GENERAL SURGERY OF JUPITER MEDICAL SPECIALISTS, LLC (NPI# 1073944260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073944260 |
| Entity Type | Organization |
| Organization Name | GENERAL SURGERY OF JUPITER MEDICAL SPECIALISTS, LLC |
| Practice Address |
1002 S Old Dixie Hwy Suite 203 Jupiter FL 33458-7202 |
| Mailing Address |
Po Box 452066 Sunrise FL 33345-2066 |
| Practice Telephone | 5617415695 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609394402 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 1002 S Old Dixie Hwy Ste 206, Jupiter, FL 33458-7202 | 2017-09-01 |
| 1477097095 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 1002 S Old Dixie Hwy Ste 303, Jupiter, FL 33458-7202 | 2016-12-16 |
| 1093269557 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 2854 Se Federal Hwy, Stuart, FL 34994-5738 | 2016-08-12 |
| 1013338243 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 210 Jupiter Lakes Blvd, Bldg 3000, #105, Jupiter, FL 33458-7191 | 2013-12-13 |
| 1891126082 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 1002 S Old Dixie Hwy, Suite 304, Jupiter, FL 33458-7202 | 2013-12-12 |
| 1902231509 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 210 Jupiter Lakes Blvd, Bldg 3000, #203, Jupiter, FL 33458-7191 | 2013-09-13 |
| Street Address |
1002 S OLD DIXIE HWY SUITE 203 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538121298 | Barry Marc Miskin | Surgery | 1002 S Old Dixie Hwy, Suite 304, Jupiter, FL 33458-7202 | 2006-04-06 |
| 1770010548 | Anesthesiology of Jupiter, Pa. | Anesthesiology | 1002 S Old Dixie Hwy, Suite 302, Jupiter, FL 33458-7202 | 2017-05-11 |
| 1538514195 | Primary Care Services of Jupiter Medical Specialists, LLC | Family Medicine | 1002 S Old Dixie Hwy, Suite 206, Jupiter, FL 33458-7202 | 2016-05-02 |
| 1235508185 | 21st Century Oncology LLC | Urology | 1002 S Old Dixie Hwy, Suite 104, Jupiter, FL 33458-7202 | 2015-09-22 |
| 1629446992 | 21st Century Oncology LLC | Urology | 1002 S Old Dixie Hwy, Suite 104, Jupiter, FL 33458-7202 | 2015-09-03 |
| 1891126082 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 1002 S Old Dixie Hwy, Suite 304, Jupiter, FL 33458-7202 | 2013-12-12 |
| 1467796797 | Jupiter Hand To Shoulder, LLC | Surgery | 1002 S Old Dixie Hwy, Suite 105, Jupiter, FL 33458 | 2012-11-27 |
| 1871854570 | Florida Hand Rehabilitation Inc | Occupational Therapist | 1002 S Old Dixie Hwy, Suite 105, Jupiter, FL 33458-7202 | 2012-05-30 |
| 1780900449 | Thebaut Consulting Inc., Dba Palm Beach Hand | Orthopaedic Surgery | 1002 S Old Dixie Hwy, Suite 105, Jupiter, FL 33458-7202 | 2010-04-20 |
| 1720312739 | William Alfonso Gustave | Family Medicine | 1002 S Old Dixie Hwy, Suite 206, Jupiter, FL 33458-7202 | 2009-09-23 |
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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 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609394402 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 1002 S Old Dixie Hwy Ste 206, Jupiter, FL 33458-7202 | 2017-09-01 |
| 1265894844 | Lawgmd Pllc | Surgery | 9423 150th Ct N, Jupiter, FL 33478-6912 | 2016-03-23 |
| 1770782567 | Irwin Ralph Berman | Surgery | 109 Spinnaker Ln, Jupiter, FL 33477-4003 | 2007-07-12 |
| 1366496028 | Nancy J Taft | Surgery | 2111 Military Trl Ste 200, Jupiter, FL 33458-8098 | 2006-05-19 |
| 1679535215 | Stephen Nicholas Martyak | Surgery | 62 Colony Rd, Jupiter, FL 33469-3507 | 2006-04-06 |
| 1538121298 | Barry Marc Miskin | Surgery | 1002 S Old Dixie Hwy, Suite 304, Jupiter, FL 33458-7202 | 2006-04-06 |
| 1982691614 | Community Surgical Specialists P.a. | Surgery | 210 Jupiter Lakes Blvd, 3105, Jupiter, FL 33458-7191 | 2005-09-27 |
| 1497740484 | Fred Silvestri | Surgery | 1004 S Old Dixie Hwy Ste 303, Jupiter, FL 33458-7200 | 2005-09-15 |
| 1477097095 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 1002 S Old Dixie Hwy Ste 303, Jupiter, FL 33458-7202 | 2016-12-16 |
| 1588032213 | Genesiscare Usa of Florida LLC | Surgery | 210 Jupiter Lakes Blvd, Building 5000 Suite 202, Jupiter, FL 33458-7191 | 2015-09-11 |
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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.