DR. CHARLES W MACKETT III (NPI# 1366416232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366416232 |
| Entity Type | Individual |
| Full Name | DR. CHARLES W MACKETT III |
| Credential | MD |
| Practice Address |
1000 36th St Vero Beach FL 32960-4862 |
| Practice Telephone | 7725674311 |
| Practice Fax Number | 7725634723 |
| Mailing Telephone | 7725674311 |
| Mailing Fax Number | 7725634723 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2012-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD425999 | PA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101235908 | 05 |
| Street Address |
1000 36TH ST |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-4862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919513 | Craig Joseph Romero | Physician Assistant | 1000 36th St, Vero Beach, FL 32960-4862 | 2005-08-15 |
| 1679174593 | Lisa Eleanor Bosworth | Nurse Practitioner | 1000 36th St, Vero Beach, FL 32960-4862 | 2020-11-06 |
| 1326654138 | Abigail Clarose D'souza | Anesthesiology | 1000 36th St, Vero Beach, FL 32960-4862 | 2020-09-17 |
| 1033737861 | Katelin Mcginnis | Dietitian, Registered | 1000 36th St, Vero Beach, FL 32960-4862 | 2020-07-08 |
| 1427674795 | Amber Harp | Anesthesiologist Assistant | 1000 36th St, Vero Beach, FL 32960-4862 | 2020-06-22 |
| 1447886031 | Merilee Woodman | Registered Nurse | 1000 36th St, Vero Beach, FL 32960-4862 | 2020-03-16 |
| 1588298285 | Indian River Health Services Inc | Specialist | 1000 36th St, Vero Beach, FL 32960-4862 | 2020-03-03 |
| 1215561063 | Helen Christine Clark | Advanced Practice Midwife | 1000 36th St, Vero Beach, FL 32960-4862 | 2020-03-02 |
| 1639719164 | Shaina Joseph | Nurse Practitioner | 1000 36th St, Vero Beach, FL 32960-4862 | 2020-01-13 |
| 1861039281 | Jonathan Meacham | Pharmacist | 1000 36th St, Vero Beach, FL 32960-4862 | 2019-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497038483 | Laura Lynn | Specialist | 79 Royal Palm Pt, Vero Beach, FL 32960-4253 | 2011-09-26 |
| 1134427677 | April Lynn Griffin | Specialist | 2090 6th Ave, Vero Beach, FL 32960-0906 | 2011-03-08 |
| 1942506522 | Victor Rodriguez-viera Md Pa | Specialist | 1820 43rd Ave Ste 2, Vero Beach, FL 32960-0540 | 2011-01-31 |
| 1205130713 | Dgasmd Anesthesia Consultants LLC | Specialist | 854 Island Club Sq, Vero Beach, FL 32963-5505 | 2010-12-28 |
| 1730491119 | Le'shaun Denine Williams | Specialist | 362 17th Street, Vero Beach, FL 32960-0660 | 2010-07-13 |
| 1154576866 | Vero Beach Anesthesia Group | Specialist | 1255 37th St Ste E, Vero Beach, FL 32960-6550 | 2008-11-21 |
| 1558513440 | Sabrina Bishop | Specialist | 1281 Old Dixie Hwy, Vero Beach, FL 32960-3746 | 2008-10-22 |
| 1023267283 | Laura Anne Marshaus | Specialist | 650 12th St, Vero Beach, FL 32960-5714 | 2008-09-12 |
| 1710148309 | Michael Bernard Zimmer | Specialist | 214 Rudder Rd, Vero Beach, FL 32963-2934 | 2008-06-17 |
| 1073789780 | Gary Ingwersen | Specialist | 1360 Us 1, Suite 5, Vero Beach, FL 32960-5703 | 2008-05-02 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
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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.