ROSS A CLEVENS (NPI# 1538140231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538140231 |
| Entity Type | Individual |
| Full Name | ROSS A CLEVENS |
| Credential | MD |
| Practice Address |
707 W Eau Gallie Blvd Melbourne FL 32935-5958 |
| Practice Telephone | 3217273223 |
| Practice Fax Number | 3217279448 |
| Mailing Telephone | 3217273223 |
| Mailing Fax Number | 3217279448 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
ME70285 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 253015500 | 05 | |
| FL | MEDICARE INDIVIDUAL | 31737X | 01 |
| Street Address |
707 W EAU GALLIE BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-5958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225473267 | Renata Khelemsky | Oral & Maxillofacial Surgery | 707 W Eau Gallie Blvd, Melbourne, FL 32935-5958 | 2013-05-03 |
| 1326374901 | Bermax II LLC | Plastic Surgery | 707 W Eau Gallie Blvd, Melbourne, FL 32935-5958 | 2009-11-02 |
| 1588860373 | Vincent Charles Mcginniss | Otolaryngology | 707 W Eau Gallie Blvd, Melbourne, FL 32935-5958 | 2007-06-27 |
| 1407978703 | Amy M Simon | Surgery | 707 W Eau Gallie Blvd, Melbourne, FL 32935-5958 | 2007-04-06 |
| 1760523393 | Brian Wayne Benson | Physician Assistant | 707 W Eau Gallie Blvd, Melbourne, FL 32935-5958 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730544172 | Vero Facial Cosmetic Surgery & Medispa,pllc | Plastic Surgery | 1255 37th St Ste D, Vero Beach, FL 32960-6550 | 2015-12-30 |
| 1659756740 | Garcia Institute Ponte Vedra LLC | Plastic Surgery | 190 A1a N # 1, Ponte Vedra Beach, FL 32082-1773 | 2015-07-30 |
| 1790911022 | Kriston J Kent Md Pa | Plastic Surgery | 1660 Medical Blvd Ste 100, Naples, FL 34110-1415 | 2009-06-01 |
| 1295946598 | Rian Maercks | Plastic Surgery | 4500 Biscayne Blvd Ste 104, Miami, FL 33137-3227 | 2007-05-25 |
| 1467512699 | Adler Facial Plastic Surgery Pa | Plastic Surgery | 323 Osceola St, Stuart, FL 34994 | 2006-12-11 |
| 1770665846 | Garcia Aesthetic & Wellness Center Inc | Plastic Surgery | 190 A1a N, Ponte Vedra Beach, FL 32082-1773 | 2006-10-19 |
| 1922105600 | Juan Phillip Garcia | Plastic Surgery | 700 3rd Street, Suite 102, Neptune Beach, FL 32266 | 2006-09-17 |
| 1255445862 | John J Obrien Jr. | Plastic Surgery | 7855 38th Ave N, St Petersburg, FL 33710-1134 | 2006-08-19 |
| 1427162486 | William L Carter | Plastic Surgery | 2706 Dr Martin Luther King Jr Blvd W, Suite B, Tampa, FL 33607-6360 | 2006-08-18 |
| 1083645717 | Advanced Facial Cosmetic & Laser Surgery Center Inc | Plastic Surgery | 5070 Highway A1a, Vero Beach, FL 32963-1400 | 2006-07-05 |
| 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.