LIVE OAK ENDOSCOPY CENTER, LLC (NPI# 1548254402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548254402 |
| Entity Type | Organization |
| Organization Name | LIVE OAK ENDOSCOPY CENTER, LLC |
| Practice Address |
275 18th St Suite 101 Vero Beach FL 32960-5555 |
| Practice Telephone | 7722995005 |
| Practice Fax Number | 7722991340 |
| Mailing Telephone | 7722995005 |
| Mailing Fax Number | 7722991340 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2009-06-08 |
| Authorized Official Name | MR. WILLIAM J MCCORMACK (C.E.O.) |
| Authorized Official Telephone | 7722995005 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1154 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OXFORD HEALTH PLAN | A2882678 | 01 | |
| FL | BC BS FLORIDA | 6B6 | 01 |
| CIGNA | 4677223 | 01 | |
| FL | 075390400 | 05 | |
| FL | RAILROAD MEDICARE | 490005670 | 01 |
| Street Address |
275 18TH ST SUITE 101 |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-5555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780963132 | Delores S Smead | Nurse Practitioner | 275 18th St, Suite 102, Vero Beach, FL 32960-5555 | 2011-08-16 |
| 1255577953 | William J Mccormack Md Pa | Internal Medicine | 275 18th St, Suite 103, Vero Beach, FL 32960-0824 | 2008-12-30 |
| 1962669192 | Alec Yen Nien Lui | Internal Medicine | 275 18th St, Suite 102, Vero Beach, FL 32960 | 2008-05-16 |
| 1871671727 | Alec Yen Nien Lui | Internal Medicine | 275 18th St, Suite 102, Vero Beach, FL 32960 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891253035 | Advanced Center for Surgery - Vero Beach, LLC | Clinic/Center | 1355 37th St Ste 304, Vero Beach, FL 32960-7320 | 2019-03-06 |
| 1316253438 | Treasure Coast Urology Center, LLC | Clinic/Center | 1255 37th St Ste 4, Vero Beach, FL 32960-6550 | 2010-08-26 |
| 1265484851 | Vero Beach Surgery Center LLC | Clinic/Center | 845 37th Pl, Vero Beach, FL 32960-6564 | 2006-05-16 |
| 1780655183 | Indian River Surgery Center Ltd | Clinic/Center | 1200 37th St, Vero Beach, FL 32960-6509 | 2006-02-01 |
| 1326045014 | Grove Place Surgery Center,llc | Clinic/Center | 1325 36th St, Vero Beach, FL 32960-6599 | 2005-07-07 |
| 1700331964 | The Advanced Center for Surgery LLC | Clinic/Center | 1155 35th Ln Ste 100, Vero Beach, FL 32960-6522 | 2016-08-17 |
| 1548613755 | Vero Beach Florida Asc LLC | Clinic/Center | 845 37th Pl, Vero Beach, FL 32960-6564 | 2016-07-22 |
| 1902279300 | Indian River Surgery Center, Ltd. | Clinic/Center | 1325 36th St, Suite A, Vero Beach, FL 32960-6599 | 2015-11-06 |
| 1063701977 | New Vision Surgical Center, LLC | Clinic/Center | 1055 37th Pl, Vero Beach, FL 32960-6551 | 2011-03-31 |
| 1093932287 | Vero Beach Outpatient Surgical Center LLC | Clinic/Center | 1255 37th St, Suite E, Vero Beach, FL 32960-6550 | 2007-04-19 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
Please comment or provide details below to improve the information on LIVE OAK ENDOSCOPY CENTER, LLC.
| 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.