DR. DAVID J PACKEY (NPI# 1316944788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316944788 |
| Entity Type | Individual |
| Full Name | DR. DAVID J PACKEY |
| Credential | M.D. PH.D |
| Practice Address |
1333 Pine St Melbourne FL 32901-3116 |
| Practice Telephone | 3219849400 |
| Practice Fax Number | 3219840150 |
| Mailing Telephone | 3219849400 |
| Mailing Fax Number | 3219840150 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2011-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0066496 | FL | Other Service Providers |
| Street Address |
1333 PINE ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417049719 | Jill Miller | Specialist | 1333 Pine St, Melbourne, FL 32901-3116 | 2006-09-28 |
| 1457468548 | Neurology Clinic Pa | Psychiatry & Neurology | 1333 Pine St, Melbourne, FL 32901-3116 | 2006-08-24 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758893 | Ursula Olazabal | Specialist | 402 N Babcock St Ste 101, Melbourne, FL 32935-7335 | 2020-10-18 |
| 1588101604 | Brevard County Orthopedic & Spine Associates LLC | Specialist | 2090 Sarno Rd, Melbourne, FL 32935-3077 | 2017-01-26 |
| 1962809897 | Independent Lung Associates, Pa | Specialist | 1314 Oak Street, Melbourne, FL 32901 | 2014-11-20 |
| 1043583289 | Kelly M Lieneke | Specialist | 6300 N Wickham Rd Ste 116, Melbourne, FL 32940-2023 | 2012-02-20 |
| 1609165794 | Sumeet Thareja | Specialist | 675 S Babcock Street, Melbourne, FL 32901-1459 | 2011-03-29 |
| 1447583943 | Charla Jean Green | Specialist | 601 E Strawbridge Ave, Melbourne, FL 32901-4733 | 2009-09-15 |
| 1104077841 | Denise Elliott | Specialist | 2447 N Wickham Rd Ste 138, Pmb 147, Melbourne, FL 32935-8127 | 2008-09-30 |
| 1649442047 | East Shore Neurology Pa | Specialist | 240 N Wickham Rd Ste 110, Melbourne, FL 32935-8663 | 2008-03-26 |
| 1144408378 | Richard E Goulding | Specialist | 817 Hogan Way, Melbourne, FL 32940-1789 | 2008-02-11 |
| 1942414420 | Kathleen Savarese | Specialist | 2811 Cameron St, Melbourne, FL 32901-7011 | 2007-05-10 |
| 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.