SHANE C HERNESMAN MD PA (NPI# 1164545620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164545620 |
| Entity Type | Organization |
| Organization Name | SHANE C HERNESMAN MD PA |
| Practice Address |
505 Delannoy Ave Cocoa FL 32922-7813 |
| Practice Telephone | 3216314940 |
| Practice Fax Number | 3216314941 |
| Mailing Telephone | 3216314940 |
| Mailing Fax Number | 3216314941 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SHANE C HERNESMAN (PRESIDENT) |
| Authorized Official Telephone | 3216314940 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME83457 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
505 DELANNOY AVE |
| City | COCOA |
| State | FL |
| Zip Code | 32922-7813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467716712 | Jonathan C Lee | Acupuncturist | 505 Delannoy Ave, Cocoa, FL 32922-7813 | 2012-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396260030 | Shacarra Danielle Pouncey | Behavioral Analyst | 453 King Street, Cocoa, FL 32922 | 2017-08-03 |
| 1851815849 | El-shaddai & Sons Maintenance LLC | Non-emergency Medical Transport (VAN) | 209 Factory St, Cocoa, FL 32922 | 2017-08-01 |
| 1891241949 | Stephanie B Duncan Kidwell | Developmental Therapist | 453 Cocoa St., Cocoa, FL 32922 | 2016-08-29 |
| 1861859746 | Ruth Ellis | Counselor | 7 N. Cocoa Blvd., Cocoa, FL 32922 | 2016-01-22 |
| 1528334109 | Cynthia Vicky Doyle | Counselor | 1407 Dixon Blvd., Cocoa, FL 32922 | 2012-03-28 |
| 1205156106 | Rhea Lucette Gibbs | Social Worker | 317 Riveredge B Lvd., Suite 104, Cocoa, FL 32922 | 2010-06-03 |
| 1871816439 | Suzanne P. Jasper-demarco | Behavioral Analyst | 550 Saint Johns St, Cocoa, FL 32922 | 2010-03-10 |
| 1023223294 | Loraine Catalano Schuh | Social Worker | 317 Riveredge Blvd, Suite 104, Cocoa, FL 32922 | 2007-05-11 |
| 1679795546 | Amber Elizabeth Bell | Counselor | Kidspeace, 633-b Brevard Avenue, Cocoa, FL 32922 | 2007-05-02 |
| 1154549343 | Venkata Naga Laxmi Cheedhella | Pharmacist | 1451 Dixon Blvd, Cocoa, FL 32922 | 2007-04-23 |
| Find all providers in zip 32922 | ||||
| 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 |
|---|---|---|---|---|
| 1316356108 | Medstaff | Family Medicine | 128 Lemon St, Cocoa, FL 32922-7624 | 2014-08-06 |
| 1760715767 | After-hours Pediatric Family Care Center Plc | Family Medicine | 234 Rosa L Jones Dr, Cocoa, FL 32922-7636 | 2009-09-09 |
| 1104088301 | Rumyana Georgieva Atanasova | Family Medicine | 705 Blake Ave, Bldg G, Cocoa, FL 32922-7100 | 2008-06-28 |
| 1134218357 | Rameshwar N Mathur Md Pa | Family Medicine | 6250 N Us 1, Cocoa, FL 32927 | 2006-10-12 |
| 1578660551 | John G Carey Md Pa | Family Medicine | 7137 North Us Hwy 1, Cocoa, FL 32927-5094 | 2006-09-20 |
| 1548371727 | Branko Dusan Pejic | Family Medicine | 6305 Pleasant Ave, Cocoa, FL 32927-8211 | 2006-08-31 |
| 1457353161 | Anthony Ralph Marsicano | Family Medicine | 801 Dixon Blvd, Cocoa, FL 32922-6855 | 2005-08-12 |
| 1104367630 | Steward Medical Group, Inc. | Family Medicine | 1317 W Point Dr, Cocoa, FL 32922-6464 | 2017-03-16 |
| 1235429564 | Ketsia Celestin Louis | Family Medicine | 5005 Port St John Pkwy, Cocoa, FL 32927-4305 | 2011-04-07 |
| 1306088802 | Donna L Bacon Pa | Family Medicine | 7227 N Us Highway 1, Cocoa, FL 32927-5004 | 2009-03-30 |
| Find all providers in COCOA | ||||
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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.