INDIAN RIVER HEALTH SERVICES INC (NPI# 1376864108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376864108 |
| Entity Type | Organization |
| Organization Name | INDIAN RIVER HEALTH SERVICES INC |
| Other Organization Name | IRMC PHYSICIANS NETWORK-UR |
| Practice Address |
3745 11th Circle Suite 103 Vero Beach FL 32960 |
| Mailing Address |
1000 36th St Vero Beach FL 32960-4862 |
| Practice Telephone | 7727949771 |
| Mailing Telephone | 7725674311 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-30 |
| Authorized Official Name | JEFFREY L SUSI (CEO) |
| Authorized Official Telephone | 7725674311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME0067894 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| IRMC Physicians Network-UR | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1073027769 | Indian River Health Services Inc | Surgery | 920 37th Pl Ste 104, Vero Beach, FL 32960-6595 | 2017-11-17 |
| 1255738480 | Indian River Health Services Inc | Internal Medicine | 880 37th Pl, Suite 105, Vero Beach, FL 32960-6506 | 2014-12-03 |
| 1578833315 | Indian River Health Services Inc | Internal Medicine | 937 Barefoot Blvd, Barefoot Bay, FL 32976-7654 | 2012-01-11 |
| 1093095333 | Indian River Health Services Inc | Internal Medicine | 4165 Oslo Rd, Suite 106, Vero Beach, FL 32968-4878 | 2011-08-18 |
| 1720319809 | Indian River Health Services Inc | Clinic/Center | 1960 Pointe West Drive, Vero Beach, FL 32966-4962 | 2010-01-29 |
| 1588298285 | Indian River Health Services Inc | Specialist | 1000 36th St, Vero Beach, FL 32960-4862 | 2020-03-03 |
| 1609424415 | Indian River Health Services Inc | Anesthesiology | 1000 36th St, Vero Beach, FL 32960-4862 | 2019-08-27 |
| 1689112765 | Indian River Health Services Inc | Obstetrics & Gynecology | 3450 11th Ct, Suite 304, Vero Beach, FL 32960-5012 | 2017-02-08 |
| 1205370327 | Indian River Health Services Inc | Internal Medicine | 3450 11th Court, Suite 104b, Vero Beach, FL 32960-4862 | 2016-12-08 |
| Street Address |
3745 11TH CIRCLE SUITE 103 |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689623746 | Mark D Zimmerman | Anesthesiology | 3745 11th Circle, Suite 107, Vero Beach, FL 32960 | 2006-05-08 |
| 1225045750 | Marilyn Rose Turner | Nurse Practitioner | 3745 11th Circle, Suite 108, Vero Beach, FL 32960 | 2006-08-01 |
| 1205864121 | Interventional Pain Management of The Treasure Coast Pa | Pain Medicine | 3745 11th Circle, Suite 107, Vero Beach, FL 32960 | 2006-06-29 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275877235 | Paul T. Bakule, Md Pa | Urology | 787 37th St Ste E130, Vero Beach, FL 32960-7313 | 2012-11-15 |
| 1558557470 | J Robin Atwell,md Pa | Urology | 1355 37th St Ste 303, Vero Beach, FL 32960-7320 | 2007-09-25 |
| 1063611598 | Hugo Hernando Davila | Urology | 3730 7th Ter Ste 101, Vero Beach, FL 32960-6556 | 2007-07-14 |
| 1013921899 | David W Lazan Md Pa | Urology | 1600 36th Street, Suite B, Vero Beach, FL 32960 | 2006-07-28 |
| 1306878764 | Roy Carrington Mason Jr. | Urology | 3450 11th Ct Ste 303, Vero Beach, FL 32960 | 2006-07-07 |
| 1689661738 | Joseph Putnam Crawford | Urology | 1986 35th Ave, Vero Beach, FL 32960-2533 | 2005-10-04 |
| 1831192657 | Paul T Bakule | Urology | 787 37th St, Ste E130, Vero Beach, FL 32960-7313 | 2005-05-24 |
| 1679945158 | 21st Century Oncology LLC | Urology | 787 37th St, Suite E-200, Vero Beach, FL 32960-7305 | 2015-10-23 |
| 1164610895 | Indian River Urology Associates Pa | Urology | 787 37th St, Suite E200, Vero Beach, FL 32960-7305 | 2007-10-09 |
| 1568654655 | Robert Rappel | Urology | 1515 Indian River Blvd, Suite A-210, Vero Beach, FL 32960-5627 | 2007-08-13 |
| 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.