DR. AIMEE LYNN TIEU (NPI# 1780812586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780812586 |
| Entity Type | Individual |
| Full Name | DR. AIMEE LYNN TIEU |
| Other Name | DR. AIMEE LYNN SMITH |
| Credential | MD |
| Practice Address |
8725 N Wickham Rd Suite 302 Melbourne FL 32940-2239 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3214349561 |
| Practice Fax Number | 3214349231 |
| Mailing Telephone | 3214349561 |
| Mailing Fax Number | 3214349231 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2020-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
ME104414 | FL | Allopathic & Osteopathic Physicians |
| N | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
ME104414 | FL | Allopathic & Osteopathic Physicians |
| Y | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
ME104414 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001261800 | 05 |
| Street Address |
8725 N WICKHAM RD SUITE 302 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033101985 | Martin E Avalos | Internal Medicine | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-5997 | 2005-08-17 |
| 1457973968 | Amanda Baker | Pharmacist | 8725 N Wickham Rd, Melbourne, FL 32940-2239 | 2020-05-07 |
| 1861931198 | Health First Family Pharmacy | Pharmacy | 8725 N Wickham Rd, Suite 102, Melbourne, FL 32940-2239 | 2017-02-20 |
| 1790234219 | Megan Mcclain | Nurse Practitioner | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2240 | 2016-09-26 |
| 1396143475 | Holmes Regional Medical Center, Inc. | Pharmacy | 8725 N Wickham Rd, Melbourne, FL 32940-2239 | 2014-12-05 |
| 1518207943 | Beth Ann Decordova | Nurse Practitioner | 8725 N Wickham Rd, 200, Melbourne, FL 32940-2239 | 2013-02-21 |
| 1700166378 | Health First Physicians, Inc | Orthopaedic Surgery | 8725 N Wickham Rd, Suite 301, Melbourne, FL 32940-2239 | 2011-08-26 |
| 1003132887 | Nathan D Allison | Surgery | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2239 | 2010-04-19 |
| 1851584593 | Amanda Gray Connan | Physician Assistant | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2239 | 2007-08-27 |
| 1699982025 | Daniel Reynolds | Physical Therapist | 8725 N Wickham Rd, Suite 301, Melbourne, FL 32940-5997 | 2007-05-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 2088F0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073022307 | Benitez Urology LLC | Urology | 13770 Plantation Rd Ste 3, Fort Myers, FL 33912-4460 | 2017-09-29 |
| 1942641675 | Mccullough Medical Pa | Urology | 1814 Wellness Ln, New Port Richey, FL 34655-5357 | 2013-07-10 |
| 1912450289 | Gousse Urology, LLC | Urology | 1951 Sw 172nd Ave, Suite 305, Miramar, FL 33029-5593 | 2016-08-03 |
| 1164817573 | Andrew J. Wolszczak, M.d. | Urology | 8151 Overseas Hwy, Suite 200, Marathon, FL 33050-3200 | 2015-04-02 |
| 1124458641 | Miami Urology & Sexual Wellness Institute, P.a. | Urology | 11181 Health Park Blvd Ste 1115, Naples, FL 34110-5742 | 2013-11-19 |
| 1083959563 | Florida Physician Specialists LLC | Urology | 6269 Beach Blvd, Suite 2, Jacksonville, FL 32216-2768 | 2012-12-10 |
| 1982694782 | Steven Petrou | Urology | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-10-24 |
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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.