JUSTO MANUEL ROMAN (NPI# 1922065713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922065713 |
| Entity Type | Individual |
| Full Name | JUSTO MANUEL ROMAN |
| Credential | MD |
| Practice Address |
5255 Office Park Blvd Ste 110 Apc Pediatrics Bradenton FL 34203-3443 |
| Practice Telephone | 9417557000 |
| Practice Fax Number | 9417557088 |
| Mailing Telephone | 9417557000 |
| Mailing Fax Number | 9417557088 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2014-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME11223 | FL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 1094 | VI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 007370200 | 05 |
| Street Address |
5255 OFFICE PARK BLVD STE 110 APC PEDIATRICS |
| City | BRADENTON |
| State | FL |
| Zip Code | 34203-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316304686 | Jayne Elizabeth Holt | Pediatrics | 5255 Office Park Blvd Ste 110, Bradenton, FL 34203-3443 | 2016-01-18 |
| 1962822841 | Alexandra Fasula Lambert | Nurse Practitioner | 5255 Office Park Blvd Ste 110, Bradenton, Bradenton, FL 34203-3443 | 2014-04-18 |
| 1235276148 | Steven Todd Rippy | Pediatrics | 5255 Office Park Blvd Ste 110, Bradenton, FL 34203 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069268 | Mcr Health, Inc. | Clinic/Center | 6040 Sr 70 E, Bradenton, FL 34203 | 2019-08-22 |
| 1053814251 | Oneco Smiles Inc | Dentist | 1612 53rd Ave East, Oneco, FL 34203 | 2018-03-14 |
| 1811404908 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1505 53rd Ave, Bradenton, FL 34203 | 2018-01-10 |
| 1871003632 | Linda J Campbell | Dietitian, Registered | 6610 68th Street East, Bradenton, FL 34203 | 2017-10-06 |
| 1710430988 | Crystal Camden | Dentist | 5205 Office Park Blvd, Bradenton, FL 34203 | 2016-07-25 |
| 1104214865 | Sea of Smiles, Inc. | Dentist | 6060 State Road 70, Suite A, Bradenton, FL 34203 | 2015-01-05 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1881090025 | Lockwood Commons Dental Care | Dentist | 4222 53rd Ave E, Bradenton, FL 34203 | 2014-11-17 |
| 1447661418 | David W Heaton | Dentist | 1612 53rd Avenue East, Bradenton, FL 34203 | 2014-05-13 |
| 1346688066 | Joshua Donald Hogan | Pharmacist | 7290 55th Avenue East, Bradenton, FL 34203 | 2013-06-05 |
| Find all providers in zip 34203 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104228543 | Joseph Tm Placheril | Pediatrics | 8623 54th Dr E, Bradenton, FL 34211-9456 | 2014-09-17 |
| 1790111516 | Florida Medical Specialists LLC | Pediatrics | 5305 E State Road 64, Bradenton, FL 34208-5534 | 2013-09-25 |
| 1942596838 | Robert O. Warthen | Pediatrics | 2718 71st Street Ct. W., Bradenton, FL 34209-5319 | 2011-06-20 |
| 1194965681 | Guardian Angel Pediatrics | Pediatrics | 5220 4th Avenue Cir E, Bradenton, FL 34208-5621 | 2009-02-24 |
| 1588681282 | Liliana Palacio | Pediatrics | 5305 State Road 64 East, Bradenton, FL 34208 | 2006-07-17 |
| 1407872849 | Federico A Frias | Pediatrics | 5255 Office Park Blvd, Suite 110, Bradenton, FL 34203-3443 | 2006-07-15 |
| 1912957556 | Helene Rabena Hubbard | Pediatrics | 6040 State Road 70 E Unit B, Bradenton, FL 34203-9720 | 2006-05-12 |
| 1821066143 | Cecilia Aman Ladines | Pediatrics | 6040 State Road 70 E, Bradenton, FL 34203-9720 | 2006-03-11 |
| 1780662684 | Joseph T M Placheril | Pediatrics | 8623 54th Drive East, Bradenton, FL 34202 | 2006-01-03 |
| 1184621674 | Johnny Alvarez | Pediatrics | 3908 9th Ave W, Bradenton, FL 34205-1704 | 2005-06-30 |
| Find all providers in BRADENTON | ||||
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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.