SMH PHYSICIAN SERVICES INC (NPI# 1730593773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730593773 |
| Entity Type | Organization |
| Organization Name | SMH PHYSICIAN SERVICES INC |
| Other Organization Name | HERITAGE HARBOUR TIME SHARE OFFICE |
| Practice Address |
1040 River Heritage Blvd Suite 202 Bradenton FL 34212-6348 |
| Mailing Address |
Po Box 863407 Orlando FL 32886-3407 |
| Practice Telephone | 9419172600 |
| Practice Fax Number | 9419177884 |
| Mailing Telephone | 9419172600 |
| Mailing Fax Number | 9419177884 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-10-13 |
| Authorized Official Name | ILENE GILBERT-DROGE (COO) |
| Authorized Official Telephone | 9419178700 |
| Authorized Official Credential | COO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME111784 | FL | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | ME84613 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 376537700 | 05 | |
| FL | BCBS | 33181 | 01 |
| Other Name | Type Code |
|---|---|
| Heritage Harbour Time Share Office | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447750773 | Smh Physician Services Inc | Internal Medicine | 1370 E Venice Ave Ste 209, Venice, FL 34285-9084 | 2018-02-13 |
| 1730688185 | Smh Physician Services Inc | Psychiatry & Neurology | 5880 Rand Blvd Ste 209, Sarasota, FL 34238-5118 | 2018-02-12 |
| 1902094691 | Smh Physician Services Inc | Internal Medicine | 7377 Scotland Way, Sarasota, FL 34238-8555 | 2007-10-09 |
| 1912913393 | Smh Physician Services Inc | Internal Medicine | 8400 Vamo Rd, Bayvillage, Sarasota, FL 34231-7807 | 2006-07-31 |
| 1063403301 | Smh Physician Services Inc | Internal Medicine | 1215 S East Ave, Suite 307, Sarasota, FL 34239-2342 | 2005-11-04 |
| 1629069463 | Smh Physician Services Inc | Internal Medicine | 5132 Ocean Blvd, Sarasota, FL 34242-1637 | 2005-11-01 |
| 1275022857 | Smh Physician Services Inc | Urology | 1921 Waldemere St Ste 310, Sarasota, FL 34239-2941 | 2018-05-09 |
| 1659886992 | Smh Physician Services Inc | Psychiatry & Neurology | 1921 Waldemere St Ste 701, Sarasota, FL 34239-2913 | 2017-12-08 |
| 1871005116 | Smh Physician Services Inc | Surgery | 1950 Arlington St Ste 310, Sarasota, FL 34239-3513 | 2017-10-26 |
| 1811364334 | Smh Physician Services Inc | Pediatrics | 8430 Enterprise Cir, Suite 130, Lakewood Ranch, FL 34202-4107 | 2015-09-01 |
| Street Address |
1040 RIVER HERITAGE BLVD SUITE 202 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34212-6348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043181 | Andrew E Burg | Family Medicine | 1040 River Heritage Blvd, Suite 204, Bradenton, FL 34212-6348 | 2005-09-19 |
| 1699189449 | Smh Physician Services Inc | Anesthesiology | 1040 River Heritage Blvd, Suite 201, Bradenton, FL 34212-6348 | 2014-06-19 |
| 1982015574 | Amanda Hafer | Family Medicine | 1040 River Heritage Blvd, Bradenton, FL 34212-6348 | 2014-05-16 |
| 1962700831 | Smh Physician Services Inc | Family Medicine | 1040 River Heritage Blvd, Suite 204, Bradenton, FL 34212-6348 | 2011-03-02 |
| 1952364804 | Karen Marva Bigby | Family Medicine | 1040 River Heritage Blvd, Suite 204, Bradenton, FL 34212-6348 | 2006-04-11 |
| 1164490116 | Melissa Beth Boudreaux | Physician Assistant | 1040 River Heritage Blvd, Suite 204, Bradenton, FL 34212-6348 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134789639 | Costco Wholesale Corporation | Pharmacy | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| 1255899852 | Lisa M Reo | Counselor | 1052 River Wind Circle, Bradenton, FL 34212 | 2019-03-04 |
| 1255897054 | Drexyl Eitniear | Massage Therapist | 6530 Anchor Loop, Apt. 18-207, Bradenton, FL 34212 | 2019-02-17 |
| 1689012163 | Sophia B Moorjani | Nurse Practitioner | 12809 Kite Drive, Bradenton, FL 34212 | 2013-06-06 |
| 1871789743 | Michael Mcconnaghy | Massage Therapist | 9904 Sr 64 East, Bradenton, FL 34212 | 2007-09-24 |
| 1841388477 | Joseph Daniel Oliveira | Radiology | 6162 9th Ave. Circle Ne, Bradenton, FL 34212 | 2006-10-10 |
| 1831116292 | Sheryl V Okuhara | Internal Medicine | 1854 Rye Road East, Unit E, Bradenton, FL 34212 | 2006-07-15 |
| 1326079625 | Kristin Beth Kulju | Chiropractor | 1850 Rye Rd, Bradenton, FL 34212 | 2006-07-05 |
| 1922063866 | Andrzej Kucharski | Family Medicine | 1040 River Heritage Blvd Unit 204, Bradenton, FL 34212 | 2006-04-20 |
| 1033779541 | Costco Wholesale Corporation | Hearing Aid Equipment | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| Find all providers in zip 34212 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659758910 | Vinai Artyamsoal | Obstetrics & Gynecology | 3633 Cortez Road West, Unit B-3, Bradenton, FL 34210 | 2015-05-06 |
| 1881873347 | Mcr Health, Inc. | Obstetrics & Gynecology | 6040 53rd Avenue E., Suite B, Bradenton, FL 34203-9720 | 2007-10-31 |
| 1174734479 | Veronica Socas | Obstetrics & Gynecology | 1814 59th St W, Bradenton, FL 34209-4630 | 2007-05-25 |
| 1790717304 | Kinnari P Desai | Obstetrics & Gynecology | 2310 60th Street Ct W, Bradenton, FL 34209-6609 | 2006-07-06 |
| 1053378653 | George Edward Banks | Obstetrics & Gynecology | 410 6th Ave E, Bradenton, FL 34208-1928 | 2006-04-27 |
| 1225093651 | Cynthia L Eaton Md Plc | Obstetrics & Gynecology | 5955 17th Ave W, Bradenton, FL 34209-7836 | 2006-04-19 |
| 1417911215 | Carla D Chapman | Obstetrics & Gynecology | 2001 Manatee Ave E, Suite 102, Bradenton, FL 34208-1620 | 2006-04-17 |
| 1205803111 | Aaron Matthew Sudbury | Obstetrics & Gynecology | 5323 4th Avenue Cir E, Bradenton, FL 34208 | 2006-03-01 |
| 1427050251 | Surichya Surattanont | Obstetrics & Gynecology | 3950 E State Road 64, Bradenton, FL 34208-9059 | 2005-08-11 |
| 1265434542 | Michael L Lewis | Obstetrics & Gynecology | 2318 Manatee Ave W, Bradenton, FL 34205-5432 | 2005-06-01 |
| Find all providers in BRADENTON | ||||
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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.