DR. JECEBU JOSOL CEBALLOS (NPI# 1740394352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740394352 |
| Entity Type | Individual |
| Full Name | DR. JECEBU JOSOL CEBALLOS |
| Credential | M.D. |
| Practice Address |
61 Memorial Medical Pkwy Suite 2806 Palm Coast FL 32164-5981 |
| Practice Telephone | 3865861920 |
| Practice Fax Number | 3865861921 |
| Mailing Telephone | 3865861920 |
| Mailing Fax Number | 3865861921 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2011-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME96424 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
61 MEMORIAL MEDICAL PKWY SUITE 2806 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-5981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658472 | Thomas A Joiner | Specialist | 61 Memorial Medical Pkwy, Suite 2811, Palm Coast, FL 32164-5981 | 2005-06-08 |
| 1902447394 | Kayla Chesser-murray | Nurse Practitioner | 61 Memorial Medical Pkwy, Palm Coast, FL 32164-5981 | 2019-10-07 |
| 1528412624 | Stacey Sproull | Nurse Practitioner | 61 Memorial Medical Pkwy, Suite 2812, Palm Coast, FL 32164-5981 | 2016-04-15 |
| 1033529870 | Richard Cashio Md Plastic Surgery P.l. | Plastic Surgery | 61 Memorial Medical Pkwy, Suite 2802, Palm Coast, FL 32164-5981 | 2014-05-01 |
| 1154766780 | Florida Cancer Specialists P L | Internal Medicine | 61 Memorial Medical Pkwy, Suite 3804, Palm Coast, FL 32164-5981 | 2013-05-09 |
| 1245675875 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 61 Memorial Medical Pkwy, Suite 2818, Palm Coast, FL 32164-5981 | 2013-05-09 |
| 1972948784 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 61 Memorial Medical Pkwy, Suite 2812, Palm Coast, FL 32164-5981 | 2013-05-07 |
| 1629366687 | Teresa Marie Ayres | Physician Assistant | 61 Memorial Medical Pkwy, Suite 2811, Palm Coast, FL 32164-5981 | 2011-07-12 |
| 1376704155 | Atlantic Nephrology Inc | Internal Medicine | 61 Memorial Medical Pkwy, Suite #3806, Palm Coast, FL 32164-5981 | 2008-06-24 |
| 1477714269 | Becki D Melton | Internal Medicine | 61 Memorial Medical Pkwy, Suite 3806, Palm Coast, FL 32164-5981 | 2008-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184251787 | Cassandra Chamoun | Family Medicine | 43 Eagle Harbor Trl, Palm Coast, FL 32164-6149 | 2020-03-24 |
| 1467751057 | Edwin R Forsberg | Family Medicine | 30 Emerald Lake Dr, Palm Coast, FL 32137-1311 | 2011-03-22 |
| 1407175425 | Stephen Keen | Family Medicine | 145 City Pl Ste 101, Palm Coast, FL 32164-2480 | 2010-06-01 |
| 1801121215 | Ralph William Buchanan Sr. | Family Medicine | 44 Ocean St, Palm Coast, FL 32137-2419 | 2009-10-03 |
| 1477747970 | Natalya A Verbinskaya | Family Medicine | 4875 Palm Coast Pkwy N.w., Unit 1, Palm Coast, FL 32137 | 2007-08-29 |
| 1013108992 | S S Marathe Md Pa | Family Medicine | 4869 Palm Coast Pkwy Nw, Suite 2, Palm Coast, FL 32137-3661 | 2007-08-06 |
| 1669672952 | Adams Medical Associates, Pa | Family Medicine | 28 Office Park Dr, Palm Coast, FL 32137-3808 | 2007-07-24 |
| 1841316312 | F R Fruehan Family Practice Inc | Family Medicine | 9 Pine Cone Dr Ste 102, Palm Coast, FL 32137-8683 | 2007-03-22 |
| 1154457513 | Jonathan Peter Halcovage | Family Medicine | 68 Clubhouse Dr, Palm Coast, FL 32137-8135 | 2007-02-27 |
| 1275640997 | Memorial Health Systems Inc | Family Medicine | 61 Memorial Medical Pkwy Ste 2811, Palm Coast, FL 32164-5999 | 2006-08-25 |
| Find all providers in PALM COAST | ||||
| City | PALM COAST |
| Zip Code | 32164 |
Please comment or provide details below to improve the information on DR. JECEBU JOSOL CEBALLOS.
| 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.