MARTIN COUNTY ANESTHESIA GROUP PL (NPI# 1487606075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487606075 |
| Entity Type | Organization |
| Organization Name | MARTIN COUNTY ANESTHESIA GROUP PL |
| Practice Address |
200 Se Hospital Ave Stuart FL 34994-2346 |
| Mailing Address |
75 Remittance Dr Suite 6634 Chicago IL 60675-6634 |
| Practice Telephone | 7722875200 |
| Practice Fax Number | 8666652702 |
| Mailing Telephone | 8775384594 |
| Mailing Fax Number | 8666652702 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2012-10-11 |
| Authorized Official Name | DR. GEORGE E MCLAIN (PRESIDENT) |
| Authorized Official Telephone | 7722875200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FL GR NUMBER | 77336 | 01 |
| FL | 252978500 | 05 | |
| FL | CIGNA GROUP NUMBER | 0888797 | 01 |
| FL | RR MEDICARE GROUP# | CH9103 | 01 |
| Street Address |
200 SE HOSPITAL AVE |
| City | STUART |
| State | FL |
| Zip Code | 34994-2346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078878 | Michael Petri | Nurse Anesthetist, Certified Registered | 200 Se Hospital Ave, Anesthesia Department, Stuart, FL 34994-2346 | 2005-07-29 |
| 1366052169 | Jamie Sullivan | Nurse Practitioner | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2020-08-06 |
| 1750990008 | Lolade Stacy Bakare | Pharmacist | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2020-07-23 |
| 1831716034 | Brady Ellis | Pharmacist | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2020-07-03 |
| 1194342048 | Kettelene Philogene Mcmorris | Registered Nurse | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2020-06-26 |
| 1972127447 | Veronica D'andria | Registered Nurse | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2020-06-01 |
| 1467080440 | Milena Jibaja | Registered Nurse | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2020-03-27 |
| 1770120701 | Ludovico Riggio | Registered Nurse | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2019-12-10 |
| 1902441975 | Lindsay Nicole Santeramo | Registered Nurse | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2019-11-13 |
| 1477195790 | Caitlyn Diane Helm | Physician Assistant | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2019-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578516746 | Albert E Gardner | Anesthesiology | 725 Se Osceola St., Suite 2, Stuart, FL 34994 | 2006-05-18 |
| 1063770451 | Juan Antonio Ramos | Anesthesiology | 1050 Se Monterey Road, Suite 400, Stuart, FL 34994 | 2012-04-24 |
| 1023201662 | Mid Florida Anesthesia Associates, Inc | Anesthesiology | 2100 Se Ocean Blvd, Suite 200, Stuart, FL 34996-3332 | 2007-08-27 |
| 1770518524 | Sidney D Swartz | Anesthesiology | 2100 Se Ocean Blvd, Suite100, Stuart, FL 34996-3332 | 2006-07-11 |
| 1255363792 | Interventional Rehabilitation of South Florida, Inc. | Anesthesiology | 1111 Se Federal Hwy, # 228, Stuart, FL 34994-3840 | 2006-07-07 |
| 1942241575 | Marc Iven Levine | Anesthesiology | 2100 Se Ocean Blvd, Suite 100, Stuart, FL 34996-3332 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181087 | John Peter Lafferty Iv | Anesthesiology | 2039 Hillview St Apt 4, Sarasota, FL 34239-2396 | 2020-07-10 |
| 1679197735 | Dynamic Pain & Wellness Pllc | Anesthesiology | 325 John Knox Rd Bldg 200, Tallahassee, FL 32303-4114 | 2020-06-04 |
| 1689294621 | Advanced Pain Management and Wellness Center | Anesthesiology | 241 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2020-04-20 |
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1346886033 | Spine and Orthopedic Specialists of Tampa, LLC | Anesthesiology | 6919 N Dale Mabry Hwy Ste 325, Tampa, FL 33614-3860 | 2019-11-18 |
| 1700446077 | Gulf Coast Pain Consultants LLC | Anesthesiology | 182 A East Redstone Ave, Crestview, FL 32539-5371 | 2019-06-18 |
| 1265099386 | Gulf Coast Pain Consultants LLC | Anesthesiology | 10437 Sorrento Rd Ste 203, Pensacola, FL 32507-7620 | 2019-05-23 |
| 1023673951 | Apollo Pain Management | Anesthesiology | 720 Cortaro Drive, Sun City Center, FL 33573 | 2019-05-06 |
| 1861056384 | Englewood Pain Management LLC | Anesthesiology | 2061 Englewood Rd Ste 2a, Englewood, FL 34223-1747 | 2019-04-30 |
| 1962066241 | Doctors Best Wellness Centers Inc | Anesthesiology | 2237 N Commerce Pkwy Ste 3, Weston, FL 33326-3250 | 2019-04-23 |
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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.