RYAN J PEREIRA (NPI# 1033195979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033195979 |
| Entity Type | Individual |
| Full Name | RYAN J PEREIRA |
| Credential | DPM |
| Practice Address |
1301 Plantation Island Dr S Ste 203 St Augustine FL 32080-3108 |
| Mailing Address |
1301 Plantation Island Dr S Ste 203a St Augustine FL 32080-3108 |
| Practice Telephone | 9044610821 |
| Practice Fax Number | 9044610823 |
| Mailing Telephone | 9044610821 |
| Mailing Fax Number | 9044610823 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3002 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 65756 | 01 |
| FL | 340356400 | 05 |
| Street Address |
1301 PLANTATION ISLAND DR S STE 203 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32080-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013900893 | Melchor G Barros | Family Medicine | 1301 Plantation Island Dr S, 102-b, St Augustine, FL 32080-3108 | 2005-08-26 |
| 1316487218 | Jesse Fazzingo | Nurse Practitioner | 1301 Plantation Island Dr S, Suite 302a, St Augustine, FL 32080-3108 | 2017-02-27 |
| 1407390529 | Nakisha Marie Carrasquillo-richardson | Psychologist | 1301 Plantation Island Dr S, Ste. 201 A, St Augustine, FL 32080-3108 | 2016-12-08 |
| 1841733268 | Ronda Jo Jarvis | Social Worker | 1301 Plantation Island Dr S, Suite 201a, St Augustine, FL 32080-3108 | 2016-12-03 |
| 1528510047 | Michelle Murray Craun | Marriage & Family Therapist | 1301 Plantation Island Dr S, 201b, St Augustine, FL 32080-3108 | 2016-11-01 |
| 1730549817 | Physician Associates Group, Inc. | Psychiatry & Neurology | 1301 Plantation Island Dr S, Suite 201-a, St Augustine, FL 32080-3108 | 2016-03-02 |
| 1770942260 | Northeast Florida Endocrine and Diabetes Associates, Pa | Specialist | 1301 Plantation Island Dr S, Suite 203a, St Augustine, FL 32080-3108 | 2016-02-12 |
| 1518339761 | Cindy O Chaconas | Physical Therapist | 1301 Plantation Island Dr S, Suite 203a, St Augustine, FL 32080-3111 | 2015-10-28 |
| 1033528872 | Michael Hines | Hearing Instrument Specialist | 1301 Plantation Island Dr S, Suite 401b, St Augustine, FL 32080-3108 | 2014-08-06 |
| 1790086429 | Harbour Island Pediatrics | Pediatrics | 1301 Plantation Island Dr S, Suite 106-b, St Augustine, FL 32080-3108 | 2010-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991925 | Healthy Minds Psychological Services, LLC | Psychologist | 825 Kalli Creek Lane, Saint Augustine, FL 32080 | 2020-04-16 |
| 1215456629 | Sidney Leigh Thomas | Specialist/Technologist | 976 Saltwater Circle, St. Augustine, FL 32080 | 2017-09-18 |
| 1285164855 | Mary Patricia Pichan | Speech-Language Pathologist | 2870 Peachtree Rd. #293, Atlanta, GA 32080 | 2017-06-15 |
| 1962947325 | Joseph Costine | Behavior Technician | 205 7th St. Apt.b, St. Augustine, FL 32080 | 2016-12-21 |
| 1437605177 | Jenifer Long | Social Worker | 1301 Plantation Island Drive South, Suite 201a, St Augustine, FL 32080 | 2016-09-01 |
| 1205207420 | Ana Greenberger | Nurse Practitioner | 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 | 2015-10-14 |
| 1598037202 | Dana Elizabeth Jones | Occupational Therapist | 3 Hannah Cole Dr., St. Augustine, FL 32080 | 2012-01-27 |
| 1205159423 | Chesapeake Hyperbaric Lc | Clinic/Center | 129 Seagrove Main Street, Unit 202, St. Augustine, FL 32080 | 2010-03-02 |
| 1306176037 | Barros Family Healthcare Pa | Clinic/Center | 1301 Plantation Island Dr. South 102b, St. Augustine, FL 32080 | 2009-12-31 |
| 1609041995 | Tommy D Murphy | Specialist | 403 Anastasia Blvd., St. Augustine, FL 32080 | 2008-04-28 |
| Find all providers in zip 32080 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659587897 | Thomas Anthony Lebeau | Podiatrist | 1 Saint Johns Medical Park Dr, St Augustine, FL 32086-5300 | 2007-05-15 |
| 1578576179 | Rosana Rodriguez | Podiatrist | 6 Saint Johns Medical Park Dr, St Augustine, FL 32086-4233 | 2006-08-14 |
| 1841237864 | John A Cunningham | Podiatrist | 3829 Paddington Pl, St Augustine, FL 32092-3660 | 2006-05-31 |
| 1972994770 | Emmanuel Lagoutaris, Dpm, LLC | Podiatrist | 300 Kingsley Lake Dr, Ste. 402, St Augustine, FL 32092-3037 | 2015-02-15 |
| 1376887661 | Hany M Jeffry | Podiatrist | 6 Saint Johns Medical Park Dr, St Augustine, FL 32086-5298 | 2012-11-27 |
| 1972834760 | Coastal Foot & Ankle Wellness Center LLC | Podiatrist | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 | 2010-01-19 |
| 1649409756 | St. Augustine Foot & Ankle, Inc | Podiatrist | 1 Saint Johns Medical Park Dr, St Augustine, FL 32086-5300 | 2009-07-09 |
| 1730354523 | Community Podiatry & Wound Care Pa | Podiatrist | 6 Saint Johns Medical Park Dr, St Augustine, FL 32086-4233 | 2008-04-23 |
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|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32080 |
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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.