DR. ANTHONY J SORRENTINO (NPI# 1407858723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407858723 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY J SORRENTINO |
| Credential | DO |
| Practice Address |
6522 S Kanner Highway Stuart FL 34997-6396 |
| Practice Telephone | 7724631123 |
| Practice Fax Number | 7724633072 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2013-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | OS0005754 | FL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | OS004528L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS GROUP # 45368 | 80268 | 01 |
| CAQH | 11492011 | 01 | |
| FL | BCBS GROUP # 34457 | 80268 | 01 |
| FL | 061632000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069710 | Anthony Sorrentino | Internal Medicine | 251 E Huron St, Chicago, IL 60611-3055 | 2020-03-25 |
| 1053974980 | Anthony M Sorrentino | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2019-04-16 |
| Street Address |
6522 S KANNER HIGHWAY |
| City | STUART |
| State | FL |
| Zip Code | 34997-6396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851734198 | Gerald Anthony Maddalozzo | Emergency Medicine | 200 Se Hospital Ave Fl 2346, Stuart, FL 34994-2346 | 2013-04-16 |
| 1255309878 | Francis Joseph Falbo IIi | Emergency Medicine | 2656 Lone Ivy Rd, Stuart, VA 24171-5370 | 2006-03-09 |
| 1710972534 | Mary Anne Buggia | Emergency Medicine | 6522 S Kanner Hwy, Medstat Urgent Care Center, Stuart, FL 34997-6396 | 2005-09-19 |
| 1659663334 | Alexandra Terskiy | Emergency Medicine | 200 Se Hospital Ave, Martin Health System - Emergency Depertment, Stuart, FL 34994-2346 | 2011-05-12 |
| 1366685018 | Pioneer Health Services of Patrick County, Inc | Emergency Medicine | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2009-04-10 |
| 1376736173 | Christopher Maguire | Emergency Medicine | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2007-08-24 |
| 1750587572 | Leonel Alejandro Lopez | Emergency Medicine | 200 Se Hospital Ave, Stuart, FL 34994 | 2007-06-27 |
| 1326178088 | Stuart Emergency Physicians | Emergency Medicine | 2100 Se Salerno Rd, Stuart, FL 34997-6503 | 2007-03-06 |
| 1346397304 | David Owen Lewis | Emergency Medicine | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2007-01-04 |
| 1063597771 | Sean David Dakshaw | Emergency Medicine | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2006-10-25 |
| Find all providers in STUART | ||||
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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.