OSLER MEDICAL INC (NPI# 1265623938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265623938 |
| Entity Type | Organization |
| Organization Name | OSLER MEDICAL INC |
| Practice Address |
930 S Harbor City Blvd Melbourne FL 32901-1963 |
| Practice Telephone | 3217255050 |
| Practice Fax Number | 3217259100 |
| Mailing Telephone | 3217255050 |
| Mailing Fax Number | 3217259100 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2009-03-11 |
| Authorized Official Name | L;AURIE DEBORAH BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 3217255050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
PO01949 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PGBA SUPPLIER NUMBER | 0884270001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578606869 | Osler Medical Inc | Obstetrics & Gynecology | 1208 S Harbor City Blvd, Melbourne, FL 32901-3207 | 2007-02-15 |
| 1356650790 | Osler Medical Inc | Internal Medicine | 2129 W New Haven Ave, West Melbourne, FL 32904-3875 | 2010-10-04 |
| 1871724955 | Osler Medical Inc | Radiology | 240 N Wickham Rd, Suite 101, Melbourne, FL 32935-8662 | 2009-08-06 |
| 1013161314 | Osler Medical Inc | Internal Medicine | 2222 S Harbor City Blvd, Melbourne, FL 32901-5527 | 2008-11-13 |
| 1538318589 | Osler Medical Inc | Internal Medicine | 8057 Spyglass Hill Rd, Suite 102, Melbourne, FL 32940-8565 | 2008-09-15 |
| 1437292711 | Osler Medical Inc | Internal Medicine | 240 N Wickham Rd, Melbourne, FL 32935-8662 | 2007-02-15 |
| 1699818971 | Osler Medical Inc | Internal Medicine | 720 E New Haven Ave, Melbourne, FL 32901-5474 | 2007-02-15 |
| 1356308670 | Osler Medical Inc | Clinic/Center | 930 S Harbor City Blvd, Melbourne, FL 32901 | 2006-04-28 |
| Street Address |
930 S HARBOR CITY BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-1963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851368799 | Arland A Adams | Internal Medicine | 930 S Harbor City Blvd, Osler Medical, Melbourne, FL 32901 | 2006-02-28 |
| 1104433267 | Health First Medical Group LLC | Orthopaedic Surgery | 930 S Harbor City Blvd, Ste 100, Melbourne, FL 32901-1909 | 2020-09-23 |
| 1467837476 | Stacia Poole Md, LLC | Dermatology | 930 S Harbor City Blvd, Suite 101, Melbourne, FL 32901-1963 | 2015-07-21 |
| 1861748121 | David J. Pocoski, M.d., P.a. | Specialist | 930 S Harbor City Blvd, Suite 200, Melbourne, FL 32901-1963 | 2012-07-24 |
| 1053681924 | Institute for Health Care, LLC | Internal Medicine | 930 S Harbor City Blvd, 100, Melbourne, FL 32901-1963 | 2012-01-09 |
| 1275803512 | Osler Hma Medical Group, LLC | Dermatology | 930 S Harbor City Blvd, Melbourne, FL 32901-1963 | 2012-01-04 |
| 1730261579 | Judith Williams | Nurse Practitioner | 930 S Harbor City Blvd, Melbourne, FL 32901-1963 | 2006-10-20 |
| 1356308670 | Osler Medical Inc | Clinic/Center | 930 S Harbor City Blvd, Melbourne, FL 32901 | 2006-04-28 |
| 1245297977 | James P Zavitsanos | Internal Medicine | 930 S Harbor City Blvd, Melbourne, FL 32901 | 2006-04-27 |
| 1225092844 | Sharon Glisson | Nurse Practitioner | 930 S Harbor City Blvd, Melbourne, FL 32901 | 2006-04-12 |
| Find all providers in the same location | ||||
| 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 | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548223647 | Martin Lenoci | Orthopaedic Surgery | 2222 S Harbor City Blvd, Suite 450, Melbourne, FL 32901-5594 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891220828 | Hill Orthopedic Center LLC | Orthopaedic Surgery | 540 S Chickasaw Trl, Orlando, FL 32825-7804 | 2017-04-27 |
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1679511174 | Sophia Esther Deben | Orthopaedic Surgery | 20601 E. Dixie Hwy, Orthopaedic Specialists of Miami Beach, Aventura, FL 33180 | 2006-06-04 |
| 1427005081 | Thomas E Odmark | Orthopaedic Surgery | 12416 66th Street N, Suite A, Largo, FL 33773-3437 | 2006-05-28 |
| 1740244243 | Mark S Mizel | Orthopaedic Surgery | 1121 Crandon Blvd Apt F403, Key Biscayne, FL 33149-2779 | 2006-04-13 |
| 1346217635 | Kevin B Newfield | Orthopaedic Surgery | 103 Coco Plum Dr, Marathon, FL 33050-4016 | 2006-03-05 |
| 1124090501 | Stanley S Shama | Orthopaedic Surgery | 232 Bullard Pkwy, Temple Terrace, FL 33617-5512 | 2006-02-01 |
| 1255330288 | Myles Rubin Samotin | Orthopaedic Surgery | 870 111th Ave N, Naples, FL 34108-1869 | 2005-07-20 |
| 1669478038 | Pierre Girard | Orthopaedic Surgery | 621 Se Port St Lucie Blvd, Port St Lucie, FL 34984-5141 | 2005-06-22 |
| 1316507239 | Wigley Feet | Orthopaedic Surgery | 1595 Ne 163rd St, North Miami Beach, FL 33162-4717 | 2019-06-13 |
| 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.