MATTHEW N PEEBLES (NPI# 1528066958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528066958 |
Entity Type | Individual |
Full Name | MATTHEW N PEEBLES |
Credential | M.D. |
Practice Address |
10050 Sw Innovation Way Port St Lucie FL 34987-2117 |
Mailing Address |
Po Box 417 Stuart FL 34995-0417 |
Practice Telephone | 7723443811 |
Practice Fax Number | 7723443890 |
Mailing Telephone | 7722235665 |
Mailing Fax Number | 7722235646 |
Enumeration Date | 2005-07-11 |
Last Update Date | 2014-10-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | ME0077690 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 267042900 | 05 |
Street Address |
10050 SW INNOVATION WAY |
City | PORT ST LUCIE |
State | FL |
Zip Code | 34987-2117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619408861 | Expert Nutrition & Fitness LLC | Dietitian, Registered | 10050 Sw Innovation Way, Suite 201, Port St Lucie, FL 34987-2117 | 2017-03-21 |
1487016358 | Acupuncture of Tradition LLC | Acupuncturist | 10050 Sw Innovation Way, Suite 201, Port St Lucie, FL 34987-2117 | 2016-03-22 |
1265807523 | Julia Cairns-migone | Dietitian, Registered | 10050 Sw Innovation Way, Suite 201, Port St Lucie, FL 34987-2117 | 2015-12-11 |
1639322712 | Premier Wellness Centers LLC | Chiropractor | 10050 Sw Innovation Way, Suite 201, Port St Lucie, FL 34987-2117 | 2008-11-03 |
1871700054 | Adam Chrisotpher Mues | Urology | 10050 Sw Innovation Way, Ste 102, Port St Lucie, FL 34987-2117 | 2007-05-17 |
1992919922 | William J Jensen | Chiropractor | 10050 Sw Innovation Way, Suite 201, Port St Lucie, FL 34987-2117 | 2007-05-09 |
1811940596 | Antonio Beltran | Urology | 10050 Sw Innovation Way, Suite 102, Port St Lucie, FL 34987-2117 | 2006-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093299604 | Karen Cecilia Wong Li James | Registered Nurse | 10024 Sw Glenbrook Drive, Port Saint Lucie, FL 34987 | 2018-09-19 |
1134646151 | B & T Diagnostics LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 323, Port Saint Lucie, FL 34987 | 2017-08-30 |
1538684048 | Transport With Care, LLC | Non-emergency Medical Transport (VAN) | 1850 Sw Our Ct, Port Saint Lucie, FL 34987 | 2017-08-04 |
1154859825 | True Path Diagnostics, LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 309, Port St Lucie, FL 34987 | 2017-05-25 |
1316326515 | Aleksey Alekseyenko | Family Medicine | Mhpg Primary Care @ Tradition Health Park II, 10080 Sw Innovation Way Suite 201, Port St Lucie, FL 34987 | 2015-05-21 |
1053658583 | Tameka Argo | Contractor | 7664 Germany Canal Road, Fort Pierce, FL 34987 | 2013-01-03 |
1780967976 | Mennette J Colon | Specialist/Technologist, Other | 1970 Sw Glendale St., Port Saint Lucie, FL 34987 | 2011-09-23 |
1366416257 | Cynthia A Dolan | Dermatology | 10080 Sw Innovation Way Ste 301, Port St Lucie, FL 34987 | 2006-02-15 |
1205829074 | Andres M Reyes | Internal Medicine | 10050 Nw Innovation Way, Suite 102, Port St Lucie, FL 34987 | 2005-08-26 |
1720498470 | Josue Limage | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987 | 2014-05-03 |
Find all providers in zip 34987 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245529551 | Meshach P Heenatigala | Surgery | 293 Nw Peacock Blvd Ste 202, Port St Lucie, FL 34986 | 2011-04-07 |
1598887010 | Jon Robert Brown | Surgery | 1400 Se Goldtree Dr Ste 103, Port St Lucie, FL 34952-7582 | 2007-04-04 |
1013929439 | Rafael Quinones | Surgery | 295 Nw Peacock Blvd, Port St Lucie, FL 34986-2212 | 2006-08-13 |
1659387405 | Richard James | Surgery | 176 Nw Magnolia Lakes Blvd, Port St Lucie, FL 34986 | 2006-08-01 |
1174521595 | Adam D Kurtin | Surgery | 1400 Se Goldtree Dr, Suite 102-104, Port St Lucie, FL 34952-7582 | 2005-07-09 |
1376956045 | Eric Duffy | Surgery | 1400 Se Goldtree Dr Ste 103, Port St Lucie, FL 34952-7582 | 2014-06-10 |
1942555289 | Atlantic Skin Surgery LLC | Surgery | 176 Nw Magnolia Lakes Blvd, Port St Lucie, FL 34986-3567 | 2012-07-23 |
1073878872 | Diane Marie Krutzler | Surgery | 1400 Se Goldtree Dr, Ste 102-104, Port St Lucie, FL 34952-7582 | 2012-07-08 |
1740543057 | Eric Williams Owings | Surgery | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2012-06-21 |
1356637110 | Ana Paula Machado-hopkins | Surgery | 1400 Se Goldtree Dr Ste 103, Port St Lucie, FL 34952-7582 | 2011-06-21 |
Find all providers in PORT ST LUCIE |
City | PORT ST LUCIE |
Zip Code | 34987 |
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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.