INDIAN RIVER HEALTH SERVICES INC (NPI# 1689112765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689112765 |
| Entity Type | Organization |
| Organization Name | INDIAN RIVER HEALTH SERVICES INC |
| Other Organization Name | PREMIER WOMENS HEALTH |
| Practice Address |
3450 11th Ct Suite 304 Vero Beach FL 32960-5012 |
| Mailing Address |
Po Box 830270 Msc #375 Birmingham AL 35283-0270 |
| Practice Telephone | 7727706801 |
| Practice Fax Number | 7727706802 |
| Mailing Telephone | 7725674311 |
| Mailing Fax Number | 7727941450 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | MR. JEFFREY L SUSI (CEO) |
| Authorized Official Telephone | 7725674311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
4029 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PREMIER WOMENS HEALTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1073027769 | Indian River Health Services Inc | Surgery | 920 37th Pl Ste 104, Vero Beach, FL 32960-6595 | 2017-11-17 |
| 1255738480 | Indian River Health Services Inc | Internal Medicine | 880 37th Pl, Suite 105, Vero Beach, FL 32960-6506 | 2014-12-03 |
| 1578833315 | Indian River Health Services Inc | Internal Medicine | 937 Barefoot Blvd, Barefoot Bay, FL 32976-7654 | 2012-01-11 |
| 1093095333 | Indian River Health Services Inc | Internal Medicine | 4165 Oslo Rd, Suite 106, Vero Beach, FL 32968-4878 | 2011-08-18 |
| 1720319809 | Indian River Health Services Inc | Clinic/Center | 1960 Pointe West Drive, Vero Beach, FL 32966-4962 | 2010-01-29 |
| 1588298285 | Indian River Health Services Inc | Specialist | 1000 36th St, Vero Beach, FL 32960-4862 | 2020-03-03 |
| 1609424415 | Indian River Health Services Inc | Anesthesiology | 1000 36th St, Vero Beach, FL 32960-4862 | 2019-08-27 |
| 1205370327 | Indian River Health Services Inc | Internal Medicine | 3450 11th Court, Suite 104b, Vero Beach, FL 32960-4862 | 2016-12-08 |
| 1144764325 | Indian River Health Services Inc | Internal Medicine | 1000 36th St, Vero Beach, FL 32960-4862 | 2016-12-07 |
| Street Address |
3450 11TH CT SUITE 304 |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-5012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025135 | Xabier Beristain | Psychiatry & Neurology | 3450 11th Ct, Suite 305b, Vero Beach, FL 32960-5012 | 2005-07-05 |
| 1306252481 | Lauren Bloom | Family Medicine | 3450 11th Ct, Suite 201, Vero Beach, FL 32960-5012 | 2014-07-09 |
| 1417170499 | Beatrice Lusiana Memet | Internal Medicine | 3450 11th Ct, Suite 302b, Vero Beach, FL 32960-5012 | 2007-04-10 |
| 1366549339 | Brian John Buckley | Internal Medicine | 3450 11th Ct, Suite 201, Vero Beach, FL 32960-5012 | 2006-09-20 |
| 1811985641 | Alan M. Rosenbaum | Internal Medicine | 3450 11th Ct, Suite 102, Vero Beach, FL 32960-5012 | 2005-10-06 |
| 1427050152 | George K Nichols | Orthopaedic Surgery | 3450 11th Ct, Suite 302a, Vero Beach, FL 32960-5012 | 2005-08-12 |
| 1285632760 | Marc C Rose | Urology | 3450 11th Ct, Suite 303, Vero Beach, FL 32960-5012 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528096823 | D. Jane Henderson | Obstetrics & Gynecology | 2859 Saint Barts Sq, Vero Beach, FL 32967-7583 | 2006-06-28 |
| 1689644064 | Allen Paul Friedenstab | Obstetrics & Gynecology | 777 37th St Ste C101, Vero Beach, FL 32960-7301 | 2006-01-26 |
| 1891108338 | Carlos A. Salup, M.d. P.a. | Obstetrics & Gynecology | 920 37th Pl, Suite 105, Vero Beach, FL 32960-6573 | 2014-06-03 |
| 1447433420 | Karen L Ferguson Md Pa | Obstetrics & Gynecology | 3755 7th Ter, Suite 302a, Vero Beach, FL 32960-6528 | 2007-12-12 |
| 1225169709 | Karen Louise Ferguson | Obstetrics & Gynecology | 3755 7th Terrace, Suite 302a, Vero Beach, FL 32960-6557 | 2007-03-08 |
| 1043341514 | Audrey Lynn Richards | Obstetrics & Gynecology | 1300 36th St, Suite D, Vero Beach, FL 32960-4898 | 2007-03-08 |
| 1225108392 | Jane Henderson Md Pa | Obstetrics & Gynecology | 960 37th Pl, Suite 102, Vero Beach, FL 32960-6586 | 2006-11-08 |
| 1891701355 | Jennifer Moore | Obstetrics & Gynecology | 1553 Us Highway 1, Vero Beach, FL 32960-5735 | 2006-08-01 |
| 1467422832 | Katharine S Lum | Obstetrics & Gynecology | 777 37th St Ste C101, Vero Beach, FL 32960-7301 | 2006-01-26 |
| 1659356194 | Carlos A Salup | Obstetrics & Gynecology | 920 37th Pl, Suite 105, Vero Beach, FL 32960-6573 | 2005-12-07 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
Please comment or provide details below to improve the information on INDIAN RIVER HEALTH SERVICES INC.
| 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.