DR. STEVEN JAY WASSERMAN (NPI# 1174516181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174516181 |
| Entity Type | Individual |
| Full Name | DR. STEVEN JAY WASSERMAN |
| Credential | MD PL |
| Practice Address |
1111 Avenida Del Circo Venice FL 34285-4108 |
| Practice Telephone | 9414848222 |
| Practice Fax Number | 9414860316 |
| Mailing Telephone | 9414848222 |
| Mailing Fax Number | 9414860316 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
ME36514 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962504696 | Steven Victor Wasserman | Dentist | 17111 Northern Blvd, Flushing, NY 11358-2718 | 2006-09-02 |
| 1497132922 | Steven Wasserman | Student in an Organized Health Care Education/Training Program | 1319 Punahou St, 7th Floor, Honolulu, HI 96826-1001 | 2015-05-05 |
| 1255344552 | Steven Brian Wasserman | Chiropractor | 3772 Katella Ave, Ste. 100, Los Alamitos, CA 90720-3104 | 2006-08-15 |
| Street Address |
1111 AVENIDA DEL CIRCO |
| City | VENICE |
| State | FL |
| Zip Code | 34285-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144525676 | Olga Ulitsky Md Pl | Clinic/Center | 1111 Avenida Del Circo, Venice, FL 34285-4108 | 2011-01-13 |
| 1891098612 | Justin Ross Wasserman Md Pl | Clinic/Center | 1111 Avenida Del Circo, Venice, FL 34285-4108 | 2010-12-16 |
| 1043453970 | Justin Ross Wasserman | Dermatology | 1111 Avenida Del Circo, Venice, FL 34285-4108 | 2009-04-08 |
| 1023284536 | Olga Ulitsky | Dermatology | 1111 Avenida Del Circo, Venice, FL 34285-4108 | 2008-05-05 |
| 1346467784 | Steven Jay Wasserman Md Pl | Clinic/Center | 1111 Avenida Del Circo, Venice, FL 34285-4108 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
| Find all providers in zip 34285 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| 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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646930 | Neil Sandhu Pa | Dermatology | 1431 Orange Camp Rd Ste 115, Deland, FL 32724-7770 | 2020-07-08 |
| 1801369020 | Venice Dermatology Clinic Pa | Dermatology | 3171 Bobcat Village Center Rd, North Port, FL 34288-8974 | 2019-01-10 |
| 1548739246 | Associates & Affiliates In Dermatology LLC | Dermatology | 5210 Webb Rd Ste B, Tampa, FL 33615-4518 | 2018-11-26 |
| 1558836445 | Docta LLC | Dermatology | 5200 S University Dr Ste 102a, Davie, FL 33328-5316 | 2018-10-08 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1609215912 | Nosky P.a. | Dermatology | 512 Cypress Parkway, Poinciana, FL 34759 | 2013-06-19 |
| 1487098059 | Jason R Rosen | Dermatology | 4675 Linton Blvd Ste 203b, Delray Beach, FL 33445-6615 | 2013-04-25 |
| 1881964864 | Harold Edward Garber | Dermatology | 605 San Marco Dr, Fort Lauderdale, FL 33301-2547 | 2012-01-06 |
| 1245523414 | Sanchez Dermatology Services | Dermatology | 420 N Plant Ave, Plant City, FL 33563-7248 | 2011-05-22 |
| 1316244379 | Teresa C Rey | Dermatology | 3760 Sw 139th Pl, Miami, FL 33175-6749 | 2011-02-26 |
| Find all providers with the same taxonomy | ||||
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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.