OSLER HMA MEDICAL GROUP, LLC (NPI# 1275803512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275803512 |
| Entity Type | Organization |
| Organization Name | OSLER HMA MEDICAL GROUP, LLC |
| Other Organization Name | OSLER MEDICAL GROUP |
| Practice Address |
930 S Harbor City Blvd Melbourne FL 32901-1963 |
| Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
| Practice Telephone | 3217255050 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395920438 |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT) |
| Authorized Official Telephone | 2395983131 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Osler Medical Group | Doing Business As Name - Organization |
| Street Address |
930 S HARBOR CITY BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-1963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851368799 | Arland A Adams | Internal Medicine | 930 S Harbor City Blvd, Osler Medical, Melbourne, FL 32901 | 2006-02-28 |
| 1104433267 | Health First Medical Group LLC | Orthopaedic Surgery | 930 S Harbor City Blvd, Ste 100, Melbourne, FL 32901-1909 | 2020-09-23 |
| 1467837476 | Stacia Poole Md, LLC | Dermatology | 930 S Harbor City Blvd, Suite 101, Melbourne, FL 32901-1963 | 2015-07-21 |
| 1861748121 | David J. Pocoski, M.d., P.a. | Specialist | 930 S Harbor City Blvd, Suite 200, Melbourne, FL 32901-1963 | 2012-07-24 |
| 1053681924 | Institute for Health Care, LLC | Internal Medicine | 930 S Harbor City Blvd, 100, Melbourne, FL 32901-1963 | 2012-01-09 |
| 1265623938 | Osler Medical Inc | Orthopaedic Surgery | 930 S Harbor City Blvd, Melbourne, FL 32901-1963 | 2007-08-07 |
| 1730261579 | Judith Williams | Nurse Practitioner | 930 S Harbor City Blvd, Melbourne, FL 32901-1963 | 2006-10-20 |
| 1356308670 | Osler Medical Inc | Clinic/Center | 930 S Harbor City Blvd, Melbourne, FL 32901 | 2006-04-28 |
| 1245297977 | James P Zavitsanos | Internal Medicine | 930 S Harbor City Blvd, Melbourne, FL 32901 | 2006-04-27 |
| 1225092844 | Sharon Glisson | Nurse Practitioner | 930 S Harbor City Blvd, Melbourne, FL 32901 | 2006-04-12 |
| Find all providers in the same location | ||||
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1861456089 | Richard Duff Sprawls | Internal Medicine | 8725 N Wickham Rd Ste 103, Melbourne, FL 32940-2240 | 2006-04-14 |
| 1518948801 | Joseph A Mcclure | Internal Medicine | 1130 Hickory St, Suite B, Melbourne, FL 32901 | 2005-11-14 |
| 1447232772 | James W Neel | Internal Medicine | 1130 Hickory St Ste B, Melbourne, FL 32901 | 2005-11-14 |
| 1013998970 | Craig J Badolato | Internal Medicine | 1430 Pine St, Melbourne, FL 32901-3119 | 2005-11-08 |
| 1720079304 | Kenneth S Graff | Internal Medicine | 1130 S Hickory St, Melbourne, FL 32901-1973 | 2005-11-02 |
| 1679564462 | Craig Kenneth Deligdish | Internal Medicine | 1344 S Apollo Blvd, Ste 303, Melbourne, FL 32901-3332 | 2005-11-02 |
| 1437410099 | Josephine Pineda Dela Cruz | Internal Medicine | 8725 N Wickham Rd Ste 103, Melbourne, FL 32940-2240 | 2012-05-30 |
| 1861615130 | Amit C Barochia | Internal Medicine | 8725 N Wickham Rd Ste 103, Melbourne, FL 32940 | 2007-04-11 |
| 1245268838 | Simon Vinarsky | Internal Medicine | 1130 Hickory St, Suite B, Melbourne, FL 32901-1973 | 2006-06-30 |
| 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.