COASTAL SKILLED CARE PROVIDERS LLC (NPI# 1508272683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508272683 |
| Entity Type | Organization |
| Organization Name | COASTAL SKILLED CARE PROVIDERS LLC |
| Practice Address |
767 Timothy St Ormond Beach FL 32174-2909 |
| Practice Telephone | 4074969399 |
| Mailing Telephone | 4074969399 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |
| Authorized Official Name | DR. LOTHAR MICHAEL GEBAUER (OFFICER) |
| Authorized Official Telephone | 4074969399 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME98984 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
767 TIMOTHY ST |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285048215 | Norma Sharon Conley | Internal Medicine | 19 Moss Point Dr, Ormond Beach, FL 32174-2596 | 2014-06-18 |
| 1578885174 | Richard Lynn Dillard | Internal Medicine | 6 Riverside Cir, Ormond Beach, FL 32176-6538 | 2010-02-23 |
| 1609951623 | Vipinchandra K Patel | Internal Medicine | 55 N Old Kings Rd Suite E, Ormond Beach, FL 32174 | 2006-10-26 |
| 1366525750 | Dannie Earl Buck | Internal Medicine | 800 S Nova Rd, Suite A, Ormond Beach, FL 32174-7362 | 2006-10-23 |
| 1750304143 | Andria Klioze | Internal Medicine | 7 Cypress Hollow Lane, Ormond Beach, FL 32174 | 2006-07-26 |
| 1922033737 | Felix Nicolas Alvarez | Internal Medicine | 722 S Atlantic Ave, Ormond Beach, FL 32176-7897 | 2006-07-11 |
| 1629003785 | Danny M Farmer | Internal Medicine | 570 Memorial Circle, Suite 110, Ormond Beach, FL 32174 | 2006-07-11 |
| 1093770075 | Christopher Rafael Larrazabal | Internal Medicine | 500 Memorial Cir, Suite A, Ormond Beach, FL 32174-5071 | 2006-04-20 |
| 1538135090 | Michael R. Dimayuga | Internal Medicine | 800 Sterthaus Drive, Suite B, Ormond Beach, FL 32174 | 2006-02-24 |
| 1386610186 | Carlos Javier Farach | Internal Medicine | 1545 Hand Ave, Suite B1, Ormond Beach, FL 32174 | 2006-02-23 |
| Find all providers in ORMOND BEACH | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
Please comment or provide details below to improve the information on COASTAL SKILLED CARE PROVIDERS LLC.
| 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.