SANDEEP VISWANATH (NPI# 1154761328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154761328 |
Entity Type | Individual |
Full Name | SANDEEP VISWANATH |
Credential | D.O. |
Practice Address |
1223 Gateway Dr Ste 2h Melbourne FL 32901-2607 |
Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
Practice Telephone | 3213615571 |
Practice Fax Number | 3217221879 |
Mailing Telephone | 3214341982 |
Enumeration Date | 2013-07-02 |
Last Update Date | 2020-03-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
OS14745 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 100371100 | 05 | |
FL | FL MEDICARE | JL334Z | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
7031 Sw 62nd Ave, South Miami, FL 331434701 | 3052847761 |
Street Address |
1223 GATEWAY DR STE 2H |
City | MELBOURNE |
State | FL |
Zip Code | 32901-2607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245230978 | Stephen Hugh Macdonald | Preventive Medicine | 1223 Gateway Dr Ste 2h, Melbourne, FL 32901-2607 | 2005-07-22 |
1700418076 | Urgent Care Centers of Brevard County LLC | Clinic/Center | 1223 Gateway Dr Ste 2h, Melbourne, FL 32901-2607 | 2020-02-05 |
1700361094 | Stephanie Nowak | Nurse Practitioner | 1223 Gateway Dr Ste 2h, Melbourne, FL 32901-2607 | 2018-10-02 |
1730268111 | Catherine Mary Pank | Dermatology | 1223 Gateway Dr Ste 2h, Melbourne, FL 32901-2607 | 2006-11-04 |
1285685305 | Emily S Neel | Physician Assistant | 1223 Gateway Dr Ste 2h, Melbourne, FL 32901-2607 | 2006-05-13 |
1346232972 | Michael Joseph Macdonald | Preventive Medicine | 1223 Gateway Dr Ste 2h, Melbourne, FL 32901-2607 | 2005-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
Find all providers in zip 32901 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912988668 | Luis Del Rosario Cabral | Internal Medicine | 1535 W Nasa Blvd Ste 103, Building C, Melbourne, FL 32901-2635 | 2005-11-09 |
1790269744 | Florida Rheumatology Care | Internal Medicine | 7630 N Wickham Rd Ste 104, Melbourne, FL 32940-8257 | 2018-09-16 |
1053575050 | Magaly Villafradez-diaz | Internal Medicine | 1344 S Apollo Blvd, #300, Melbourne, FL 32901-3183 | 2008-07-18 |
1457551657 | Stacy Ann Marie Davis | Internal Medicine | 1334 Valentine St, Melbourne, FL 32901-3128 | 2007-07-25 |
1225040637 | Varinder Kumar | Internal Medicine | 8725 N Wickham Rd Ste 301, Melbourne, FL 32940 | 2006-08-13 |
1619931334 | Hector E Ramirez | Internal Medicine | 2222 S Harbor City Blvd, Suite 430, Melbourne, FL 32901-5594 | 2006-04-12 |
1598731200 | Elena V Barnes | Internal Medicine | 205 E Nasa Blvd, Melbourne, FL 32901-1950 | 2006-02-23 |
1326022427 | Sukanya Pachaidee | Internal Medicine | 205 E Nasa Blvd, Suite 200, Melbourne, FL 32901-1950 | 2005-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619588654 | Wellness Institute of Miami Inc | Internal Medicine | 14114 Sw 42nd Ter, Miami, FL 33175-3644 | 2020-08-13 |
1003465253 | Mpp Infusion Center of Doctor Phillips, LLC | Internal Medicine | 6068 S Apopka Vineland Rd Ste 4, Orlando, FL 32819-4449 | 2019-09-10 |
1407408883 | Mpp Infusion Center of Kissimmee, LLC | Internal Medicine | 607 Oak Commons Blvd, Kissimmee, FL 34741-4213 | 2019-07-15 |
1811559487 | Mpp Infusion Center of Port St Lucie LLC | Internal Medicine | 525 Nw Lake Whitney Pl Ste 101, Port St Lucie, FL 34986-1605 | 2019-07-03 |
1336606383 | Infusion Center of Jacksonville, LLC | Internal Medicine | 11512 Lake Mead Ave Ste 302-303, Jacksonville, FL 32256-9680 | 2019-02-26 |
1972069946 | Mid-florida Rheumatology LLC | Internal Medicine | 1743 Park Center Dr Ste 400, Orlando, FL 32835-7621 | 2019-02-14 |
1992269468 | Rheumatology Center of Palm Beach Pllc | Internal Medicine | 3918 Via Poinciana Ste 2, Lake Worth, FL 33467-2991 | 2019-01-29 |
1598205072 | American Arthritis & Rheumatology Associates LLC | Internal Medicine | 2255 Glades Rd Ste 228w, Boca Raton, FL 33431-7391 | 2017-03-02 |
1275904575 | Florida Rheumatology Associates Inc | Internal Medicine | 6801 Us Highway 27 N Ste A2, Sebring, FL 33870-1000 | 2015-10-13 |
1033580709 | Brett R. Hutton, M.d., P.a. | Internal Medicine | 10301 Hagen Ranch Rd Ste B550, Boynton Beach, FL 33437 | 2015-10-07 |
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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.