KELLY M. VANGILDER (NPI# 1003815895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003815895 |
| Entity Type | Individual |
| Full Name | KELLY M. VANGILDER |
| Credential | D.O. |
| Practice Address |
345 Jupiter Lakes Blvd Ste 200 Jupiter FL 33458-7100 |
| Mailing Address |
770 Northpoint Parkway Suite 102 West Palm Beach FL 33407 |
| Practice Telephone | 5617411957 |
| Practice Fax Number | 5617411893 |
| Mailing Telephone | 5612757604 |
| Mailing Fax Number | 5618025385 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2017-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | OS07265 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 251951800 | 05 | |
| FL | RAILROAD MEDICARE | P00192860 | 01 |
| Street Address |
345 JUPITER LAKES BLVD STE 200 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370435 | Victor R Iannaccone | Obstetrics & Gynecology | 345 Jupiter Lakes Blvd, Ste 200, Jupiter, FL 33458-7100 | 2005-07-14 |
| 1760017297 | Morgan Ashley Gallego | Behavior Technician | 345 Jupiter Lakes Blvd, Jupiter, FL 33458-7100 | 2020-03-04 |
| 1487212908 | Constance Jean Ricotta | Occupational Therapist | 345 Jupiter Lakes Blvd, Jupiter, FL 33458-7100 | 2019-05-30 |
| 1851756316 | Twila Curren | Psychologist | 345 Jupiter Lakes Blvd, Suite 302a, Jupiter, FL 33458-7100 | 2015-12-28 |
| 1073909420 | Garine Prosthodontics Pa | Dentist | 345 Jupiter Lakes Blvd, Ste 304, Jupiter, FL 33458-7100 | 2015-04-13 |
| 1134515166 | Saylor Physical Therapy Jupiter LLC | Preferred Provider Organization | 345 Jupiter Lakes Blvd, Ste 300, Jupiter, FL 33458-7100 | 2015-04-07 |
| 1699172742 | Amy Brown | Physical Therapist | 345 Jupiter Lakes Blvd, Suite 300, Jupiter, FL 33458-7100 | 2014-12-04 |
| 1528474111 | Jaimie St Ama | Counselor | 345 Jupiter Lakes Blvd, 302a, Jupiter, FL 33458-7100 | 2014-07-03 |
| 1801222849 | Deanna Cotto | Nurse Practitioner | 345 Jupiter Lakes Blvd, Suite 200, Jupiter, FL 33458-7100 | 2013-09-23 |
| 1417209974 | Jennifer Ries | Psychologist | 345 Jupiter Lakes Blvd, Suite 302a, Jupiter, FL 33458-7100 | 2012-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720441181 | Amanda N Colbert | Obstetrics & Gynecology | 875 Military Trl Ste 101a, Jupiter, FL 33458-5700 | 2016-04-03 |
| 1356703342 | Sandra Diaz | Obstetrics & Gynecology | 4495 Military Trl Ste 101, Jupiter, FL 33458-4838 | 2016-03-28 |
| 1891115259 | Laura Alsina-sanchez | Obstetrics & Gynecology | 600 Heritage Dr Ste 210, Jupiter, FL 33458 | 2014-04-23 |
| 1093773087 | Demetri Popescu Falticeni | Obstetrics & Gynecology | 352 River Edge Rd, Jupiter, FL 33477-9344 | 2006-05-02 |
| 1659370435 | Victor R Iannaccone | Obstetrics & Gynecology | 345 Jupiter Lakes Blvd, Ste 200, Jupiter, FL 33458-7100 | 2005-07-14 |
| 1124026497 | Kimberly Ann Heroux | Obstetrics & Gynecology | 4495 Military Trl, #101, Jupiter, FL 33458-4839 | 2005-07-12 |
| 1750716353 | Women's Health and Wellness of Jupiter Medical Specialists, LLC | Obstetrics & Gynecology | 1004 S Old Dixie Hwy, Suite 201, Jupiter, FL 33458-7200 | 2013-09-13 |
| 1083934657 | Samantha Kendra Winterrowd | Obstetrics & Gynecology | 345 Jupiter Lakes Blvd, Suite 200, Jupiter, FL 33458-7100 | 2010-06-07 |
| 1740366848 | Sasha Geren Melendy | Obstetrics & Gynecology | 345 Jupiter Lakes Blvd, Suite 200, Jupiter, FL 33458-7100 | 2006-10-31 |
| 1659456986 | Obgyn Specialists of The Palm Beaches Pa | Obstetrics & Gynecology | 345 Jupiter Lakes Blvd, Suite 200, Jupiter, FL 33458-7100 | 2006-10-26 |
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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.