INDIAN RIVER HEALTH SERVICES INC (NPI# 1417312802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417312802 |
| Entity Type | Organization |
| Organization Name | INDIAN RIVER HEALTH SERVICES INC |
| Other Organization Name | IRHS-MEDICAL ONCOLOGY |
| Practice Address |
3555 10th Ct Ste. 203 Vero Beach FL 32960-5013 |
| Mailing Address |
1000 36th St Vero Beach FL 32960-4862 |
| Practice Telephone | 7722264810 |
| Practice Fax Number | 7727941450 |
| Mailing Telephone | 7727945611 |
| Mailing Fax Number | 7727941450 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2019-09-16 |
| 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 |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 39813 | 01 |
| Other Name | Type Code |
|---|---|
| IRHS-MEDICAL ONCOLOGY | Doing Business As Name - 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 |
3555 10TH CT STE. 203 |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194748905 | Stephen Patterson | Internal Medicine | 3555 10th Ct, Suite 200b, Vero Beach, FL 32960-5013 | 2006-07-25 |
| 1447769377 | Catherine Westbrook | Physician Assistant | 3555 10th Ct, Vero Beach, FL 32960-5013 | 2017-09-22 |
| 1801283171 | Jonathan Braue | Dermatology | 3555 10th Ct, Vero Beach, FL 32960-5013 | 2015-04-23 |
| 1215151113 | John P Petersen Md Pa | Specialist | 3555 10th Ct, Vero Beach, FL 32960-5013 | 2007-04-12 |
| 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 | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689154007 | Atlantic Hematology and Oncology Associates | Clinic/Center | 42 Caroline St Unit A, Bunnell, FL 32110-8904 | 2018-08-15 |
| 1982080362 | Vicinitas Midwestern, Inc. | Clinic/Center | 5900 Broken Sound Pkwy Nw, Boca Raton, FL 33487-2797 | 2015-08-07 |
| 1992726228 | Northwest Florida Hematology Oncology P A | Clinic/Center | 301 West 26th Street, Lynn Haven, FL 32444 | 2006-07-22 |
| 1770142523 | Patriot Oncology LLC | Clinic/Center | 100 Arricola Ave, St Augustine, FL 32080-4515 | 2019-06-06 |
| 1689113490 | Lambrou Md Gynecologic Oncology, Pllc | Clinic/Center | 6200 Sunset Dr, Suite 502, South Miami, FL 33143-4828 | 2017-02-14 |
| 1902276769 | Suncoast Cancer Institute Pllc | Clinic/Center | 1217 East Ave South, Ste 201-203, Sarasota, FL 34239-2344 | 2015-10-05 |
| 1437536117 | Vicinitas Texas | Clinic/Center | 5900 Broken Sound Pkwy, Boca Raton, FL 33487-2797 | 2015-05-01 |
| 1356728034 | Vicinitas Eastern, Inc | Clinic/Center | 5900 Broken Sound Pkwy, Boca Raton, FL 33487-2797 | 2015-05-01 |
| 1407233232 | Vicinitas Cancer Care, LLC | Clinic/Center | 5900 Broken Sound Pkwy, Boca Raton, FL 33487-2797 | 2015-04-30 |
| 1083033559 | Integrative Cancer Therapeutics LLC | Clinic/Center | 4800 N. Federal Hwy., Suite B300, Boca Raton, FL 33431-3409 | 2014-04-14 |
| Find all providers with the same taxonomy | ||||
| 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.