COASTAL ORTHOPAEDIC AND SPORTS MEDICINE CENTER (NPI# 1417271578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417271578 |
| Entity Type | Organization |
| Organization Name | COASTAL ORTHOPAEDIC AND SPORTS MEDICINE CENTER |
| Practice Address |
2220 Se Ocean Blvd Ste 302 Stuart FL 34996-3301 |
| Mailing Address |
7710 S Us Highway 1 Port Saint Lucie FL 34952-2320 |
| Practice Telephone | 7722835500 |
| Mailing Telephone | 7723355300 |
| Mailing Fax Number | 7728787602 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | DR. EDWARD JESUS ROSSARIO (PRESIDENT) |
| Authorized Official Telephone | 7723355300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
2220 SE OCEAN BLVD STE 302 |
| City | STUART |
| State | FL |
| Zip Code | 34996-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609863398 | Romagosa Dermatology Group LLC | Dermatology | 2220 Se Ocean Blvd, Suite 301, Stuart, FL 34996-2364 | 2005-09-29 |
| 1871945113 | Sara Parks | Nurse Practitioner | 2220 Se Ocean Blvd, Suite 301, Stuart, FL 34996-3301 | 2016-07-11 |
| 1043680770 | Shuster Eye Pa | Ophthalmology | 2220 Se Ocean Blvd, Suite 101, Stuart, FL 34996-3301 | 2015-10-07 |
| 1588092050 | Mecnb Inc | Clinic/Center | 2220 Se Ocean Blvd, Ste. 101, Stuart, FL 34996-3301 | 2013-10-21 |
| 1356573315 | Sarah Cerminara | Dermatology | 2220 Se Ocean Blvd, Suite 301, Stuart, FL 34996-3301 | 2009-08-10 |
| 1780815837 | Premier Physical Therapy and Sports Medicine | Physical Therapist | 2220 Se Ocean Blvd, Suite 202, Stuart, FL 34996-3308 | 2009-08-06 |
| 1720230485 | Family Foot & Ankle of Stuart Pl | Podiatrist | 2220 Se Ocean Blvd, Suite 201, Stuart, FL 34996-3308 | 2008-10-14 |
| 1376705350 | Gregory Barron | Dermatology | 2220 Se Ocean Blvd, Suite 301, Stuart, FL 34996-3301 | 2008-06-30 |
| 1205046984 | Yvonne Foy Romagosa | Dermatology | 2220 Se Ocean Blvd, Ste 301, Stuart, FL 34996-3308 | 2007-05-23 |
| 1639266034 | Alan Roger Shuster | Ophthalmology | 2220 Se Ocean Blvd, Suite 101, Stuart, FL 34996-3301 | 2006-10-06 |
| Find all providers in the same location | ||||
| 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 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 |
|---|---|---|---|---|
| 1952859001 | Amanda Helms | Specialist | 2077 Sw Panther Trce, Stuart, FL 34997-4850 | 2016-09-19 |
| 1033583877 | Donna Suares | Specialist | 524 Sw Saint Lucie Cres Apt 206, Stuart, FL 34994-2859 | 2015-11-17 |
| 1164737409 | Sung Chou Chen | Specialist | 1276 Nw Federal Hwy, Stuart, FL 34994-1002 | 2010-08-11 |
| 1396072898 | Cheryl Griffith Edney | Specialist | 6620 Sw Gaines Ave, Stuart, FL 34997-6219 | 2009-11-04 |
| 1730337999 | Bette G Bell | Specialist | 355 Howell Bottom Ln, Stuart, VA 24171-3996 | 2008-08-29 |
| 1467612473 | Deborah Ann Demarta | Specialist | 218 Sw Atlanta Ave, Stuart, FL 34994-2034 | 2008-06-12 |
| 1497913214 | Behavior Basics, Incorporated | Specialist | 1016 Se Fleming Way, Stuart, FL 34997-1558 | 2008-05-29 |
| 1447446745 | Therapeutic Massage, Inc. | Specialist | 413 California Ave, Stuart, FL 34994-2917 | 2007-09-20 |
| 1225233356 | Angela May Schwinger | Specialist | 102 Ne 2nd St., Stuart, IA 50250 | 2007-06-19 |
| 1295938322 | Timothy Stanley O'brien | Specialist | 2641 Se Ocean Blvd, Stuart, FL 34996-3401 | 2007-06-06 |
| Find all providers in STUART | ||||
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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.