FAYE ELLEN O'ROURKE


Address: 7227 N. Us Hwy. 1, Port St. John, FL 32927
Phone: 3216371595

FAYE ELLEN O'ROURKE (NPI# 1801855424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801855424
Entity Type Individual
Full Name FAYE ELLEN O'ROURKE
Credential APRN
Practice Address 7227 N. Us Hwy. 1
Port St. John
FL 32927
Mailing Address 3300 S Fiske Blvd
Rockledge
FL 32955-4306
Practice Telephone 3216371595
Practice Fax Number 3216371596
Enumeration Date 2006-03-22
Last Update Date 2020-03-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9194778 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL FL RR MEDICARE P01847442 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1855 Knox Mcrae Dr, Titusville, FL 327805492 3212692028 3212640730

Office Location

Street Address 7227 N. US HWY. 1
City PORT ST. JOHN
State FL
Zip Code 32927

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538565023 Susan Guattery Coleman Dietitian, Registered 7075 Us Highway 1, Diabetes Education Suite 300, Port Saint John, FL 32927 2014-11-10
1245668086 Betty Lopez Munarriz Contractor 5660 Fay Blvd, Cocoa, FL 32927 2013-10-14
1427499599 Gary Ray Rudolph Pharmacist 7125 Us 1, Cocoa, FL 32927 2013-07-17
1659716165 Tania Melissa Johnson Social Worker 5355 Date Palm St, Cocoa, FL 32927 2013-05-10
1538473137 Irwin Jaraplasan Dentist 5235 Fay Blvd, Cocoa, FL 32927 2010-08-06
1386856110 Tri M Le Pharmacist 6257 U.S. Hwy 1, Cocoa, FL 32927 2007-05-04
1134218357 Rameshwar N Mathur Md Pa Family Medicine 6250 N Us 1, Cocoa, FL 32927 2006-10-12
1922035088 Albino Y Kuon Psychiatry & Neurology 4360 North Us1, Cocoa, FL 32927 2006-06-26
1063965275 Tiffany Williams-brown Nurse Practitioner 860 Camp Rd, Cocoa, FL 32927 2016-07-25
1649684952 Randal Davis Family Medicine 7227 N Us Highway 1 Ste 100, Port St John, FL 32927 2014-06-13
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City PORT ST. JOHN
Zip Code 32927

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Dataset Information

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.

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