SCOTT ZENONI (NPI# 1316287345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316287345 |
| Entity Type | Individual |
| Full Name | SCOTT ZENONI |
| Credential | M.D. |
| Practice Address |
1350 Hickory St Ste 101 Melbourne FL 32901 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3214341401 |
| Practice Fax Number | 3214341667 |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2020-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
ME118157 | FL | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
ME118167 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100099700 | 05 | |
| FL | MEDICARE | JK683Y | 01 |
| FL | MEDICARE | JK683Z | 01 |
| Street Address |
1350 HICKORY ST STE 101 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407822042 | Daniel N Segina | Orthopaedic Surgery | 1350 Hickory St Ste 101, Melbourne, FL 32901-3224 | 2006-02-24 |
| 1205112471 | Stacey Elizabeth Mercer | Physician Assistant | 1350 Hickory St Ste 101, Melbourne, FL 32901 | 2011-11-01 |
| 1396917522 | Kimberly Ann Vonderlieth | Physician Assistant | 1350 Hickory St Ste 101, Melbourne, FL 32901 | 2008-03-27 |
| 1245452606 | Steven A Khalil | Surgery | 1350 Hickory St Ste 101, Melbourne, FL 32901 | 2007-05-03 |
| 1861448318 | Lee G Theophelis | Surgery | 1350 Hickory St Ste 101, Melbourne, FL 32901-3224 | 2006-05-26 |
| 1619926169 | Gary James | Physician Assistant | 1350 Hickory St Ste 101, Melbourne, FL 32901-3224 | 2006-05-10 |
| 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 | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1245452606 | Steven A Khalil | Surgery | 1350 Hickory St Ste 101, Melbourne, FL 32901 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437579489 | Brandon Masi Parker | Surgery | 1611 Nw 12th Ave # 215, Miami, FL 33136-1005 | 2014-04-17 |
| 1508203100 | Kathleen Relihan | Surgery | 77 W Underwood St Ste 200, Orlando, FL 32806-1122 | 2013-05-23 |
| 1992998934 | Vivek Vijay Tirmal | Surgery | 607 Ne 11th Ave, Fort Lauderdale, FL 33304-4695 | 2007-08-23 |
| 1467657890 | Khaled Basiouny | Surgery | 603 7th St S Ste 500, St Petersburg, FL 33701-4734 | 2007-06-16 |
| 1417028614 | Derek Powell Brock | Surgery | 836 Lakeside Dr, North Palm Beach, FL 33408-3810 | 2006-11-11 |
| 1548278856 | Patrick Gonzalez Jr. | Surgery | 12651 N Dale Mabry Hwy, #272204, Tampa, FL 33688-9001 | 2006-08-03 |
| 1124061346 | Dana A. Taylor | Surgery | 1234 Se Magnolia Ext Unit 1, Ocala, FL 34471-3778 | 2006-06-14 |
| 1730163643 | Joseph Mcginn | Surgery | 8950 N Kendall Dr Ste 607w, Miami, FL 33176-2139 | 2005-12-05 |
| 1902429475 | Giovanni Jose Flumeri-perez | Surgery | 1431 Sw 1st Ave Bldg Suite7, Ocala, FL 34471-6500 | 2020-05-19 |
| 1194384297 | Jorge A. Vega Jr., M.d., Pllc | Surgery | 3375 Burns Rd Ste 206, Palm Beach Gardens, FL 33410-4361 | 2019-06-12 |
| 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.