OMAR DAVID HUSSAMY MD PA (NPI# 1780635557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780635557 |
| Entity Type | Organization |
| Organization Name | OMAR DAVID HUSSAMY MD PA |
| Practice Address |
1260 37th St Ste 102 Vero Beach FL 32960-6567 |
| Mailing Address |
Po Box 643408 Vero Beach FL 32964-3408 |
| Practice Telephone | 7722139800 |
| Practice Fax Number | 7722139810 |
| Mailing Telephone | 7722139800 |
| Mailing Fax Number | 7722139810 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-05-06 |
| Authorized Official Name | MICHELLE CLOUGH (PRACTICE MANAGER) |
| Authorized Official Telephone | 7722139800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME65456 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | 200025538 | 01 |
| FL | BCBS | 23805 | 01 |
| Street Address |
1260 37TH ST STE 102 |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-6567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982110094 | John Gregory Atwater Md Pa | Orthopaedic Surgery | 1260 37th St Ste 102, Vero Beach, FL 32960-6567 | 2017-12-27 |
| 1093224669 | Donatas Dudutis | Physician Assistant | 1260 37th St Ste 102, Vero Beach, FL 32960-6567 | 2017-09-26 |
| 1407375744 | Ortho-spine Care America Pllc | Clinic/Center | 1260 37th St Ste 102, Vero Beach, FL 32960-6567 | 2017-09-19 |
| 1235251257 | Antonio Justado Jr. | Physical Therapist | 1260 37th St Ste 102, Vero Beach, FL 32960-6567 | 2007-04-03 |
| 1376594069 | Omar David Hussamy | Orthopaedic Surgery | 1260 37th St Ste 102, Vero Beach, FL 32960-6567 | 2006-05-15 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275822389 | Donald L Ames | Orthopaedic Surgery | 1255 Little Harbour Ln, Vero Beach, FL 32963-2501 | 2011-03-30 |
| 1689806093 | James L Etheredge | Orthopaedic Surgery | 21 S Caserea Ct, Vero Beach, FL 32963-1065 | 2009-08-18 |
| 1336110006 | Craig A Popp | Orthopaedic Surgery | 1155 35th Ln Ste 100, Vero Beach, FL 32960-6522 | 2006-01-30 |
| 1821080946 | Robert J Hill | Orthopaedic Surgery | 136 Anchor Dr, Vero Beach, FL 32963-2941 | 2005-08-16 |
| 1639171358 | James L Cain | Orthopaedic Surgery | 2050 40th Ave, Suite 6, Vero Beach, FL 32960 | 2005-08-12 |
| 1184626079 | Vero Orthopaedics II Pa | Orthopaedic Surgery | 1155 35th Ln, Suite 100, Vero Beach, FL 32960-6521 | 2005-08-11 |
| 1891794780 | David West Griffin | Orthopaedic Surgery | 1285 36th St, Suite 100, Vero Beach, FL 32960-4885 | 2005-07-21 |
| 1891793469 | Ronald Kirk Robinson | Orthopaedic Surgery | 1355 37th St Ste 301, Vero Beach, FL 32960 | 2005-07-08 |
| 1790305837 | The Institute for Bone and Joint Disorders | Orthopaedic Surgery | 136 Anchor Dr, Vero Beach, FL 32963-2941 | 2020-04-18 |
| 1346608395 | Indian River Health Services Inc | Orthopaedic Surgery | 1000 36th St, Vero Beach, FL 32960-4862 | 2016-02-05 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
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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.