DR. STANLEY WALTER WISNIOSKI III (NPI# 1043399900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043399900 |
| Entity Type | Individual |
| Full Name | DR. STANLEY WALTER WISNIOSKI III |
| Credential | D.O. |
| Practice Address |
10800 N Military Trl Suite 106 Palm Beach Gardens FL 33410-6500 |
| Practice Telephone | 5613249600 |
| Practice Fax Number | 5617999980 |
| Mailing Telephone | 5613249600 |
| Mailing Fax Number | 5617799980 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2011-07-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | OS9152 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | OS9152 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD ID | 52028 | 01 |
| FL | MEDICAL LICENSE NUMBER | OS9152 | 01 |
| FL | MEDICARE SIFFIX | U3317Z | 01 |
| FL | MEDICARE GROUP ID | K6281 | 01 |
| Street Address |
10800 N MILITARY TRL SUITE 106 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-6500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467439927 | Gardens Drugs Inc | Pharmacy | 10800 N Military Trl, Suite 119, Palm Beach Gardens, FL 33410-6500 | 2005-12-27 |
| 1023403813 | Lynda M. Brennan | Counselor | 10800 N Military Trl, Suite 107, Palm Beach Gardens, FL 33410-6500 | 2015-03-30 |
| 1457765745 | Mathilde Ambroise | Marriage & Family Therapist | 10800 N Military Trl, Suite 223, Palm Beach Gardens, FL 33410-6500 | 2014-06-16 |
| 1033498720 | Jeanna Leclaire Hill | Physical Therapist | 10800 N Military Trl, Ste 111, Palm Beach Gardens, FL 33410-6527 | 2011-08-11 |
| 1962799213 | Pga Chiropractic Health Center Pa | Internal Medicine | 10800 N Military Trl, Ste # 111, Palm Beach Gardens, FL 33410-6500 | 2011-07-07 |
| 1811099286 | Andrew Howard Thaw | Chiropractor | 10800 N Military Trl, Suite 111, Palm Beach Gardens, FL 33410-6527 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618503 | Pcn Health and Wellness, LLC | Neuromusculoskeletal Medicine & OMM | 2627 Ne 203rd St Ste 100a, Miami, FL 33180-1945 | 2020-08-07 |
| 1316412836 | Osteopathic Medical Arts Center of South Florida LLC | Neuromusculoskeletal Medicine & OMM | 3700 Washington St Ste 401, Hollywood, FL 33021-8249 | 2018-10-11 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1366974800 | Derek Christopher Murphy | Neuromusculoskeletal Medicine & OMM | 110 Alafaya Woods Blvd Ste C-2, Oviedo, FL 32765-4000 | 2017-04-03 |
| 1639538143 | Amy Joy Selwach | Neuromusculoskeletal Medicine & OMM | 870 N Cocoa Blvd Ste A, Cocoa, FL 32922-7588 | 2016-02-12 |
| 1053611251 | Roger R. Verno, D.c.p.a. | Neuromusculoskeletal Medicine & OMM | 2620 N Australian Ave Ste 100, West Palm Beach, FL 33407-5626 | 2010-10-22 |
| 1427374354 | Nabeel Kouka | Neuromusculoskeletal Medicine & OMM | 2999 Ne 191st St Ste 260, Aventura, FL 33180-4925 | 2010-04-16 |
| 1104059005 | New Directions of Central Florida, LLC | Neuromusculoskeletal Medicine & OMM | 9425 Se Highway 42, Summerfield, FL 34491-6405 | 2009-08-26 |
| 1134357957 | Ramon G Lugo-sanchez | Neuromusculoskeletal Medicine & OMM | 2724 Sw 120th Ter, Miramar, FL 33025-0762 | 2009-07-01 |
| 1376702183 | Erik Michael Schabert | Neuromusculoskeletal Medicine & OMM | 4408 Nw 36th Ave, Gainesville, FL 32606-7215 | 2008-06-06 |
| Find all providers with the same taxonomy | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
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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.