OSLER MEDICAL INC (NPI# 1356650790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356650790 |
| Entity Type | Organization |
| Organization Name | OSLER MEDICAL INC |
| Practice Address |
2129 W New Haven Ave West Melbourne FL 32904-3875 |
| Mailing 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 | 2010-10-04 |
| Last Update Date | 2010-10-04 |
| Authorized Official Name | LAURIE D BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 3217255050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578606869 | Osler Medical Inc | Obstetrics & Gynecology | 1208 S Harbor City Blvd, Melbourne, FL 32901-3207 | 2007-02-15 |
| 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 |
| 1265623938 | Osler Medical Inc | Orthopaedic Surgery | 930 S Harbor City Blvd, Melbourne, FL 32901-1963 | 2007-08-07 |
| 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 |
2129 W NEW HAVEN AVE |
| City | WEST MELBOURNE |
| State | FL |
| Zip Code | 32904-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336613769 | Matthew Comer | Speech-Language Pathologist | 2129 W New Haven Ave, West Melbourne, FL 32904-3875 | 2019-01-18 |
| 1598238396 | Danielle Thibeault | Occupational Therapist | 2129 W New Haven Ave, West Melbourne, FL 32904-3875 | 2019-01-04 |
| 1700364676 | Patricia Gamblin | Physical Therapist | 2129 W New Haven Ave, West Melbourne, FL 32904-3875 | 2018-08-02 |
| 1790202315 | Sheetal R Singla | Physical Therapist | 2129 W New Haven Ave, West Melbourne, FL 32904-3875 | 2017-08-24 |
| 1952690067 | Bv Assisted Living, Inc. | Assisted Living Facility | 2129 W New Haven Ave, West Melbourne, FL 32904-3875 | 2011-03-30 |
| 1164735460 | Vicki Ann Bell | Specialist | 2129 W New Haven Ave, West Melbourne, FL 32904-3875 | 2010-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087722 | Norma Leticia Goodrich | Internal Medicine | 19265 Nw 252nd St, Okeechobee, FL 34972-6966 | 2020-09-14 |
| 1356811897 | Lake Behavioral Health Management | Internal Medicine | 225 W Canton Ave Ste 600, Winter Park, FL 32789-3181 | 2018-11-27 |
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1710464946 | Baptist Agewell Physicians Inc | Internal Medicine | 1350 13th Ave S Ste 118-a, Jacksonville Beach, FL 32250-3203 | 2018-07-20 |
| 1659891018 | Pocketdoc Physicians Pa | Internal Medicine | 333 Se 2nd Ave Ste 2000, Miami, FL 33131-2185 | 2017-06-26 |
| 1003349549 | On Call Wound Care LLC | Internal Medicine | 12798 Forest Hill Blvd Ste 205b, Wellington, FL 33414-4768 | 2017-04-11 |
| 1154781284 | Verimed Health Group Land O' Lakes, LLC | Internal Medicine | 2638 Narnia Way, Ste 101, Land O Lakes, FL 34638-7231 | 2016-03-02 |
| 1083082895 | Edith Maria Ortega | Internal Medicine | 528 Oceanfront, Neptune Beach, FL 32266 | 2015-09-10 |
| 1881083020 | Arnold Jay Simon, M.d. | Internal Medicine | 3175 S Congress Ave Ste 305, Palm Springs, FL 33461-2562 | 2015-01-12 |
| 1912300575 | Geriatrics and Hospitalists Associates | Internal Medicine | 3255 Cypress Legends Cir Apt 433, Fort Myers, FL 33905-5516 | 2014-09-26 |
| Find all providers with the same taxonomy | ||||
| City | WEST MELBOURNE |
| Zip Code | 32904 |
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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.