MELBOURNE HMA, LLC (NPI# 1962497198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962497198 |
| Entity Type | Organization |
| Organization Name | MELBOURNE HMA, LLC |
| Other Organization Name | WUESTHOFF MEDICAL CENTER - MELBOURNE |
| Practice Address |
250 N Wickham Rd Melbourne FL 32935-8625 |
| Practice Telephone | 3217521200 |
| Mailing Telephone | 3217521200 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2014-01-29 |
| Authorized Official Name | LAURIE HOLTSFORD (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6154657466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 4468 | FL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010320900 | 05 |
| Other Name | Type Code |
|---|---|
| Wuesthoff Medical Center - Melbourne | Doing Business As Name - Organization |
| Street Address |
250 N WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-8625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848668 | Robert Bell | Emergency Medicine | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2005-06-01 |
| 1619507209 | Necmo Pa | Internal Medicine | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2020-01-22 |
| 1255898102 | Ronald Glen Gordon | Registered Nurse | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2019-02-27 |
| 1811461007 | Ann Maria Thomas | Nurse Practitioner | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2019-01-22 |
| 1972073716 | Steward Medical Group, Inc | Radiology | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-12-04 |
| 1437643640 | Caleb Quick | Nurse Practitioner | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-06-20 |
| 1538650940 | Lisa Collins Lancaster | Registered Nurse | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-05-21 |
| 1629565965 | Pietro Loesener | Nurse Practitioner | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-04-20 |
| 1215435870 | Khashaba LLC | Hospitalist | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-01-30 |
| 1790283661 | Dr Joseph D Paolucci Md Pa LLC | Hospitalist | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386925618 | Animal Hospital of Central Brevard Inc | General Acute Care Hospital | 4521 N Wickham Rd Ste 102, Melbourne, FL 32935-7108 | 2011-08-31 |
| 1518909811 | Vista | General Acute Care Hospital | 2423 King Richard Rd, Melbourne, FL 32935-2930 | 2006-06-12 |
| 1356845481 | Medical Applications and Services | General Acute Care Hospital | 1350 Hickory St, Melbourne, FL 32901-3224 | 2018-03-22 |
| 1801320718 | Steward Melbourne Hospital, Inc. | General Acute Care Hospital | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2017-04-18 |
| 1730494816 | Viera Hospital, Inc. | General Acute Care Hospital | 8745 N Wickham Rd, Attention: Administration, Melbourne, FL 32940-5997 | 2010-08-12 |
| 1295987691 | James E Holmes Regional Hospital | General Acute Care Hospital | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2008-10-16 |
| 1780835702 | James E Holmes Regional Hospital | General Acute Care Hospital | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2008-10-08 |
| 1285813147 | Premiere Medical Group Pa | General Acute Care Hospital | 2107 Dairy Rd, Melbourne, FL 32904-5209 | 2007-10-29 |
| 1295702728 | Holmes Regional Medical Center, Inc. | General Acute Care Hospital | 1350 Hickory St, Melbourne, FL 32901-3224 | 2006-03-03 |
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|---|---|---|---|---|
| 1871193664 | Central Florida Health Services, LLC | General Acute Care Hospital | 6700 Lake Nona Blvd, Orlando, FL 32827-7729 | 2020-10-29 |
| 1639783509 | Public Health Trust of Miami Dade County Florida | General Acute Care Hospital | 2801 Nw 79th Ave, Doral, FL 33122-1174 | 2020-09-08 |
| 1013534445 | Sarasota Memorial Hospital | General Acute Care Hospital | 2600 Laurel Rd E, North Venice, FL 34275-3226 | 2020-07-01 |
| 1528683257 | Gainesville Vamc | General Acute Care Hospital | 2080 Child St Bldg 200h, Jacksonville, FL 32214-5005 | 2020-06-09 |
| 1184246894 | Zbeiro Corp | General Acute Care Hospital | 13952 Sw 52nd Ln, Miami, FL 33175-5166 | 2020-05-15 |
| 1962053728 | Optimum Care Medical Group | General Acute Care Hospital | 10520 Alcon Blue Dr, Riverview, FL 33578-4116 | 2019-09-24 |
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1437652500 | Physicians On Call I Corp | General Acute Care Hospital | 10081 Pines Blvd Ste B, Pembroke Pines, FL 33024-6171 | 2018-03-14 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| 1659803435 | Palmetto General Hosptial | General Acute Care Hospital | 2001 West 68th St, Suite 202, Hialeah, FL 33016 | 2017-03-30 |
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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.