BOYNTON BEACH ENDOCRINOLOGY PA (NPI# 1922009232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922009232 |
Entity Type | Organization |
Organization Name | BOYNTON BEACH ENDOCRINOLOGY PA |
Practice Address |
11135 S Jog Rd Suite 5 Boynton Beach FL 33437-1807 |
Practice Telephone | 5613749707 |
Practice Fax Number | 5613748929 |
Mailing Telephone | 5613749707 |
Mailing Fax Number | 5613748929 |
Enumeration Date | 2005-08-09 |
Last Update Date | 2011-08-26 |
Authorized Official Name | DR. MICHAEL J MELLMAN (PRESIDENT) |
Authorized Official Telephone | 5613749707 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | ME81294 | FL | Other Service Providers |
Y | 174400000X | Specialist | ME60362 | FL | Other Service Providers |
Street Address |
11135 S JOG RD SUITE 5 |
City | BOYNTON BEACH |
State | FL |
Zip Code | 33437-1807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235139882 | Steven D. Sederholm | Audiologist | 11135 S Jog Rd, Suite #2, Boynton Beach, FL 33437-1807 | 2005-07-26 |
1841747599 | Kathy Renee Nichelson | Physical Therapy Assistant | 11135 S Jog Rd, Suite 1, Boynton Beach, FL 33437-1807 | 2016-09-09 |
1477988525 | David Green Dds Pa | Dentist | 11135 S Jog Rd, Suite 3, Boynton Beach, FL 33437-1807 | 2013-09-09 |
1902247455 | Brittney Vancheri | Physical Therapist | 11135 S Jog Rd, Boynton Beach, FL 33437-1807 | 2013-07-12 |
1336238625 | David Green | Dentist | 11135 S Jog Rd, Suite 3, Boynton Beach, FL 33437-1807 | 2006-10-12 |
1578585816 | Maria E Gutierrez | Specialist | 11135 S Jog Rd, Suite 5, Boynton Beach, FL 33437-1807 | 2006-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
1730725086 | Uttamkumar Sheladiya | Pharmacist | 12080 South Jog Rod, Boyton Beach, FL 33437 | 2019-11-21 |
1831601608 | Sheri Keehn | Nurse Practitioner | 6713 Conch Ct, Boynton Beach, FL 33437 | 2017-11-01 |
1265958037 | Kiersten Lutchi | Behavior Technician | 7862 Red Mahogany Road, Boynton Beach, FL 33437 | 2017-08-14 |
1740725084 | Marie Maxi | Behavior Technician | 6713 Heritage Grande, 1206, Boynton Beach, FL 33437 | 2016-12-22 |
1184071623 | Darronique Johnson | Technician, Other | 10779 Cambay Cr., Boynton Beach, FL 33437 | 2016-05-14 |
1033580709 | Brett R. Hutton, M.d., P.a. | Internal Medicine | 10301 Hagen Ranch Rd Ste B550, Boynton Beach, FL 33437 | 2015-10-07 |
1104258417 | Domenick Andrew Cerullo | Dentist | 10150 Hagen Ranch Road Suite 202, Dental Arts of Boynton Beach, P.a., Boynton Beach, FL 33437 | 2013-08-09 |
1275883399 | Kate A Vazquez | Physician Assistant | 7593 Boynton Beach Blvd Ste 190, Boynton Beach, FL 33437 | 2012-09-17 |
1912256009 | Kristi Joy Kline | Physical Therapist | 11135 South Jog Road, Suite 1, Boynton Beach, FL 33437 | 2012-09-05 |
Find all providers in zip 33437 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356884316 | Eric Weinberg | Specialist | 9792 Sun Pointe Dr, Boynton Beach, FL 33437-3332 | 2016-11-23 |
1073862439 | Orthopedic Solutions of S. Florida Inc | Specialist | 562 E Woolbright Rd, Boynton Beach, FL 33435-6033 | 2012-08-31 |
1013271311 | Sheryl Lewis | Specialist | 808 Sw 5th Ct, Boynton Beach, FL 33426-4722 | 2012-07-02 |
1568731701 | Obgyn Healthcare for Women | Specialist | 2828 S Seacrest Blvd Ste 201, Boynton Beach, FL 33435-7944 | 2011-12-16 |
1952632861 | Maxine Karas | Specialist | 36 Stratford Ln W, Apt. D, Boynton Beach, FL 33436-6330 | 2010-01-18 |
1104010875 | Miguel A Lopez-viego Md Pa | Specialist | 2800 South Seacrest Boulevard, Suite 200, Boynton Beach, FL 33435 | 2007-09-05 |
1467644393 | Murphys Occupational Therapy Services Inc | Specialist | 2301 S Congress Ave Apt 123, Boynton Beach, FL 33426-7465 | 2007-08-14 |
1306049457 | East Delray Medical P A | Specialist | 16 Lake Eden Dr, Boynton Beach, FL 33435-8667 | 2007-06-07 |
1891998993 | Elizabeth Anna Magee | Specialist | 12658 Majestic Isles Dr, Boynton Beach, FL 33437-4156 | 2007-06-06 |
1376757393 | Robert Anthony Henry | Specialist | 9115 Cavatina Pl, Boynton Beach, FL 33437-5132 | 2007-05-09 |
Find all providers in BOYNTON BEACH |
City | BOYNTON BEACH |
Zip Code | 33437 |
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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.