DR. CHARLTON E STUCKEN (NPI# 1861667982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861667982 |
| Entity Type | Individual |
| Full Name | DR. CHARLTON E STUCKEN |
| Credential | MD |
| Practice Address |
1401 Nw 9th Ave Boca Raton FL 33486-1304 |
| Mailing Address |
2828 S Seacrest Blvd Suite 216 Boynton Beach FL 33435-7944 |
| Practice Telephone | 5613955733 |
| Mailing Telephone | 5613952117 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2013-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 233111 | MA | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
ME115536 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 233111 | 05 |
| Street Address |
1401 NW 9TH AVE |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33486-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033130489 | Shari Herschenhorn | Physical Therapist | 1401 Nw 9th Ave, Boca Raton, FL 33486-1304 | 2006-07-21 |
| 1962991364 | The Detox Center II, LLC | Substance Abuse Rehabilitation Facility | 1401 Nw 9th Ave, Boca Raton, FL 33486-1304 | 2018-05-02 |
| 1770039315 | Victoria Verrengia | Physician Assistant | 1401 Nw 9th Ave, Boca Raton, FL 33486 | 2016-09-01 |
| 1396095444 | Farber Plastic Surgery Pa | Plastic Surgery | 1401 Nw 9th Ave, Boca Raton, FL 33486-1304 | 2012-09-17 |
| 1033262423 | James L Fenton | Registered Nurse | 1401 Nw 9th Ave, Boca Raton, FL 33486-1304 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502800 | Med Supplies Rus LLC | Durable Medical Equipment & Medical Supplies | Med Supplies R Us, LLC, 1489 Pal Metto Park Rd., Suite 509 E, Boca Raton, FL 33486 | 2020-09-15 |
| 1235699547 | Ron N/a Goldwaser | Occupational Therapist | Boca Raton Rehabilitation Center, 755 Meadows Road, Boca Raton, FL 33486 | 2019-03-22 |
| 1982105516 | Noa Rivka Schwartz | Registered Nurse | 801 Meadows Rd Ste 120, Boca Raton, FL 33486 | 2018-02-28 |
| 1437663028 | Jasmine Fay Senatus | Physician Assistant | 5333 Town Center Road, Suite 402, Boca Raton, FL 33486 | 2017-11-19 |
| 1285160440 | Mary Lauderdale | Developmental Therapist | 836 Sw 9th St Circle, Boca Raton, FL 33486 | 2017-05-10 |
| 1932631827 | Boca Ri LLC | Psychiatric Residential Treatment Facility | 1000 Nw 15th St, Boca Raton, FL 33486 | 2017-03-30 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1528504354 | Megan M Lucas | Physician Assistant | 5458 Town Center Rd Ste 103, Boca Raton, FL 33486 | 2017-01-18 |
| 1962864280 | Annmarie Diazhernandez | Nurse Practitioner | 951 Nw 13 St Bl 5e, Boca Raton, FL 33486 | 2016-03-25 |
| 1689071078 | Djurdja Andrich | Nurse Practitioner | 1500 Nw 10th Ave #205, Boca Raton, FL 33486 | 2014-12-01 |
| Find all providers in zip 33486 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881095479 | Ortho Florida, LLC | Orthopaedic Surgery | 4705 N Federal Hwy, Boca Raton, FL 33431-4953 | 2014-09-15 |
| 1336165216 | Ronald M Krinick | Orthopaedic Surgery | 6844 Queenferry Cir, Boca Raton, FL 33496-5943 | 2006-07-14 |
| 1679114078 | Ortho Florida, LLC | Orthopaedic Surgery | 1786 Nw 2nd Ave, Boca Raton, FL 33432-1653 | 2019-10-07 |
| 1962841163 | Toman Orthopedics and Sports Medicine, Pa | Orthopaedic Surgery | 7301a W Palmetto Park Rd, #100b, Boca Raton, FL 33433-3409 | 2013-06-20 |
| 1104111368 | Sem Billing | Orthopaedic Surgery | 11085 Sacco Dr, Boca Raton, FL 33428-3940 | 2011-06-16 |
| 1558325332 | Howard J. Gelb Md Pa | Orthopaedic Surgery | 9980 Central Park Blvd N, Suite 222, Boca Raton, FL 33428-1704 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401021 | Ortho Florida, LLC | Orthopaedic Surgery | 17425 7th St Ste 560174, Montverde, FL 34756-3206 | 2020-09-14 |
| 1801429022 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 | 2020-02-17 |
| 1750913141 | Tyrance Orthopedics and Sports Medicine | Orthopaedic Surgery | 1620 S Congress Ave Ste 201, Palm Springs, FL 33461-2128 | 2020-02-04 |
| 1255979076 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 | 2019-12-11 |
| 1730740218 | Baptist Physician Group LLC | Orthopaedic Surgery | 133 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1644 | 2019-06-25 |
| 1164984720 | Ortho Florida, LLC | Orthopaedic Surgery | 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 | 2019-04-03 |
| 1578043998 | Bahri Orthopedics Institute | Orthopaedic Surgery | 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 | 2018-08-15 |
| 1154834489 | Dorothy Richardson | Orthopaedic Surgery | 1120 W Lakeshore Dr, Clermont, FL 34711-2936 | 2017-11-08 |
| 1225541790 | Ortho Florida, LLC | Orthopaedic Surgery | 3702 Washington St Ste 202, Hollywood, FL 33021-8283 | 2017-11-07 |
| 1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
| Find all providers with the same taxonomy | ||||
| City | BOCA RATON |
| Zip Code | 33486 |
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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.