MARK L PERMAN (NPI# 1912982802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912982802 |
| Entity Type | Individual |
| Full Name | MARK L PERMAN |
| Credential | M.D. |
| Practice Address |
2107 Se Ocean Blvd Stuart FL 34996-3305 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 7724032390 |
| Practice Fax Number | 7724032395 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2016-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | FLME59298 | FL | Other Service Providers |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME59298 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA | 4335023 | 01 |
| FL | 374538400 | 05 | |
| FL | OPTIMUM | P938826 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 11781 | 01 |
| FL | FREEDOM | P106954 | 01 |
| FL | RR MEDICARE | P01572583 | 01 |
| FL | BCBS | 11781 | 01 |
| FL | CIGNA | 1613633 | 01 |
| FL | AVMED | 278876 | 01 |
| FL | WELLCARE | 1249231 | 01 |
| Street Address |
2107 SE OCEAN BLVD |
| City | STUART |
| State | FL |
| Zip Code | 34996-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134311624 | Treasure Coast Radiation Oncology Pa | Radiology | 2107 Se Ocean Blvd, Stuart, FL 34996-3305 | 2007-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164061578 | See and Sun Optical | Technician/Technologist | 3736 Se Ocean Blvd, Stuart, FL 34996 | 2020-01-02 |
| 1528558822 | Shweta Frechette | Nurse Practitioner | 2221 Se Ocean Blvd Ste 100, Stuart, FL 34996 | 2018-05-14 |
| 1790273944 | Harbour Bay Pharmacy LLC | Pharmacy | 3754 Se Ocean Blvd Ste B, Stuart, FL 34996 | 2018-04-24 |
| 1053828921 | Barbara Ann Ohara | Counselor | 2929 S.e. Ocean Blvd., Stuart, FL 34996 | 2018-01-02 |
| 1417370651 | National Laboratories, LLC | Clinical Medical Laboratory | 1411 Se Ocean Avenue, Stuart, FL 34996 | 2014-01-23 |
| 1972871747 | Cara Montgomery | Counselor | 850 Se Stafford Dr, Stuart, FL 34996 | 2011-12-08 |
| 1053557603 | Glenn Allen Feigen | Licensed Practical Nurse | 3727 Se Ocean Blvd # 200b, General Healthcare Resources, Inc., Stuart, FL 34996 | 2009-01-05 |
| 1861665044 | Robert O. Baratta | Internal Medicine | 2400 Se Monterey Road, Suite 300, Stuart, FL 34996 | 2008-04-08 |
| 1336343102 | Avron H Lipschitz | Plastic Surgery | 903 Se Monterey Commons Blvd, Stuart, FL 34996 | 2007-06-13 |
| 1912129214 | Eyewear of Stuart, Inc. | Durable Medical Equipment & Medical Supplies | 2090 S.e. Ocean Blvd, Stuart, FL 34996 | 2007-05-03 |
| Find all providers in zip 34996 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134311624 | Treasure Coast Radiation Oncology Pa | Radiology | 2107 Se Ocean Blvd, Stuart, FL 34996-3305 | 2007-08-17 |
| 1437125242 | Gary K Griffis | Radiology | 501 Se Osceola St, Suite 100, Stuart, FL 34994-2301 | 2006-02-23 |
| 1073589842 | Kiran A Reddy | Radiology | 501 Se Osceola St, Stuart, FL 34994-2301 | 2006-02-23 |
| 1346229168 | Michael A Burke | Radiology | 501 Se Osceola St, Suite 100, Stuart, FL 34994-2301 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
| 1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
| 1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
| 1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
| 1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
| 1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
| 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.