DR. JOHN PAUL MINNI (NPI# 1144303009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144303009 |
| Entity Type | Individual |
| Full Name | DR. JOHN PAUL MINNI |
| Credential | D.O. |
| Practice Address |
440 Se Osceola St. Stuart FL 34997 |
| Mailing Address |
1400 Se Goldtree Drive Suite A-7 Port St. Lucie FL 34952 |
| Practice Telephone | 7722192777 |
| Practice Fax Number | 7724190523 |
| Mailing Telephone | 7723353550 |
| Mailing Fax Number | 7722378013 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2016-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | OS8747 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | OS8747 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
440 SE OSCEOLA ST. |
| City | STUART |
| State | FL |
| Zip Code | 34997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851480131 | Mark R Kaiser M D Pa | Dermatology | 301 Se Osceola St, Stuart, FL 34994-2227 | 2006-10-12 |
| 1003925173 | Steven M Glanz | Dermatology | 6100 Se Federal Hwy, Stuart, FL 34997-8105 | 2006-08-30 |
| 1710936612 | Nayomi Ellen Omura | Dermatology | 440 Se Osceola St, Stuart, FL 34994-2577 | 2006-05-08 |
| 1205885506 | Cynthia Jenkins Rogers | Dermatology | 2065 S. Kanner Highway, Stuart, FL 34994 | 2006-05-06 |
| 1609863398 | Romagosa Dermatology Group LLC | Dermatology | 2220 Se Ocean Blvd, Suite 301, Stuart, FL 34996-2364 | 2005-09-29 |
| 1255327722 | Arthur Daniel King | Dermatology | 809 Se Osceola St, Stuart, FL 34994-2431 | 2005-09-21 |
| 1932720372 | Waterway Dermatology Pllc | Dermatology | 1050 Se Monterey Rd Ste 302, Stuart, FL 34994-4512 | 2020-04-27 |
| 1043668486 | Mckay Dermatology & Medspa, Pa | Dermatology | 969 Se Central Pkwy, Stuart, FL 34994-3904 | 2016-05-26 |
| 1083961312 | Luis F. Villar M.d.,p.a. | Dermatology | 309 Se Osceola St, Suite 201, Stuart, FL 34994-2251 | 2012-08-06 |
| 1952668121 | Donald R Cox Md Pa | Dermatology | 1001 Se Ocean Blvd, Suite 101, Stuart, FL 34996-2511 | 2012-04-12 |
| 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.