MAISEN MEDICAL PRACTICE, INC (NPI# 1154477594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154477594 |
| Entity Type | Organization |
| Organization Name | MAISEN MEDICAL PRACTICE, INC |
| Practice Address |
1453 W Island Club Sq Vero Beach FL 32963-5519 |
| Practice Telephone | 7722342598 |
| Practice Fax Number | 7723650333 |
| Mailing Telephone | 7722342598 |
| Mailing Fax Number | 7723650333 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LUDMILLA MAISEN (PRESIDENT) |
| Authorized Official Telephone | 7722342598 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1453 W ISLAND CLUB SQ |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32963-5519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277127 | Gretchen Szentirmai | Physical Therapist | 2498 S Highway A1a, Vero Beach, FL 32963 | 2018-06-01 |
| 1013315431 | Coast Medical Centers, LLC | Clinic/Center | 1193 South Federal Highway, Vero Beach, FL 32963 | 2014-12-17 |
| 1861827966 | Nicholas T Woltjen | Physician Assistant | 5070 A1a, Vero Beach, FL 32963 | 2013-09-08 |
| 1326381369 | Thomas James Spackman | Radiology | 351 Westwind Ct, Vero Beach, FL 32963 | 2013-03-28 |
| 1457624066 | Don Robert Kelso | Surgery | 965 Lantern Lane, Vero Beach, FL 32963 | 2012-02-13 |
| 1386873388 | Herman Michael Fountain | Family Medicine | 917 Orchid Point Way, Vero Beach, FL 32963 | 2009-07-11 |
| 1780883322 | Yusuf M. Mihaylov | Acupuncturist | 5070 North Highwaya1a, Suite B, Vero Beach, FL 32963 | 2007-07-13 |
| 1700087186 | Maria De Francisci | Social Worker | 9525 W. Maiden Ct., Vero Beach, FL 32963 | 2007-05-31 |
| 1326267675 | Alana M Keough Humberson | Dentist | 3379 Ocean Drive, Vero Beach, FL 32963 | 2007-04-25 |
| 1053745364 | Adam Robert Jones | Dentist | 5070 Highway A1a, Suite E, Vero Beach, FL 32963 | 2013-08-23 |
| Find all providers in zip 32963 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528604915 | Jena Christine Marini | Family Medicine | 1085 25th Ave, Vero Beach, FL 32960-3959 | 2019-11-21 |
| 1659921401 | Carehere LLC | Family Medicine | Carehere Clinic- Indian River Schools, 5255 41st Street, Vero Beach, FL 32967 | 2019-09-13 |
| 1114226693 | Bhavana Kranthi | Family Medicine | 640 21st St, Vero Beach, FL 32960-0933 | 2011-03-23 |
| 1386873388 | Herman Michael Fountain | Family Medicine | 917 Orchid Point Way, Vero Beach, FL 32963 | 2009-07-11 |
| 1043444037 | Cornelius Jude O,connor | Family Medicine | 4860 S Harbor Dr Apt 402, Vero Beach, FL 32967-7009 | 2009-05-06 |
| 1952494015 | George William Gray Jr. | Family Medicine | 2000 38th Ave, Vero Beach, FL 32960 | 2006-10-02 |
| 1184731820 | Philip Werner Mercer | Family Medicine | 5115 Tradewinds Dr, Vero Beach, FL 32963-1252 | 2006-08-25 |
| 1740200211 | Compassionate Medical Center Inc. | Family Medicine | 1485 37th St Ste 102, Vero Beach, FL 32960-6518 | 2006-07-20 |
| 1508819418 | Caducean Administrators Inc. | Family Medicine | 1850 37th St, Vero Beach, FL 32960-4856 | 2006-05-19 |
| 1437112562 | Deborah Leanne Brown | Family Medicine | 3450 11th Ct Ste 201, Vero Beach, FL 32960-5012 | 2006-04-10 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32963 |
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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.