DR. REBECCA CISSELL NOVO (NPI# 1497996946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497996946 |
Entity Type | Individual |
Full Name | DR. REBECCA CISSELL NOVO |
Other Name | DR. REBECCA BACHUSZ |
Credential | M.D. |
Practice Address |
6559 N Wickham Rd Ste C-105 Melbourne FL 32940-2039 |
Mailing Address |
801 York St Manitowoc WI 54220-4630 |
Practice Telephone | 3213953298 |
Practice Fax Number | 3212411161 |
Mailing Telephone | 9206639008 |
Mailing Fax Number | 9206841439 |
Enumeration Date | 2009-03-12 |
Last Update Date | 2020-09-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
ME118444 | FL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
6545 N Wickham Rd Ste 101, Melbourne, FL 329402042 | 3213953298 | 3212411161 |
6545 N Wickham Rd Ste 102, Melbourne, FL 329402042 | 3213953298 | 3212411161 |
Street Address |
6559 N WICKHAM RD STE C-105 |
City | MELBOURNE |
State | FL |
Zip Code | 32940-2039 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447234000 | Anita Saluja | Dermatology | 6559 N Wickham Rd Ste C-105, Melbourne, FL 32940-2039 | 2005-12-06 |
1427662071 | Forefront Dermatology, S.c. | Dermatology | 6559 N Wickham Rd Ste C-105, Melbourne, FL 32940-2039 | 2020-09-01 |
1730403023 | Adrienne M Vargas | Physician Assistant | 6559 N Wickham Rd Ste C-105, Melbourne, FL 32940-2039 | 2010-03-16 |
1891722872 | Beth Anne Perry | Physician Assistant | 6559 N Wickham Rd Ste C-105, Melbourne, FL 32940-2039 | 2006-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
Find all providers in zip 32940 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093834954 | Victoria Vitale-lewis | Surgery | 504 4th Ave, Melbourne, FL 32951-2545 | 2007-03-29 |
1134367964 | George N Collis | Surgery | 1223 Gateway Dr, Suite 2b, Melbourne, FL 32901-2607 | 2009-02-02 |
1407978703 | Amy M Simon | Surgery | 707 W Eau Gallie Blvd, Melbourne, FL 32935-5958 | 2007-04-06 |
1861448318 | Lee G Theophelis | Surgery | 1350 Hickory St Ste 101, Melbourne, FL 32901-3224 | 2006-05-26 |
1164474276 | Health First Physicians, Inc | Surgery | 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2006-05-17 |
1881658144 | Mauricio Jose Castellon | Surgery | 1499 S Harbor City Blvd, Ste 301, Melbourne, FL 32901 | 2006-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568025419 | Reinventme, LLC | Surgery | 13696 N Us Highway 441 Ste 100, Lady Lake, FL 32159-6815 | 2019-04-17 |
1750854378 | David Gerth Md Pa | Surgery | 4308 Alton Rd Ste 940, Miami Beach, FL 33140-4560 | 2019-01-07 |
1588165773 | Deepak Naidu Md, Pa | Surgery | 201 E Kennedy Blvd Ste 410, Tampa, FL 33602-3641 | 2018-02-23 |
1194225599 | Joseph Charles Gallagher Jr. | Surgery | 9201 Midnight Pass Rd, Sarasota, FL 34242-2921 | 2018-02-13 |
1043729569 | Renee Gasgarth, M.d. P.a. | Surgery | 7300 Sw 62nd Pl Ste 200, South Miami, FL 33143-4800 | 2017-09-27 |
1184150625 | Pamela Loftus | Surgery | 4454 Woodfield Blvd, Boca Raton, FL 33434-5310 | 2017-05-03 |
1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
1629482096 | Jill Swindell | Surgery | 1921 Waldemere St Ste 801, Sarasota, FL 34239-2913 | 2014-06-13 |
1205274784 | Melanie L Aya-ay Md Plastic Surgery Pl | Surgery | 17523 N Dale Mabry Hwy, Lutz, FL 33548-4521 | 2013-06-06 |
1790123487 | Jason Crespo | Surgery | 1250 Pine Ridge Rd Ste 101c, Naples, FL 34108-8913 | 2013-06-05 |
Find all providers with the same taxonomy |
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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.