JOHN BRADFORD FASANO (NPI# 1649281346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649281346 |
| Entity Type | Individual |
| Full Name | JOHN BRADFORD FASANO |
| Credential | M.D. |
| Practice Address |
509 Se Riverside Dr Suite 206 Stuart FL 34994-2579 |
| Practice Telephone | 7722219111 |
| Mailing Telephone | 7722219111 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 61260 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 374249100 | 05 |
| Street Address |
509 SE RIVERSIDE DR SUITE 206 |
| City | STUART |
| State | FL |
| Zip Code | 34994-2579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468437 | Clarence Richard Graves IIi | Physician Assistant | 509 Se Riverside Dr, Suite 203, Stuart, FL 34994-2579 | 2005-06-24 |
| 1841632304 | Mary Elizabeth Callahan | Physician Assistant | 509 Se Riverside Dr, Ste 300, Stuart, FL 34994-2579 | 2013-07-25 |
| 1083977805 | Brian B Foster | Physician Assistant | 509 Se Riverside Dr, Suite 203, Stuart, FL 34994-2579 | 2012-06-18 |
| 1235410549 | Avron H Lipschitz Md Plastic Surgery LLC | Plastic Surgery | 509 Se Riverside Dr, Suite 301, Stuart, FL 34994-2579 | 2011-08-31 |
| 1679888945 | Kenneth L. Holling Md Pa | Internal Medicine | 509 Se Riverside Dr, Suite 200, Stuart, FL 34994-2579 | 2010-08-11 |
| 1942513114 | Sylvia Gates | Physician Assistant | 509 Se Riverside Dr, Ste 305, Stuart, FL 34994-2579 | 2010-07-16 |
| 1497083042 | Tiffany L Brown | Physician Assistant | 509 Se Riverside Dr, Ste 203, Stuart, FL 34994-2579 | 2009-11-19 |
| 1437314598 | Kevin Todd Claudeanos | Surgery | 509 Se Riverside Dr, Suite 305, Stuart, FL 34994-2579 | 2008-07-28 |
| 1568659902 | Pediatrics Care of Stuart,pa | Clinic/Center | 509 Se Riverside Dr, Suite#300, Stuart, FL 34994-2579 | 2007-10-01 |
| 1396944831 | Richard Russell Teed Jr. | Surgery | 509 Se Riverside Dr, Ste 305, Stuart, FL 34994-2579 | 2007-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073700951 | Martin C Robson | Plastic Surgery | 3619 Se Cambridge Dr, Stuart, FL 34997-5647 | 2007-09-25 |
| 1336343102 | Avron H Lipschitz | Plastic Surgery | 903 Se Monterey Commons Blvd, Stuart, FL 34996 | 2007-06-13 |
| 1023102886 | Daniel T Holley | Plastic Surgery | 2065 South Kanner Highway, Stuart, FL 34994 | 2006-10-03 |
| 1669490074 | Luis F Villar | Plastic Surgery | 309 Se Osceola St, Suite 201, Stuart, FL 34994-2251 | 2006-07-17 |
| 1164496360 | Paul Dudley Giles | Plastic Surgery | 323 Se Osceola St, Stuart, FL 34994-2227 | 2006-02-14 |
| 1407853989 | Alton Clark Raynor | Plastic Surgery | 845 Se Osceola St, Stuart, FL 34994-2431 | 2005-06-30 |
| 1235410549 | Avron H Lipschitz Md Plastic Surgery LLC | Plastic Surgery | 509 Se Riverside Dr, Suite 301, Stuart, FL 34994-2579 | 2011-08-31 |
| 1437476504 | Robert N. Cooper, M.d., P.a. | Plastic Surgery | 201 Se Osceola St, Stuart, FL 34994-2210 | 2010-04-28 |
| 1124343876 | P. Dudley Giles, Md, Pa | Plastic Surgery | 323 Se Osceola St, Stuart, FL 34994-2227 | 2010-04-06 |
| 1437284080 | Daniel T Holley Md Pa | Plastic Surgery | 2065 South Kanner Highway, Stuart, FL 34994 | 2007-02-23 |
| 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.