OBGYN SPECIALISTS OF THE PALM BEACHES PA (NPI# 1528135324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528135324 |
| Entity Type | Organization |
| Organization Name | OBGYN SPECIALISTS OF THE PALM BEACHES PA |
| Practice Address |
2979 Pga Blvd Suite 100 Palm Beach Gardens FL 33410-2911 |
| Mailing Address |
2979 Pga Blvd Suite 200 Palm Beach Gardens FL 33410-2911 |
| Practice Telephone | 5616263800 |
| Practice Fax Number | 5616246364 |
| Mailing Telephone | 5612757604 |
| Mailing Fax Number | 5618025385 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2013-07-01 |
| Authorized Official Name | JOHN A BURIGO (VICE PRESIDENT) |
| Authorized Official Telephone | 6516553331 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | CB7595 | 01 |
| FL | 372700912 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205377587 | Obgyn Specialists of The Palm Beaches Pa | Obstetrics & Gynecology | 901 Northpoint Pkwy, Suite 400, West Palm Beach, FL 33407-1951 | 2017-03-20 |
| 1255796215 | Obgyn Specialists of The Palm Beaches Pa | Obstetrics & Gynecology | 2828 S Seacrest Blvd, Suite 208, Boynton Beach, FL 33435-7944 | 2015-12-17 |
| 1891920369 | Obgyn Specialists of The Palm Beaches Pa | Obstetrics & Gynecology | 927 45th St, Suite 103, West Palm Beach, FL 33407-2450 | 2009-05-27 |
| 1730256538 | Obgyn Specialists of The Palm Beaches Pa | Obstetrics & Gynecology | 2979 Pga Blvd, Suite 100, Palm Beach Gardens, FL 33410-2911 | 2006-11-29 |
| 1750458469 | Obgyn Specialists of The Palm Beaches Pa | Obstetrics & Gynecology | 927 45th St, Suite 303, West Palm Beach, FL 33407-2450 | 2006-11-29 |
| 1134296858 | Obgyn Specialists of The Palm Beaches Pa | Obstetrics & Gynecology | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2006-11-29 |
| 1184791808 | Obgyn Specialists of The Palm Beaches Pa | Obstetrics & Gynecology | 2300 S Congress Ave, Suite 104, Boynton Beach, FL 33426-7400 | 2006-11-29 |
| 1033286737 | Obgyn Specialists of The Palm Beaches Pa | Obstetrics & Gynecology | 927 45th St, Suite 301, West Palm Beach, FL 33407-2450 | 2006-11-29 |
| 1831266550 | Obgyn Specialists of The Palm Beaches Pa | Obstetrics & Gynecology | 6080 Boynton Beach Blvd, Suite 260, Boynton Beach, FL 33437-3588 | 2006-11-29 |
| 1659456986 | Obgyn Specialists of The Palm Beaches Pa | Obstetrics & Gynecology | 345 Jupiter Lakes Blvd, Suite 200, Jupiter, FL 33458-7100 | 2006-10-26 |
| Street Address |
2979 PGA BLVD SUITE 100 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194724401 | James A Booher | Obstetrics & Gynecology | 2979 Pga Blvd, Ste 100, Palm Beach Gardens, FL 33410-2911 | 2005-07-19 |
| 1669006342 | Althia Rickard | Behavior Technician | 2979 Pga Blvd, Palm Beach Gardens, FL 33410-2911 | 2020-03-03 |
| 1932682655 | Vanessa Castellano | Behavior Technician | 2979 Pga Blvd, Palm Beach Gardens, FL 33410-2911 | 2018-09-09 |
| 1063821254 | Whitney Gregory | Behavioral Analyst | 2979 Pga Blvd, Palm Beach Gardens, FL 33410-2911 | 2014-08-12 |
| 1346592805 | Laura Roden | Nurse Practitioner | 2979 Pga Blvd, Suite 200, Palm Beach Gardens, FL 33410-2911 | 2012-10-09 |
| 1134304405 | Signature Healthcare LLC | Skilled Nursing Facility | 2979 Pga Blvd, Palm Beach Gardens, FL 33410-2911 | 2008-01-07 |
| 1730256538 | Obgyn Specialists of The Palm Beaches Pa | Obstetrics & Gynecology | 2979 Pga Blvd, Suite 100, Palm Beach Gardens, FL 33410-2911 | 2006-11-29 |
| 1104931732 | Dina Bredeau | Nurse Practitioner | 2979 Pga Blvd, Suite 100, Palm Beach Gardens, FL 33410-2911 | 2006-08-21 |
| 1295709756 | Denise Guidetti | Obstetrics & Gynecology | 2979 Pga Blvd, Suite 100, Palm Beach Gardens, FL 33410-2911 | 2006-02-13 |
| 1730168477 | Barry Kirk Simon | Radiology | 2979 Pga Blvd, Suite 100, Palm Beach Gardens, FL 33410-2911 | 2006-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972896694 | Jessica R Poulin | Obstetrics & Gynecology | 2979 Pga Blvd Ste 100, Palm Beach Gardens, FL 33410 | 2011-05-27 |
| 1942377692 | Hudson Jabour Goldmann & Muschkin Palm Beach Ob-gyn Associates P A | Obstetrics & Gynecology | 114 Isle Dr, Palm Beach Gardens, FL 33418-4597 | 2006-11-29 |
| 1669412730 | Jeffrey H Kotzen | Obstetrics & Gynecology | 4280 Professional Center Dr, Suite 300, Palm Beach Gardens, FL 33410-4280 | 2006-06-07 |
| 1194724401 | James A Booher | Obstetrics & Gynecology | 2979 Pga Blvd, Ste 100, Palm Beach Gardens, FL 33410-2911 | 2005-07-19 |
| 1427057215 | Linda A Kiley | Obstetrics & Gynecology | 3375 Burns Rd Ste 204, Palm Beach Gardens, FL 33410-4361 | 2005-07-14 |
| 1992049043 | Robert F. Chaitin, M.d., P.a. | Obstetrics & Gynecology | 3385 Burns Rd, Suite 201, Palm Beach Gardens, FL 33410-4328 | 2012-11-15 |
| 1588965024 | Kotzen Center for Womens Health Inc | Obstetrics & Gynecology | 4280 Professional Center Dr, Suite 300, Palm Beach Gardens, FL 33410-4280 | 2010-11-16 |
| 1710126537 | Premier Associates for The Healthcare of Women,llc | Obstetrics & Gynecology | 8645 N Military Trl Ste 508, Palm Beach Gardens, FL 33410-6296 | 2009-02-18 |
| 1730256538 | Obgyn Specialists of The Palm Beaches Pa | Obstetrics & Gynecology | 2979 Pga Blvd, Suite 100, Palm Beach Gardens, FL 33410-2911 | 2006-11-29 |
| 1629038799 | Robert Frederick Chaitin | Obstetrics & Gynecology | 3385 Burns Rd, Suite 201, Palm Beach Gardens, FL 33410-4328 | 2006-03-24 |
| Find all providers in PALM BEACH GARDENS | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
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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.