COASTAL UROLOGY OF STUART, PA (NPI# 1073831574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073831574 |
| Entity Type | Organization |
| Organization Name | COASTAL UROLOGY OF STUART, PA |
| Practice Address |
900 Se Ocean Blvd Suite 240 Stuart FL 34994-2471 |
| Practice Telephone | 7722338624 |
| Mailing Telephone | 7722338624 |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |
| Authorized Official Name | DR. DAVID M RODIN (PRESIDENT) |
| Authorized Official Telephone | 7722338624 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME98471 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
900 SE OCEAN BLVD SUITE 240 |
| City | STUART |
| State | FL |
| Zip Code | 34994-2471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172073 | Michael Lee Fogt | Optometrist | 900 Se Ocean Blvd, Suite 106a, Stuart, FL 34994-2471 | 2005-08-23 |
| 1801411640 | Rudolph Manna | Behavior Technician | 900 Se Ocean Blvd, Stuart, FL 34994-2471 | 2020-06-08 |
| 1467949016 | Sleep Apnea Wellness Center LLC | Dentist | 900 Se Ocean Blvd, Bldg A Ste 102, Stuart, FL 34994 | 2018-04-19 |
| 1275075772 | Yvens Joseph | Behavior Technician | 900 Se Ocean Blvd, D130, Stuart, FL 34994-2471 | 2016-11-15 |
| 1265974760 | Danielle Pearson | Behavior Technician | 900 Se Ocean Blvd, D130, Stuart, FL 34994-2471 | 2016-11-15 |
| 1699217109 | Jeremy Rodriguez | Behavior Technician | 900 Se Ocean Blvd, D130, Stuart, FL 34994-2471 | 2016-11-15 |
| 1063954550 | Samantha Finch | Behavior Technician | 900 Se Ocean Blvd, D130, Stuart, FL 34994-2471 | 2016-11-15 |
| 1073055588 | Wendy Porter | Behavior Technician | 900 Se Ocean Blvd, D130, Stuart, FL 34994-2471 | 2016-11-15 |
| 1720520224 | Bjorn James | Behavior Technician | 900 Se Ocean Blvd, D130, Stuart, FL 34994-2471 | 2016-11-15 |
| 1043752553 | Catherine Lemay | Behavior Technician | 900 Se Ocean Blvd, D130, Stuart, FL 34994-2471 | 2016-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346288479 | David Nehme Pa | Urology | 528 Se Osceola St, Stuart, FL 34994-2366 | 2006-06-02 |
| 1376525501 | Michael Emory Lustgarten | Urology | 834 E Ocean Blvd, Stuart, FL 34994-2428 | 2005-11-15 |
| 1841271038 | David Matthew Rodin | Urology | 905 Se Monterey Commons Blvd, Stuart, FL 34996-3339 | 2005-11-07 |
| 1639174238 | Vincent P Miraglia | Urology | 2398 E Ocean Blvd, Ste A, Stuart, FL 34996-3310 | 2005-06-20 |
| 1679918635 | Lorenzo Digiorgio | Urology | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2013-05-05 |
| 1588938484 | Michael E. Lustgarten M.d. P.a. | Urology | 834 E Ocean Blvd, Stuart, FL 34994-2428 | 2012-02-24 |
| 1144540386 | Paul Bower | Urology | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2010-06-10 |
| 1780720144 | John David Nehme | Urology | 528 Se Osceola St, Stuart, FL 34994-2366 | 2007-01-30 |
| 1568490134 | Antonio Beltran M.d. Pa | Urology | 2220 Se Ocean Blvd, Suite 203, Stuart, FL 34996-3301 | 2006-06-30 |
| 1326080474 | David Nehme | Urology | 528 Se Osceola St, Stuart, FL 34994-2366 | 2006-06-12 |
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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.