OSLER HMA MEDICAL GROUP LLC


Address: 2222 S Harbor City Blvd, Suite 420, Melbourne, FL 32901-5594
Phone: 3217255050

OSLER HMA MEDICAL GROUP LLC (NPI# 1518259050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518259050
Entity Type Organization
Organization Name OSLER HMA MEDICAL GROUP LLC
Practice Address 2222 S Harbor City Blvd
Suite 420
Melbourne
FL 32901-5594
Practice Telephone 3217255050
Mailing Telephone 3217255050
Enumeration Date 2011-05-03
Last Update Date 2015-11-19
Authorized Official Name MR. MICHAEL SWAW (DIRECTOR)
Authorized Official Telephone 6157788076
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 111N00000X Chiropractor Chiropractic Providers
N 207N00000X Dermatology Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
N 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians
N 207RI0200X Internal Medicine
Specialization: Infectious Disease
Allopathic & Osteopathic Physicians
N 207RR0500X Internal Medicine
Specialization: Rheumatology
Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
N 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians
N 208600000X Surgery Allopathic & Osteopathic Physicians
N 208800000X Urology Allopathic & Osteopathic Physicians
N 213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 004134800 05

Office Location

Street Address 2222 S HARBOR CITY BLVD
SUITE 420
City MELBOURNE
State FL
Zip Code 32901-5594

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639163975 Neuroskeletal Imaging LLC Radiology 2222 S Harbor City Blvd, Melbourne, FL 32901-5591 2005-09-01
1164897575 Anesthesiology Consultants of Melbourne, Pa Anesthesiology 2222 S Harbor City Blvd, #610, Melbourne, FL 32901-5594 2015-12-10
1346662103 Casey W Langel Physician Assistant 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5594 2014-01-14
1528406402 Jessica Herraiz Nurse Practitioner 2222 S Harbor City Blvd, Ste 610, Melbourne, FL 32901-5591 2013-06-12
1285988279 Amanda Ann Folkers Physician Assistant 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5594 2012-10-30
1295013415 Brevard Hma Hme, LLC Durable Medical Equipment & Medical Supplies 2222 S Harbor City Blvd, Suite 630, Melbourne, FL 32901-5594 2011-07-22
1003100504 Brevard Orthopaedic Spine & Pain Clinic Inc Chiropractor 2222 S Harbor City Blvd, Suite 530, Melbourne, FL 32901-5594 2011-06-02
1164716676 Brevard Orthopaedics Spine & Pain Clinic, Inc Orthopaedic Surgery 2222 S Harbor City Blvd, Suite 510, Melbourne, FL 32901-5594 2011-06-01
1790014942 Evangelia Fotopoulos Family Medicine 2222 S Harbor City Blvd, Suite 430, Melbourne, FL 32901-5594 2009-12-17
1528393857 Aliyah Hamirani Physical Therapist 2222 S Harbor City Blvd, Suite 530, Melbourne, FL 32901-5527 2009-10-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174142913 Nikolay Stamboliyski Internal Medicine 1387 Dorset Pl, Melbourne, FL 32940-2188 2020-04-12
1215413232 Madhavi Chary LLC Internal Medicine 315 Sandhurst Dr, Melbourne, FL 32940-2159 2018-07-12
1497279590 G Patel Md Pa Internal Medicine 8011 Barrosa Cir, Melbourne, FL 32940-7084 2017-07-31
1376958462 Brevard Primary Care LLC Internal Medicine 1185 Talon Way, Melbourne, FL 32934-3257 2014-06-26
1629413125 Hilbert Zeballos Pa Internal Medicine 903 Balmoral Way, Melbourne, FL 32940-2402 2013-05-09
1558637686 Gary Joseph Hardoon Internal Medicine 6619 N. Wickham Rd, Melbourne, FL 32940 2012-03-22
1407142425 Michael C. Ianniello, Do Internal Medicine 2560 Judge Fran Jamieson Way Unit 1313, Melbourne, FL 32940 2011-06-28
1356669683 Lynell S. Newmarch Internal Medicine 298 Michigan Ave., Suite 101, Melbourne, FL 32901-3104 2010-05-11
1811195894 Kalpana Gorthi Internal Medicine 6450 N Wickham Rd Ste 106, Melbourne, FL 32940 2007-07-11
1467663872 Hong Sun Jeong Internal Medicine 8095 Spyglass Hill Rd Ste 105, Melbourne, FL 32940-8290 2007-05-25
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Competitor

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City MELBOURNE
Zip Code 32901

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Dataset Information

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.

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