STONE SURGERY CLINIC (NPI# 1073718664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073718664 |
| Entity Type | Organization |
| Organization Name | STONE SURGERY CLINIC |
| Other Organization Name | FAWAZ MEDICAL & SURGICAL CLINIC |
| Practice Address |
4417 Us Hwy 331 S Defuniak Springs FL 32435-6703 |
| Practice Telephone | 8509514638 |
| Practice Fax Number | 8509514554 |
| Mailing Telephone | 8509514638 |
| Mailing Fax Number | 8509514554 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONNA WARD (OFFICE MANAGER) |
| Authorized Official Telephone | 8509514638 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3024682 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Fawaz Medical & Surgical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982728929 | Stone Surgery Clinic | Surgery | 962 Us 331 South, Defuniak Springs, FL 32435 | 2007-03-16 |
| Street Address |
4417 US HWY 331 S |
| City | DEFUNIAK SPRINGS |
| State | FL |
| Zip Code | 32435-6703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477098267 | Luz Zondlo | Counselor | 3686 Us Highway 331s, Chautauqua Offices of Psychotherapy & Evaluation, Defuniak Springs, FL 32435 | 2017-01-03 |
| 1427445477 | Jacob Urda | Family Medicine | 1045 Hwy 331 South Suite D & E, Defuniak Springs, FL 32435 | 2015-04-16 |
| 1982728929 | Stone Surgery Clinic | Surgery | 962 Us 331 South, Defuniak Springs, FL 32435 | 2007-03-16 |
| 1003999756 | Charles Gordon Stevenson IIi | Optometrist | 770 Hwy 331 South, Suite 1, Defuniak Springs, FL 32435 | 2006-10-23 |
| 1609971910 | Solomon Reodica | Surgery | 4415 Highway 331 Soutn, Defuniak Springs, FL 32435 | 2006-09-13 |
| 1396857223 | Pamela Kay Stuckey | Social Worker | 3686 Us Hwy 331 S, Cope Center Inc, Defuniak Springs, FL 32435 | 2006-08-31 |
| 1144332065 | Michele Anne Gilmore-rule | Social Worker | 3686 Us Hwy 331 South, Cope Center Inc, De Funiak Springs, FL 32435 | 2006-08-31 |
| 1205857513 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1030 Us Highway 331 South, Suite G, Defuniak Springs, FL 32435 | 2006-07-21 |
| 1912932153 | George Lester Mueller | Surgery | 2800 S Seacrest, Suite 200, Boynton Beach, FL 32435 | 2006-07-12 |
| 1679525463 | Timothy W Walker | Emergency Medicine | 4413 Us Hwy 331 South, Defuniak Springs, FL 32435 | 2006-05-17 |
| Find all providers in zip 32435 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639549066 | Meredith Ariel Flanagan | Nurse Practitioner | 1045 Us Highway 331 S Ste D&e, Defuniak Springs, FL 32435-3379 | 2015-09-28 |
| 1386256485 | Noelle Klawon Manese | Nurse Practitioner | 362 State Highway 83, Defuniak Springs, FL 32433-3800 | 2020-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770340 | Ashley Mae Fleck | Nurse Practitioner | 3428 Sepia St, West Melbourne, FL 32904-7588 | 2020-11-08 |
| 1356942031 | Jorge Luis Ulloa Capestany | Nurse Practitioner | 6865 W 7th Ave Apt 408, Hialeah, FL 33014-4877 | 2020-11-08 |
| 1316548126 | Mitza Lacroix | Nurse Practitioner | 2670 Sw 83rd Ave, Miramar, FL 33025-7413 | 2020-11-06 |
| 1295336337 | Eduardo Wilfredo Loredo | Nurse Practitioner | 2930 Nw 156th St, Opa Locka, FL 33054-2226 | 2020-11-05 |
| 1962003004 | Yudaisy Salgueiro | Nurse Practitioner | 307 Nw 72nd Ave Apt 319, Miami, FL 33126-4304 | 2020-11-05 |
| 1992306146 | Nicole Lyn Burks | Nurse Practitioner | 11916 W Sample Rd, Coral Springs, FL 33065-4200 | 2020-11-04 |
| 1790386811 | Louise Lorraine Voltaire | Nurse Practitioner | 7728 Nw Greenspring St, Port St Lucie, FL 34987-3052 | 2020-11-04 |
| 1750982294 | Hyun-ae Kuh | Nurse Practitioner | 1628 Slash Pine Pl, Oviedo, FL 32765-6270 | 2020-11-02 |
| 1033719687 | Biviana Maria Arroyave | Nurse Practitioner | 2293 Ne 122nd St, North Miami, FL 33181-2910 | 2020-10-30 |
| 1831799790 | Jennmobilemed, Inc. | Nurse Practitioner | 631 Sw 17th Ct, Boca Raton, FL 33486-6413 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | DEFUNIAK SPRINGS |
| Zip Code | 32435 |
Please comment or provide details below to improve the information on STONE SURGERY CLINIC.
| 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.