JUPITER MEDICAL CENTER PHYSICIAN GROUP (NPI# 1174706790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174706790 |
| Entity Type | Organization |
| Organization Name | JUPITER MEDICAL CENTER PHYSICIAN GROUP |
| Practice Address |
210 Jupiter Lakes Blvd Suite 3101 Jupiter FL 33458-7191 |
| Mailing Address |
Po Box 8850 Jupiter FL 33468-8850 |
| Practice Telephone | 5617482889 |
| Practice Fax Number | 5617481523 |
| Mailing Telephone | 5617482889 |
| Mailing Fax Number | 5617481523 |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |
| Authorized Official Name | KAREN BARLOW (OWNER/BILLING COMPANY) |
| Authorized Official Telephone | 5617482889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME0031653 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629251277 | Jupiter Medical Center Physician Group | Internal Medicine | 399 Tequesta Dr, Suite 102, Tequesta, FL 33469-3087 | 2007-12-06 |
| Street Address |
210 JUPITER LAKES BLVD SUITE 3101 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-7191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982691614 | Community Surgical Specialists P.a. | Surgery | 210 Jupiter Lakes Blvd, 3105, Jupiter, FL 33458-7191 | 2005-09-27 |
| 1578921649 | Margaret Lalonde | Nurse Practitioner | 210 Jupiter Lakes Blvd, Suite 4104, Jupiter, FL 33458-7191 | 2016-02-04 |
| 1962869388 | Paul Vargas | Physical Therapy Assistant | 210 Jupiter Lakes Blvd, Suite 5101, Jupiter, FL 33458-7191 | 2016-01-16 |
| 1720452113 | Kristen Lynne Langbert | Physical Therapist | 210 Jupiter Lakes Blvd, Ste 4201, Jupiter, FL 33458-7190 | 2015-11-23 |
| 1376913152 | Tegest Nuguse | Audiologist | 210 Jupiter Lakes Blvd, Building 5000 Suite 105, Jupiter, FL 33458-7191 | 2015-10-06 |
| 1588032213 | Genesiscare Usa of Florida LLC | Surgery | 210 Jupiter Lakes Blvd, Building 5000 Suite 202, Jupiter, FL 33458-7191 | 2015-09-11 |
| 1245616424 | Lydia Picard | Physical Therapist | 210 Jupiter Lakes Blvd, Suite 5101, Jupiter, FL 33458-7191 | 2015-08-10 |
| 1083095590 | Mariya Yankelevych | Nurse Practitioner | 210 Jupiter Lakes Blvd, Suite 4104, Jupiter, FL 33458-7191 | 2015-06-11 |
| 1124425673 | Strictly Shoulders, Inc | Physical Therapist | 210 Jupiter Lakes Blvd, Bldg. 4000 Suite 106a, Jupiter, FL 33458-7191 | 2014-11-28 |
| 1497152284 | Robert Emil Panico | Physical Therapist | 210 Jupiter Lakes Blvd, Bldg. 4000 Suite 106a, Jupiter, FL 33458-7191 | 2014-11-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1598822504 | Digital Echo LLC | Internal Medicine | 600 University Boulevard, Suite 200, Jupiter, FL 33458 | 2007-01-02 |
| 1457411951 | Richard T Vernick | Internal Medicine | 1000 N Us Highway 1 Unit Ba503, Jupiter, FL 33477 | 2006-12-12 |
| 1396776175 | Agustin Alberto Vargas | Internal Medicine | 600 University Blvd., Suite-200, Jupiter, FL 33458-0000 | 2006-07-06 |
| 1740244896 | Cardiovascular Medical Specialists of The Palm Beaches Pa | Internal Medicine | 500 University Boulevard, Suite 208, Jupiter, FL 33458 | 2006-04-14 |
| 1144298829 | Craig D Vogel | Internal Medicine | 500 University Blvd., Suite 208, Jupiter, FL 33458 | 2006-03-09 |
| 1285638171 | Gonzalo J Loveday | Internal Medicine | 600 University Blvd, 200, Jupiter, FL 33458-2778 | 2005-06-08 |
| 1356722425 | Icahn School of Medicine At Mount Sinai | Internal Medicine | 600 University Blvd, Suite 200, Jupiter, FL 33458-2778 | 2015-06-15 |
| 1225301526 | Jupiter Medical Group P A | Internal Medicine | 875 Military Trl, Suite 208, Jupiter, FL 33458-5700 | 2012-02-16 |
| 1053681668 | Physicians Ekg Reading Group Inc | Internal Medicine | 725 N Highway A1a, Suite D102, Jupiter, FL 33477-4571 | 2012-01-12 |
| 1790076560 | Edgar Abovich, Md Pa | Internal Medicine | 4425 Military Trl, Suite 102, Jupiter, FL 33458-4819 | 2011-04-27 |
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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.