VARTAN MARDIROSSIAN MD PLC (NPI# 1316375447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316375447 |
| Entity Type | Organization |
| Organization Name | VARTAN MARDIROSSIAN MD PLC |
| Practice Address |
600 Heritage Dr Suite 220 Jupiter FL 33458-3000 |
| Mailing Address |
Po Box 8689 Jupiter FL 33468-8689 |
| Practice Telephone | 5616240900 |
| Practice Fax Number | 5616273006 |
| Mailing Telephone | 5617482889 |
| Mailing Fax Number | 5617481523 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-11-11 |
| Authorized Official Name | KAREN BARLOW (PRESIDENT, JUPITER PROF DEVELOPMENT) |
| Authorized Official Telephone | 5617482889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
600 HERITAGE DR SUITE 220 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104049 | Brett A. Osborn | Neurological Surgery | 600 Heritage Dr, Suite 105, Jupiter, FL 33458-3000 | 2005-06-15 |
| 1316334840 | Brett A Osborn Do Pllc | Neurological Surgery | 600 Heritage Dr, Suite 105, Jupiter, FL 33458-3000 | 2015-04-22 |
| 1881948677 | Mcm Accountable Care Organization LLC | Family Medicine | 600 Heritage Dr, Suite 105, Jupiter, FL 33458-3000 | 2012-11-01 |
| 1760761340 | New York Society for The Relief of The Ruptured and Crippled Maintaini | General Acute Care Hospital | 600 Heritage Dr, Suite 110, Jupiter, FL 33458-3000 | 2011-08-12 |
| 1255644613 | Northwest Center for Infertility and Reproductive Endocrinology | Specialist | 600 Heritage Dr, Suite 200, Jupiter, FL 33458-3000 | 2010-07-14 |
| 1629307400 | Jacob J. Freiman, M.d., P.a. | Clinic/Center | 600 Heritage Dr, Suite 220, Jupiter, FL 33458-3097 | 2009-12-08 |
| 1013141712 | Jacob J. Freiman | Plastic Surgery | 600 Heritage Dr, Suite 220, Jupiter, FL 33458-3000 | 2009-05-08 |
| 1518106913 | Gardens Vision Center P.a. | Eyewear Supplier (Equipment, not the service) | 600 Heritage Dr, Suite 120, Jupiter, FL 33458-3000 | 2009-02-10 |
| 1821237322 | Palm Beach Institute of Plastic and Reconstructive Surgery | Plastic Surgery | 600 Heritage Dr, Ste 220, Jupiter, FL 33458-3000 | 2009-02-07 |
| 1811156631 | Lolita C. Moore | Massage Therapist | 600 Heritage Dr, 110, Jupiter, FL 33458-3000 | 2008-06-06 |
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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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326392416 | Robert Judson Camp II | Otolaryngology | 19469 Camp Ln, Jupiter, FL 33458-2488 | 2012-10-29 |
| 1497781785 | Mark Agrama | Otolaryngology | 550 Heritage Dr Ste 201, Jupiter, FL 33458-3029 | 2006-06-25 |
| 1699102210 | Mark T Agrama Md Pa | Otolaryngology | 500 University Blvd, Suite 208, Jupiter, FL 33458-2773 | 2013-09-27 |
| 1982907895 | Thomas E Lipin Md Pa | Otolaryngology | 210 Jupiter Lakes Blvd, Building 3000, Suite 202, Jupiter, FL 33458-7191 | 2010-12-15 |
| 1023342268 | Tenet Florida Physician Services, LLC | Otolaryngology | 601 University Blvd, Ste 208, Jupiter, FL 33458-2788 | 2009-09-21 |
| 1114096955 | Jeffrey B Alperstein Md Pa | Otolaryngology | 4600 Military Trail, Suite 205, Jupiter, FL 33458 | 2006-11-07 |
| 1972576668 | Jeffrey Barry Alperstein | Otolaryngology | 4600 Military Trail, Suite 205, Jupiter, FL 33458-4810 | 2006-02-11 |
| 1962490573 | Thomas Edward Lipin IIi | Otolaryngology | 210 Jupiter Lakes Blvd, Suite 3202, Jupiter, FL 33458-7191 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870977 | Shanmugasundaram, Venkatachalam | Otolaryngology | 10131 W Forest Hill Blvd Ste 201, Wellington, FL 33414-6109 | 2020-04-24 |
| 1851910517 | Daniel Oswaldo Manrique | Otolaryngology | 325 Saddle Ridge Dr, Davenport, FL 33896-8176 | 2020-04-13 |
| 1932735768 | Martin Alvin Shugar | Otolaryngology | 3850 Hollywood Blvd Ste 401, Hollywood, FL 33021-6746 | 2020-03-12 |
| 1396219242 | North Broward Hospital Distric T | Otolaryngology | 1801 W Sample Rd Ste 101, Deerfield Beach, FL 33064-1370 | 2019-01-14 |
| 1356811194 | Donald Lee Roberts | Otolaryngology | 4251 Commons Dr W Unit 5211, Destin, FL 32541-8636 | 2018-12-04 |
| 1275022238 | Mary Teresa Garrish | Otolaryngology | 405 Sims Way, Merritt Island, FL 32952-5233 | 2018-05-05 |
| 1437658671 | Baptist Ent Specialists Inc | Otolaryngology | 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 | 2018-02-02 |
| 1467970368 | Portela E.n.t., Pa | Otolaryngology | 3100 Sw 62nd Ave Ste 124, Miami, FL 33155-3009 | 2017-08-31 |
| 1427414358 | Rufus Madison Holloway Jr. | Otolaryngology | 1616 Lake Shore Drive, Orlando, FL 32803 | 2016-01-07 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
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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.