DR. NOELIA NOEMI ZYSKOWSKI (NPI# 1174801724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174801724 |
Entity Type | Individual |
Full Name | DR. NOELIA NOEMI ZYSKOWSKI |
Other Name | NOELIA NOEMI DONAMARIA |
Credential | M.D. |
Practice Address |
7955 Spyglass Hill Rd Ste A Melbourne FL 32940 |
Mailing Address |
7955 Spyglass Hill Rd Ste A Melbourne FL 32940-8249 |
Practice Telephone | 3217513389 |
Practice Fax Number | 3212422545 |
Mailing Telephone | 8472895727 |
Mailing Fax Number | 8478885469 |
Enumeration Date | 2011-08-01 |
Last Update Date | 2019-09-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 125058958 | IL | Allopathic & Osteopathic Physicians |
N | 208100000X | Physical Medicine & Rehabilitation | ME131779 | FL | Allopathic & Osteopathic Physicians |
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
ME131779 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBS | FP6C8 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1990 Larkin Ave Ste 3, Elgin, IL 60123 | 8472895727 | 8478885469 |
836 Century Medical Dr, Titusville, FL 327962141 | 3217513389 | 3212422545 |
Street Address |
7955 SPYGLASS HILL RD STE A |
City | MELBOURNE |
State | FL |
Zip Code | 32940 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275521957 | Juan Eugenio Santiago | Anesthesiology | 7955 Spyglass Hill Rd Ste A, Melbourne, FL 32940-8249 | 2005-10-07 |
1609226810 | Matthew Joseph Janzen | Physical Medicine & Rehabilitation | 7955 Spyglass Hill Rd Ste A, Melbourne, FL 32940-8249 | 2016-06-18 |
1801179874 | Lori Aikman | Nurse Practitioner | 7955 Spyglass Hill Rd Ste A, Melbourne, FL 32940-8249 | 2011-09-26 |
1689963027 | Keziah A Sully | Physical Medicine & Rehabilitation | 7955 Spyglass Hill Rd Ste A, Melbourne, FL 32940-8249 | 2011-04-06 |
1942484688 | Philip M Demola | Physical Medicine & Rehabilitation | 7955 Spyglass Hill Rd Ste A, Melbourne, FL 32940-8249 | 2007-12-17 |
1336262021 | Frederick E Stewart | Physician Assistant | 7955 Spyglass Hill Rd Ste A, Melbourne, FL 32940-8249 | 2007-04-09 |
1013985332 | Jose E Santoro | Anesthesiology | 7955 Spyglass Hill Rd Ste A, Melbourne, FL 32940-8249 | 2006-03-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
Find all providers in zip 32940 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417277831 | Mary Catherine Elliott | Physical Medicine & Rehabilitation | 3613 Quail Ct, Melbourne, FL 32904-9517 | 2010-06-08 |
1780108787 | Meghan Ashley Simon | Physical Medicine & Rehabilitation | 205 E Nasa Blvd Ste 200, Melbourne, FL 32901-1954 | 2017-08-01 |
1336684182 | Florida Pain & Rehabilitation Institute Inc | Physical Medicine & Rehabilitation | 308 S Harbor City Blvd Ste A, Melbourne, FL 32901-1500 | 2017-01-04 |
1518135888 | Sherin Kamal Fetouh | Physical Medicine & Rehabilitation | 307 E New Haven Ave, Melbourne, FL 32901-4576 | 2008-02-20 |
1366463226 | Jay E. Olsson, D.o., P.a. | Physical Medicine & Rehabilitation | 401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659 | 2006-07-23 |
1023041001 | Loggerhead Medical LLC | Physical Medicine & Rehabilitation | 307 E New Haven Ave, Melbourne, FL 32901-4576 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477161214 | Radius Medical Center LLC | Physical Medicine & Rehabilitation | 2425 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4062 | 2020-07-17 |
1912460874 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 5701 21st Ave W Ste 3, Bradenton, FL 34209-5605 | 2019-04-08 |
1508320342 | Grigory Pogrebinsky Md Pa | Physical Medicine & Rehabilitation | 12450 Tamiami Trl S Unit E, North Port, FL 34287-1473 | 2019-01-25 |
1235611815 | Peter Danger Molina | Physical Medicine & Rehabilitation | 1190 Nw 95th St Ste 200, Miami, FL 33150-2064 | 2018-08-30 |
1497246540 | Restore Medical Partners Pllc | Physical Medicine & Rehabilitation | 333 Tamiami Trl S Ste 101, Venice, FL 34285-2425 | 2018-05-24 |
1568952240 | South Florida Physical Medicine and Rehabilitation Center LLC | Physical Medicine & Rehabilitation | 1200 S Main St Ste 200, Belle Glade, FL 33430-7808 | 2018-05-17 |
1235641655 | Boca Pain Care, Inc | Physical Medicine & Rehabilitation | 851 Meadows Rd Ste 213, Boca Raton, FL 33486-2348 | 2017-10-25 |
1558870477 | Pain Control Solutions II LLC | Physical Medicine & Rehabilitation | 8323 Nw 12th Street, Suite 115, Miami, FL 33126 | 2017-09-22 |
1245759851 | Chelsea Hakeem | Physical Medicine & Rehabilitation | 8936 77th Terrace East, Suit 101, Lakewood Ranch, FL 34202 | 2017-09-14 |
1508384165 | Destiny Therapy Center Inc | Physical Medicine & Rehabilitation | 7480 Fairway Dr., Suite 101, Miami Lakes, FL 33014 | 2017-09-05 |
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.