TALBERT GENERAL SURGERY LLC (NPI# 1275033284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275033284 |
| Entity Type | Organization |
| Organization Name | TALBERT GENERAL SURGERY LLC |
| Practice Address |
129 W Hibiscus Blvd Ste D Melbourne FL 32901-3006 |
| Practice Telephone | 3213721372 |
| Mailing Telephone | 3213721372 |
| Mailing Fax Number | 3213699247 |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2019-01-10 |
| Authorized Official Name | DR. MARK SHANE TALBERT (OWNER) |
| Authorized Official Telephone | 3216260241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME101090 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
129 W HIBISCUS BLVD STE D |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 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 |
| 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 |
| 1962809897 | Independent Lung Associates, Pa | Specialist | 1314 Oak Street, Melbourne, FL 32901 | 2014-11-20 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952922270 | Glenn Edmund Bryan Jr. | Surgery | 4255 N Us Highway 1, Melbourne, FL 32935-4822 | 2020-04-27 |
| 1760622526 | Space Coast Surgery LLC | Surgery | 8255 N Wickham Rd, Suite 102, Melbourne, FL 32940-8202 | 2009-03-05 |
| 1215901848 | Emran Riaz Imami | Surgery | 1140 Broadband Dr, Melbourne, FL 32901-2623 | 2006-02-13 |
| 1720062516 | Aleksander Richard Komar | Surgery | 7000 Spyglass Ct Ste 350, Melbourne, FL 32940 | 2005-12-05 |
| 1174526958 | Mark Edmund Pessa | Surgery | 1350 S Hickory St, Suite Pso, Melbourne, FL 32901 | 2005-05-24 |
| 1821478512 | Surgical Robotics Md, P.a. | Surgery | 109 Silver Palm Ave, Melbourne, FL 32901-3125 | 2015-06-08 |
| 1629413042 | Mohamad Hammoud | Surgery | 1223 Gateway Dr Ste 2b, Melbourne, FL 32901-2607 | 2013-04-30 |
| 1235457458 | Akram Mouied Alashari | Surgery | 1350 Hickory St, Melbourne, FL 32901-3224 | 2010-05-12 |
| 1902122781 | Kenneth K Tieu | Surgery | 8725 N Wickham Rd Ste 200, Melbourne, FL 32940-2240 | 2010-04-19 |
| 1003132887 | Nathan D Allison | Surgery | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2239 | 2010-04-19 |
| Find all providers in MELBOURNE | ||||
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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.