KND DEVELOPMENT 59 LLC (NPI# 1366772337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366772337 |
| Entity Type | Organization |
| Organization Name | KND DEVELOPMENT 59 LLC |
| Practice Address |
765 W Nasa Blvd Melbourne FL 32901-1815 |
| Mailing Address |
680 S 4th St Louisville KY 40202-2407 |
| Practice Telephone | 3217335725 |
| Practice Fax Number | 5025964150 |
| Mailing Telephone | 5025967300 |
| Mailing Fax Number | 8335019731 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | LINDA L FISHER (DVP REVENUE CYCLE) |
| Authorized Official Telephone | 5025967358 |
| Is Organization Subpart | Y |
| Parent Organization Name | KINDRED HEALTHCARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | DL118A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740519081 | Knd Development 59 LLC | Hospitalist | 1901 N College Ave, Santa Ana, CA 92706-2334 | 2009-12-16 |
| 1821327321 | Knd Development 59 LLC | Hospitalist | 1000 N Cooper, Arlington, TX 76011-5540 | 2009-12-11 |
| 1619206133 | Knd Development 59 LLC | Hospitalist | 2401 Southside Blvd, Greensboro, NC 27406-3311 | 2009-12-11 |
| 1407185903 | Knd Development 59 LLC | Hospitalist | 4801 E Sam Houston Pkwy, Pasadena, TX 77505-3955 | 2009-12-11 |
| 1992034680 | Knd Development 59 LLC | Hospitalist | 707 S. Edwin C. Moses Boulevard, Dayton, OH 45417-3462 | 2009-12-09 |
| 1467731216 | Knd Development 59 LLC | Hospitalist | 655 E Medical Center Blvd, Webster, TX 77598-4328 | 2011-08-11 |
| 1114215571 | Knd Development 59 LLC | Hospitalist | 350 Blossom St, Webster, TX 77598-4206 | 2011-07-19 |
| 1952699340 | Knd Development 59 LLC | Hospitalist | 1201 W 38th St, 8th Floor North, Austin, TX 78705-1006 | 2011-07-19 |
| 1588952956 | Knd Development 59 LLC | Hospitalist | 2601 W Randol Mill Rd Ste 101, Arlington, TX 76012-4216 | 2011-07-19 |
| 1518255991 | Knd Development 59 LLC | Hospitalist | 14709 Olive Blvd, Chesterfield, MO 63017-2221 | 2011-07-19 |
| Street Address |
765 W NASA BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487851812 | Temoor Sajjad Anwar | Radiology | 765 W Nasa Blvd, Melbourne, FL 32901-1815 | 2007-06-29 |
| 1699395434 | I & I Labs, LLC | Radiology | 765 W Nasa Blvd, Melbourne, FL 32901-1815 | 2020-04-22 |
| 1497983936 | Kindred Development 17, LLC | Long Term Care Hospital | 765 W Nasa Blvd, Melbourne, FL 32901-1815 | 2009-06-23 |
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184195083 | Michael Scott Gavigan | Hospitalist | 1314 Oak St, Melbourne, FL 32901 | 2018-12-17 |
| 1215435870 | Khashaba LLC | Hospitalist | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-01-30 |
| 1790283661 | Dr Joseph D Paolucci Md Pa LLC | Hospitalist | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-01-25 |
| 1952835399 | William Johnson Jr. | Hospitalist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2017-04-12 |
| 1902258775 | Lisa Linder | Hospitalist | 1314 Oak St, Melbourne, FL 32901-3111 | 2016-07-06 |
| 1831552264 | Daniel Cordiner | Hospitalist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2016-04-02 |
| 1215324512 | Stephen Dodson | Hospitalist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2015-04-24 |
| 1477940260 | Wael Sankar | Hospitalist | 8745 N Wickham Rd, Melbourne, FL 32940 | 2015-04-20 |
| 1225442569 | Idljona Gllava | Hospitalist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2014-06-15 |
| 1942620596 | Patrick Kyle Evers | Hospitalist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2014-04-22 |
| 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.