DR. KIM EDWARD KOGER (NPI# 1689700494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689700494 |
| Entity Type | Individual |
| Full Name | DR. KIM EDWARD KOGER |
| Credential | M.D. |
| Practice Address |
210 Jupiter Lakes Blvd Bldg 5000 Suite 202 Jupiter FL 33458-7191 |
| Mailing Address |
4600 Military Trail Suite 202 Jupiter FL 33458 |
| Practice Telephone | 5617481565 |
| Practice Fax Number | 5617481568 |
| Mailing Telephone | 5617481565 |
| Mailing Fax Number | 5617481568 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | ME75895 | FL | Allopathic & Osteopathic Physicians |
| N | 171000000X | Military Health Care Provider | 75895 | FL | Other Service Providers |
| Street Address |
210 JUPITER LAKES BLVD BLDG 5000 SUITE 202 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-7191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982691614 | Community Surgical Specialists P.a. | Surgery | 210 Jupiter Lakes Blvd, 3105, Jupiter, FL 33458-7191 | 2005-09-27 |
| 1578921649 | Margaret Lalonde | Nurse Practitioner | 210 Jupiter Lakes Blvd, Suite 4104, Jupiter, FL 33458-7191 | 2016-02-04 |
| 1962869388 | Paul Vargas | Physical Therapy Assistant | 210 Jupiter Lakes Blvd, Suite 5101, Jupiter, FL 33458-7191 | 2016-01-16 |
| 1720452113 | Kristen Lynne Langbert | Physical Therapist | 210 Jupiter Lakes Blvd, Ste 4201, Jupiter, FL 33458-7190 | 2015-11-23 |
| 1376913152 | Tegest Nuguse | Audiologist | 210 Jupiter Lakes Blvd, Building 5000 Suite 105, Jupiter, FL 33458-7191 | 2015-10-06 |
| 1588032213 | Genesiscare Usa of Florida LLC | Surgery | 210 Jupiter Lakes Blvd, Building 5000 Suite 202, Jupiter, FL 33458-7191 | 2015-09-11 |
| 1245616424 | Lydia Picard | Physical Therapist | 210 Jupiter Lakes Blvd, Suite 5101, Jupiter, FL 33458-7191 | 2015-08-10 |
| 1083095590 | Mariya Yankelevych | Nurse Practitioner | 210 Jupiter Lakes Blvd, Suite 4104, Jupiter, FL 33458-7191 | 2015-06-11 |
| 1124425673 | Strictly Shoulders, Inc | Physical Therapist | 210 Jupiter Lakes Blvd, Bldg. 4000 Suite 106a, Jupiter, FL 33458-7191 | 2014-11-28 |
| 1497152284 | Robert Emil Panico | Physical Therapist | 210 Jupiter Lakes Blvd, Bldg. 4000 Suite 106a, Jupiter, FL 33458-7191 | 2014-11-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
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| 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 |
|---|---|---|---|---|
| 1194070268 | David Shuter Md Pa | Plastic Surgery | 730 W Indiantown Rd, Jupiter, FL 33458-7507 | 2012-07-16 |
| 1942217385 | Israel David Shuter | Plastic Surgery | 2151 S Alternate A1a Ste 1000, Jupiter, FL 33477-4098 | 2006-08-01 |
| 1609807387 | Aldo Angelo Lombardo | Plastic Surgery | 851 W Indiantown Rd, Jupiter, FL 33458-7508 | 2006-07-05 |
| 1144638834 | High Point Plastic Surgery, LLC | Plastic Surgery | 3535 Military Trl, #204, Jupiter, FL 33458-5009 | 2014-07-26 |
| 1063733491 | Robin A Sykes, M.d., P.a. | Plastic Surgery | 2055 Military Trl, Suite 305, Jupiter, FL 33458-7801 | 2010-06-21 |
| 1013141712 | Jacob J. Freiman | Plastic Surgery | 600 Heritage Dr, Suite 220, Jupiter, FL 33458-3000 | 2009-05-08 |
| 1821237322 | Palm Beach Institute of Plastic and Reconstructive Surgery | Plastic Surgery | 600 Heritage Dr, Ste 220, Jupiter, FL 33458-3000 | 2009-02-07 |
| 1356504211 | Palm Beach Plastic Surgery Pa | Plastic Surgery | 641 University Blvd, Suite 103, Jupiter, FL 33458-2791 | 2008-07-09 |
| 1902001704 | Dev Vibhakar | Plastic Surgery | 641 University Blvd, Ste 103, Jupiter, FL 33458-2792 | 2007-06-20 |
| 1457414393 | Harold Bafitis | Plastic Surgery | 4601 Military Trl, 208, Jupiter, FL 33458-4834 | 2006-12-19 |
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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.