MARSHALL M. DESANTIS, M.D.,PA (NPI# 1437383171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437383171 |
| Entity Type | Organization |
| Organization Name | MARSHALL M. DESANTIS, M.D.,PA |
| Practice Address |
14100 Fivay Rd Suite 300 Hudson FL 34667-7180 |
| Practice Telephone | 7278697497 |
| Practice Fax Number | 7278697156 |
| Mailing Telephone | 7278697497 |
| Mailing Fax Number | 7278697156 |
| Enumeration Date | 2009-05-10 |
| Last Update Date | 2009-05-10 |
| Authorized Official Name | DR. MARSHALL MATTHEW DESANTIS, (EMPLOYER) |
| Authorized Official Telephone | 7278697497 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME53627 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 048693100 | 05 | |
| FL | TRICARE | 593277301 | 01 |
| FL | QUALITY | PRO0035 | 01 |
| FL | AV MED | 083596 | 01 |
| FL | UNITED | 1467542498 | 01 |
| FL | UNIVERSAL | 593277301 | 01 |
| FL | CIGNA | 593277301 | 01 |
| FL | WELLCARE | 05632 | 01 |
| FL | HUMANA | 593277301 | 01 |
| FL | AETNA | 4049845 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 07035 | 01 |
| Street Address |
14100 FIVAY RD SUITE 300 |
| City | HUDSON |
| State | FL |
| Zip Code | 34667-7180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576805 | Sambasiva K. Rao Musunuru | Internal Medicine | 14100 Fivay Rd, Hudson, FL 34667-7180 | 2005-05-23 |
| 1528335122 | Emily Katherine Lucci | Physical Therapist | 14100 Fivay Rd, Suite 210, Hudson, FL 34667-7180 | 2011-11-27 |
| 1205121258 | Mary Ellen Lian | Speech-Language Pathologist | 14100 Fivay Rd, Suite 210, Hudson, FL 34667-7180 | 2011-06-16 |
| 1790070381 | Matthew A Simpson | Nurse Anesthetist, Certified Registered | 14100 Fivay Rd, Hudson, FL 34667-7180 | 2011-06-13 |
| 1033408463 | Sara Darlene Kietzman | Speech-Language Pathologist | 14100 Fivay Rd, 210a, Hudson, FL 34667-7180 | 2011-04-06 |
| 1073812384 | Monica Yvette Plazarte | Internal Medicine | 14100 Fivay Rd, Suite 250, Hudson, FL 34667-7180 | 2011-03-25 |
| 1780815340 | Anna Szafran-swietlik | Internal Medicine | 14100 Fivay Rd, Diabetes Care Center, Hudson, FL 34667-7180 | 2009-07-30 |
| 1598993032 | Neuro Orthopedic Rehab Associates Pllc | Physical Medicine & Rehabilitation | 14100 Fivay Rd, Suite 340, Hudson, FL 34667-7180 | 2009-06-23 |
| 1558503367 | Irene Kardashian M.d., P.a. | Internal Medicine | 14100 Fivay Rd, Suite 100, Hudson, FL 34667-7180 | 2009-03-26 |
| 1720223605 | Kelly E Powell | Nurse Practitioner | 14100 Fivay Rd, Suite 280, Hudson, FL 34667-7180 | 2008-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| 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 |
|---|---|---|---|---|
| 1407205917 | American Womens Consultation Services | Specialist | 15910 Us Highway 19, Hudson, FL 34667-3619 | 2016-06-06 |
| 1811341860 | Christina Guida | Specialist | 14410 Cobra Way, Hudson, FL 34669-1011 | 2016-04-15 |
| 1497154256 | Rebecca Decotiis | Specialist | 728 Fox Hollow Dr, Hudson, NH 03051-4886 | 2014-08-18 |
| 1962815209 | Jean Minar | Specialist | 1590 Amboy Dr, Hudson, OH 44236-3806 | 2014-06-04 |
| 1720415474 | Independant Ipa,llc | Specialist | 13906 Lakeshore Blvd Ste 330, Hudson, FL 34667-1487 | 2013-09-26 |
| 1598954729 | Neera Prahlad Agarwal Antal Md Inc. | Specialist | 1325 Corporate Dr Ste A, Hudson, OH 44236-4432 | 2007-10-24 |
| 1811048341 | Juliet Neely Sides | Specialist | 13911 Lakeshore Blvd Unit 102, Hudson, FL 34667-7102 | 2007-01-12 |
| 1275693491 | Karuvath Enu Md PC | Specialist | 64 Green St, Hudson, NY 12534-2328 | 2006-12-11 |
| 1053496703 | Dawn Verdouw | Specialist | 750 W Streetsboro St, Hudson, OH 44236-2057 | 2006-10-25 |
| 1417047945 | Rajiva Goyal | Specialist | 14100 Fivay Rd Ste 120, Hudson, FL 34667-7159 | 2006-10-13 |
| Find all providers in HUDSON | ||||
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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.