DR. PETER A PAPPAS (NPI# 1861618514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861618514 |
| Entity Type | Individual |
| Full Name | DR. PETER A PAPPAS |
| Credential | MD |
| Practice Address |
1350 S Hickory St Pso Melbourne FL 32901-3224 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3214341401 |
| Practice Fax Number | 3214341667 |
| Mailing Telephone | 3214341401 |
| Mailing Fax Number | 3214341667 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | ME90948 | FL | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
ME90948 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 278321500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629156070 | Peter J Pappas | Dentist | 933 Main St, #3, Lander, WY 82520 | 2006-11-02 |
| 1801807748 | Peter James Pappas | Surgery | 240 Willoughby Street, Suite 5a, Brooklyn, NY 11201 | 2006-08-09 |
| 1881977650 | Peter N Pappas | Pharmacist | 450 Paradise Rd, Swampscott, MA 01907-1300 | 2011-09-27 |
| 1306013263 | Peter Alex Pappas | Dentist | 2050 Huntington Dr, Suite A, South Pasadena, CA 91030-4900 | 2008-05-09 |
| 1003980566 | Peter Bernard Albert Pappas | Orthopaedic Surgery | 76 Brookwood Ave, Santa Rosa, CA 95404-4312 | 2006-11-17 |
| 1811921497 | Peter G Pappas | Internal Medicine | 619 19th Street South, Birmingham, AL 35233 | 2006-07-10 |
| Street Address |
1350 S HICKORY ST PSO |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526958 | Mark Edmund Pessa | Surgery | 1350 S Hickory St, Suite Pso, Melbourne, FL 32901 | 2005-05-24 |
| 1780041483 | Jacqueline Jennings | Registered Nurse | 1350 S Hickory St, Melbourne, FL 32901 | 2016-01-26 |
| 1396026027 | Jessica Mortin Wicker | Occupational Therapist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-09-08 |
| 1518248251 | Mary Haddadin | Occupational Therapist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-09-08 |
| 1215235338 | Lee Ann Finizio | Registered Nurse | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-03-14 |
| 1700183506 | Space Coast Pathologists Pa | Clinical Medical Laboratory | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-02-15 |
| 1548562127 | Kimberly Lynn Hunger | Pharmacist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2010-12-02 |
| 1457661902 | Jason Michael Perry | Pharmacist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2010-10-18 |
| 1063722569 | Catherine Anne Barbour | Social Worker | 1350 S Hickory St, Case Management Department, Melbourne, FL 32901-3224 | 2010-10-18 |
| 1346571684 | Stephen Paul Gilbert | Pharmacist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2010-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336390020 | Health First Physician Specialties Inc | Surgery | 1350 S Hickory St, Suite 101d, Melbourne, FL 32901-3224 | 2008-10-01 |
| 1861415812 | Loretta L Brestan | Surgery | 1350 Hickory St, 101, Melbourne, FL 32901-3224 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619422607 | Shawn A. Mcclure Dmd, Md | Surgery | 8755 Sw 57th Pl, Cooper City, FL 33328-5921 | 2016-08-18 |
| 1326434556 | Kyle Leneweaver | Surgery | 5151 N 9th Ave # 305, Pensacola, FL 32504-8721 | 2015-04-14 |
| 1093063869 | Ocala Health Trauma, LLC | Surgery | 205 Se 14th Pl, Ocala, FL 34471-4341 | 2012-08-27 |
| 1912262544 | Injury Management, LLC | Surgery | 4010 Nw 100th Ave, Coral Springs, FL 33065-1549 | 2012-07-10 |
| 1558664987 | Moshe Stav Md Pa | Surgery | 1550 Ponce De Leon Dr, 3200 S. University Dr, Rm 7374, Fort Lauderdale, FL 33316-1324 | 2010-12-07 |
| 1154589786 | Meredith Lynn Shaddix | Surgery | 5153 North 9th Avenue, Suite 305, Pensacola, FL 32504 | 2008-05-30 |
| 1760681225 | Omar Mahmoud El-sheikh | Surgery | 801 E. 6th Street, Suite 602, Panama City, FL 32401-3663 | 2007-07-15 |
| 1689710279 | Thomas Anthony Abbruzzese | Surgery | 1654 Village Center Dr Apt 207, Lakeland, FL 33803-2892 | 2007-01-30 |
| 1003900952 | Meredith Tinti | Surgery | 3627 University Blvd S Ste 500, Jacksonville, FL 32216-7405 | 2006-10-03 |
| 1194748947 | James Carver Boyd | Surgery | 2280 N 9th Ave, Pensacola, FL 32503-3949 | 2006-07-25 |
| Find all providers with the same taxonomy | ||||
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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.