MATTHEW N PEEBLES


Address: 10050 Sw Innovation Way, Port St Lucie, FL 34987-2117
Phone: 7723443811

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery ME0077690 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 267042900 05

Office Location

Street Address 10050 SW INNOVATION WAY
City PORT ST LUCIE
State FL
Zip Code 34987-2117

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City PORT ST LUCIE
Zip Code 34987

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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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