Harbor City Blvd, Suite A, Melbourne, FL 32901-3242 | 2005-10-14 |
1497748404 | Dwayne K Badgett | Surgery | 8055 Spyglass Hill Rd, Suite 102, Melbourne, FL 32940-8564 | 2005-08-24 |
1184624041 | Nowokere Esemuede | Surgery | 240 N Wickham Rd, Suite 204, Melbourne, FL 32935-8662 | 2005-07-21 |
1043479025 | Irfan R Imami Md Pl | Surgery | 1140 Broadband Dr, Melbourne, FL 32901-2623 | 2008-06-05 |
1396857611 | Peter Samo Dovgan | Surgery | 655 S Apollo Blvd, Melbourne, FL 32901-1485 | 2006-08-31 |
1245262039 | Ormond C Mendes | Surgery | 1350 Hickory St, Suite 102, Melbourne, FL 32901-3224 | 2006-07-06 |
1245215888 | Mark S Rosenbloom | Surgery | 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2005-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104394857 | George Scott Hall Sr. | Surgery | 9 Marsh Creek Rd, Fernandina Beach, FL 32034-6413 | 2018-11-09 |
1316413115 | Fox Vascular Experts, LLC | Surgery | 2699 Stirling Rd Ste A301302, Fort Lauderdale, FL 33312-6517 | 2018-10-18 |
1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
1598267593 | Joseph D Stillword, Md | Surgery | 800 Zeagler Dr Ste 320, Palatka, FL 32177-3827 | 2018-03-06 |
1386157006 | Beatriz Lam | Surgery | 2001 West 68 St, Cvicu, Hialeah, FL 33016 | 2017-11-16 |
1811421092 | Sunrise Vascular Center | Surgery | 8555 Nw 165th Ter, Miami Lakes, FL 33016-6138 | 2017-04-14 |
1962891838 | Global Trauma Systems, Inc | Surgery | 126 Se Mira Lavella, Port Saint Lucie, FL 34984-6615 | 2015-01-15 |
1184013450 | Vas-q-lar, Inc | Surgery | 6187 Nw 167th St, Suite H13, Hialeah, FL 33015-4340 | 2015-01-09 |
1396147138 | Usa Vein Clinics of Miami, LLC | Surgery | 1711 E Hallandale Beach Blvd Ste B, Hallandale Beach, FL 33009-4621 | 2014-09-24 |
1114336021 | Florida Vein Center, Inc | Surgery | 6050 53rd Ave E Unit A, Bradenton, FL 34203-9700 | 2014-08-05 |
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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.