QSS-SOUTHEAST CLINICAL SERVICES LLC (NPI# 1740521137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740521137 |
| Entity Type | Organization |
| Organization Name | QSS-SOUTHEAST CLINICAL SERVICES LLC |
| Practice Address |
4215 Edgewater Dr Orlando FL 32804-2206 |
| Mailing Address |
145 Us Highway 46 Suite 304 Wayne NJ 07470-6830 |
| Practice Telephone | 4075392000 |
| Practice Fax Number | 4073980050 |
| Mailing Telephone | 9738268287 |
| Mailing Fax Number | 8558345435 |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-07-19 |
| Authorized Official Name | WILSON O NUESA IV (MANAGER) |
| Authorized Official Telephone | 9738268287 |
| Authorized Official Credential | MBR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4215 EDGEWATER DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022239 | John Leslie Steele | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2005-09-06 |
| 1518369578 | Brett Young | Specialist/Technologist, Other | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2014-09-22 |
| 1972844660 | Nicole Moskal | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2013-03-06 |
| 1083968820 | Denise Livingston | Nurse Practitioner | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2012-11-01 |
| 1932456985 | William Lee Earp IIi | Specialist/Technologist, Other | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2012-08-09 |
| 1689964462 | Katrina J Smith | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2011-04-13 |
| 1497901029 | Anthony Allen Moore | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2008-08-14 |
| 1518160779 | Stephen E Mcnally Sr. | Specialist | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2007-06-06 |
| 1295876969 | Gueorgui T Maltchev | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2007-02-08 |
| 1972653160 | Diana K Marl | Physician Assistant | 4215 Edgewater Dr, Orlando, FL 32804-2206 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851861348 | Medical Injury Care Provider Network | Surgery | 1805 W Colonial Dr Ste A, Orlando, FL 32804-7011 | 2018-11-28 |
| 1992071047 | Chetan Jitendra Patel | Surgery | 12601 Narcoossee Rd Ste 209, Orlando, FL 32832 | 2012-03-22 |
| 1972884336 | Peter Chung | Surgery | 5372 Starboard St Unit 106, Orlando, FL 32814-6904 | 2011-08-30 |
| 1477871440 | Rm Toussaint Md LLC | Surgery | 4600 S. Kirkman Road, # 218, Orlando, FL 32811 | 2010-05-14 |
| 1730347865 | Tamarah Jeanette Westmoreland | Surgery | 1717 S Orange Ave # 100, Orlando, FL 32806-2946 | 2008-05-27 |
| 1972790384 | Aleksander Bernshteyn | Surgery | 2501 N Orange Ave Ste 200, Orlando, FL 32804-4641 | 2007-09-29 |
| 1982760690 | Owen D Fraser | Surgery | 1805 W Colonial Drive, Suite A, Orlando, FL 32804-7013 | 2006-12-28 |
| 1679668669 | Adventist Health System Sunbelt Inc | Surgery | 2415 North Orange Ave, Suite 400, Orlando, FL 32804 | 2006-10-04 |
| 1982706362 | Michael Paul Kahky | Surgery | 14 West Gore St, Orlando, FL 32806 | 2006-09-05 |
| 1740391341 | Mazhar G. Nawaz | Surgery | 11268 S Apopka Vineland Rd, Orlando, FL 32836-6152 | 2006-08-31 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on QSS-SOUTHEAST CLINICAL SERVICES LLC.
| 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.