PALM BEACH NEUROSURGERY (NPI# 1477099596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477099596 |
| Entity Type | Organization |
| Organization Name | PALM BEACH NEUROSURGERY |
| Practice Address |
3319 State Road 7 Suite 313 Wellington FL 33449-8094 |
| Mailing Address |
1111 E Sunrise Blvd Apt #603 Fort Lauderdale FL 33304-2847 |
| Practice Telephone | 5614334444 |
| Mailing Telephone | 2485059648 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |
| Authorized Official Name | MS. ILANA SPRAGUE (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 2485059648 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9110078 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3319 STATE ROAD 7 SUITE 313 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33449-8094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598464 | Steven A Dutcher | Neurological Surgery | 3319 State Road 7, Suite 313, Wellington, FL 33449-8093 | 2005-09-12 |
| 1629516992 | Natalie Eileen Dargan | Physician Assistant | 3319 State Road 7, Suite 313, Wellington, FL 33449-8094 | 2017-02-07 |
| 1548705163 | Christina L Daniello | Physician Assistant | 3319 State Road 7, Wellington, FL 33449-8094 | 2017-01-05 |
| 1093164790 | David Alexander Ker Mcalpine | Physical Therapist | 3319 State Road 7, Wellington, FL 33449-8094 | 2016-06-03 |
| 1649649955 | Genesiscare Usa of Florida, LLC | Surgery | 3319 State Road 7, Suite 105, Wellington, FL 33449-8094 | 2015-09-16 |
| 1952780629 | Grace Lesley Camile Sharp | Physician Assistant | 3319 State Road 7, Suite 313, Wellington, FL 33449 | 2015-05-27 |
| 1821412909 | Lifestyle Medicine Specialists of Palm Beach LLC | Preventive Medicine | 3319 State Road 7, Suite 212, Wellington, FL 33449-8094 | 2014-02-10 |
| 1053732735 | Advanced Endodontics | Clinic/Center | 3319 State Road 7, Suite 315, Wellington, FL 33449-8094 | 2013-12-23 |
| 1609218965 | Stacy R Rosenblum | Dermatology | 3319 State Road 7, Ste 110, Wellington, FL 33449-8094 | 2013-07-26 |
| 1942641667 | Palm Beach Medicine LLC | Anesthesiology | 3319 State Road 7, Suite 207, Wellington, FL 33449-8094 | 2013-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324398 | Rachel Hoffmann | Speech-Language Pathologist | 3377 S State Rd 7, Wellington, FL 33449 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1750858148 | Lean On Me Companion LLC | Homemaker | 10048 Southern Pride Place, Lake Worth, FL 33449 | 2018-10-24 |
| 1851833958 | Caroline Pena | Acupuncturist | 3347 S State Road 7 Ste 200, Wellington, FL 33449 | 2016-11-07 |
| 1467823294 | Sophia Dionne Lyn Chinque | Nurse Practitioner | 10358 Olde Clydesdale Circle, Lake Worth, FL 33449 | 2015-10-20 |
| 1285987057 | Jose L. Martinez Md Pa | Internal Medicine | 11653 South Breeze Pl, Wellington, FL 33449 | 2012-10-18 |
| 1396017224 | Joseph Harold Cohen | Internal Medicine | 4431jamesestatelane, Wellington, FL 33449 | 2012-02-08 |
| 1215223870 | Apollo Medical Management | Non-Pharmacy Dispensing Site | 3347 State Rd 7, Suite 203, Wellington, FL 33449 | 2011-06-22 |
| 1568757987 | Rishi Jay Panchal | Internal Medicine | 3347 S State Road 7 Ste 203, Wellington, FL 33449 | 2011-06-14 |
| 1194987222 | Advanced Surgery Center of Palm Beach County, LLC | Clinic/Center | 5065 South State Rd 7, Suite 100, Lake Worth, FL 33449 | 2008-06-30 |
| Find all providers in zip 33449 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992755714 | Kimberly Anne Ifill | Physician Assistant | 10140 Forest Hill Blvd, Suite, Wellington, FL 33414 | 2006-05-11 |
| 1598238370 | Maxwell A Joffe | Physician Assistant | 10131 Forest Hill Blvd Ste 206, Wellington, FL 33414-6109 | 2019-01-04 |
| 1164932257 | Emily Carr | Physician Assistant | 1447 Medical Park Blvd Ste 101, Wellington, FL 33414-3164 | 2017-10-03 |
| 1548705163 | Christina L Daniello | Physician Assistant | 3319 State Road 7, Wellington, FL 33449-8094 | 2017-01-05 |
| 1861627952 | Jb Surgical Assistance Inc | Physician Assistant | 8950 Alexandra Cir, Wellington, FL 33414-6438 | 2009-05-19 |
| 1780772749 | Robert F Blake | Physician Assistant | 1447 Medical Park Blvd, Suite #101, Wellington, FL 33414-3164 | 2006-10-11 |
| 1134160757 | Stephanie Carrol | Physician Assistant | 12798 W Forest Hill Blvd, Suite 301a, Wellington, FL 33414-4750 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33449 |
Please comment or provide details below to improve the information on PALM BEACH NEUROSURGERY.
| 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.