GENERAL SURGERY OF JUPITER MEDICAL SPECIALISTS, LLC (NPI# 1093269557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093269557 |
Entity Type | Organization |
Organization Name | GENERAL SURGERY OF JUPITER MEDICAL SPECIALISTS, LLC |
Practice Address |
2854 Se Federal Hwy Stuart FL 34994-5738 |
Mailing Address |
Po Box 452066 Sunrise FL 33345-2066 |
Practice Telephone | 5615757875 |
Enumeration Date | 2016-08-12 |
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 |
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 |
1073944260 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 1002 S Old Dixie Hwy, Suite 203, 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 |
2854 SE FEDERAL HWY |
City | STUART |
State | FL |
Zip Code | 34994-5738 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356360606 | Richard Dube | Family Medicine | 2854 Se Federal Hwy, Stuart, FL 34994 | 2006-07-18 |
1205280880 | Primary Care Services of Jupiter Medical Specialists, LLC | Family Medicine | 2854 Se Federal Hwy, Stuart, FL 34994-5738 | 2016-04-20 |
1437535663 | Olga Fernandez | Dietitian, Registered | 2854 Se Federal Hwy, Stuart, FL 34994-5738 | 2015-08-11 |
1811383433 | Wendy Sue Leroy | Family Medicine | 2854 Se Federal Hwy, Stuart, FL 34994 | 2015-04-09 |
1265714497 | Richard A Dube Md Inc. | Clinic/Center | 2854 Se Federal Hwy, Stuart, FL 34994-5738 | 2011-09-14 |
1457631350 | Gary Bradley | General Practice | 2854 Se Federal Hwy, Stuart, FL 34994 | 2011-08-23 |
1790971356 | Hillary C Morris | Nurse Practitioner | 2854 Se Federal Hwy, Stuart, FL 34994-5738 | 2007-09-18 |
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 |
Find all providers in zip 34994 |
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 |
---|---|---|---|---|
1205264918 | Thomas Frank Haas Md | Surgery | 166 Se Saint Lucie Blvd, Apt 203, Stuart, FL 34996-4769 | 2013-10-16 |
1073881462 | South Florida Breast Specialists Pllc | Surgery | 401 Se Osceola St, Suite 200a, Stuart, FL 34994-2503 | 2011-12-13 |
1194711713 | Richard Oswald Follwell | Surgery | 2221 Se Ocean Blvd, Suite 200, Stuart, FL 34996-3341 | 2005-09-20 |
1184625162 | James J Vopal | Surgery | 801 Se Osceola St, Stuart, FL 34994-2431 | 2005-08-02 |
1437157864 | George Harold Rittersbach Jr. | Surgery | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2005-07-11 |
1073511408 | Wallace Edward Wengler | Surgery | 509 Se Riverside Dr Ste 200, Stuart, FL 34994-2579 | 2005-07-11 |
1265430680 | Sunil Gandhi | Surgery | 2111 Se Ocean Blvd, Stuart, FL 34996-3305 | 2005-07-09 |
1356349773 | Mark Stephen Beatty | Surgery | 314 Se Hospital Ave, Stuart, FL 34994-2338 | 2005-07-09 |
1780053058 | 21st Century Oncology LLC | Surgery | 2111 Se Ocean Blvd, Stuart, FL 34996-3305 | 2015-09-17 |
1033347265 | Mark Kuzich | Surgery | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2009-06-25 |
Find all providers in STUART |
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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.