IDA M SEBASTIAN MD PA (NPI# 1558554063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558554063 |
| Entity Type | Organization |
| Organization Name | IDA M SEBASTIAN MD PA |
| Practice Address |
4526 Saint Andrews Dr Boynton Beach FL 33436-4426 |
| Practice Telephone | 5617373174 |
| Practice Fax Number | 5617373174 |
| Mailing Telephone | 5617373174 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-12-06 |
| Authorized Official Name | IDA SEBASTIAN (PRESIDENT) |
| Authorized Official Telephone | 5617373174 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME28608 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4526 SAINT ANDREWS DR |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33436-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130498 | Maureen Ann Stewart | Technician | 189 Citrus Trail Circle, Boynton Beach, FL 33436 | 2020-07-01 |
| 1124650692 | Marie Guerlande Cius | Nurse Practitioner | Jfk Medical Center, Atlantis, FL 33436 | 2020-02-12 |
| 1336785609 | Dorri's Dental P.a. | Dentist | 12658 S. Military Trail, Suite #104, Boynton Beach, FL 33436 | 2019-11-21 |
| 1356986335 | Valerie Delbrun | Nurse Practitioner | 1046 Arezzo Circle Boyton Beach Fl 33436, Boyton Beach, FL 33436 | 2019-11-13 |
| 1376037374 | Shannon M Mitchell | Clinic/Center | 3900 Max Place, Unit 101, Boynton Beach, FL 33436 | 2018-06-22 |
| 1780198978 | Procare Dentistry | Dentist | 3509 W. Boynton Beach Blvd, Boynton Beach, FL 33436 | 2017-11-27 |
| 1144733163 | Gerardo Alberto Casteleiro | Counselor | 58 Misty Meadow Drive, Boynton Beach, FL 33436 | 2017-11-13 |
| 1346767183 | Marcken Volmy | Counselor | 79 Baytree Circle, Boynton Bea H, FL 33436 | 2017-08-23 |
| 1821512476 | Local Recovery, LLC | Counselor | 200 Knuth Road, Suite 228, Boynton Beach, FL 33436 | 2017-07-26 |
| 1164944534 | Stephanie Joseph | Nurse Practitioner | 3658 Stratton Lane, Boynton Beach, FL 33436 | 2017-07-07 |
| Find all providers in zip 33436 | ||||
| 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 |
|---|---|---|---|---|
| 1225445174 | Boca Babes Obgyn, LLC | Obstetrics & Gynecology | 1880 N. Congress Ave, Suite 320, Boynton Beach, FL 33426 | 2014-07-11 |
| 1114347655 | Sharise Richardson | Obstetrics & Gynecology | 2800 S Seacrest Blvd Ste 220, Boynton Beach, FL 33435-7965 | 2014-04-23 |
| 1023447513 | Robert Gerald Bourque | Obstetrics & Gynecology | 4780 S Lake Dr, Boynton Beach, FL 33436-5914 | 2013-11-05 |
| 1346444551 | Gilberto Hernan Shek | Obstetrics & Gynecology | 1487 S Federal Hwy, Boynton Beach, FL 33435-6003 | 2007-06-12 |
| 1760521413 | Harishchander Thawerdas Madhav | Obstetrics & Gynecology | 2226 Se 2nd St, Boynton Beach, FL 33435-7206 | 2007-02-06 |
| 1689737835 | Ansuya L Kalra | Obstetrics & Gynecology | 2404 S Seacrest Blvd, Boynton Beach, FL 33435-6704 | 2006-12-19 |
| 1912091695 | Jose Francisco Castaneda | Obstetrics & Gynecology | 250 Se 23rd Ave, Suite A, Boynton Beach, FL 33435 | 2006-10-03 |
| 1578661112 | Richard Gilbert Handal | Obstetrics & Gynecology | 4793 N Congress Ave, Boynton Beach, FL 33426-7937 | 2006-09-20 |
| 1396777660 | Jerry Alvin Spiegel | Obstetrics & Gynecology | 12705 Via Lucia, Boynton Beach, FL 33436-5827 | 2006-07-07 |
| 1578521563 | Xiao-mei Zeng | Obstetrics & Gynecology | 1325 S Congress Ave Suite 115, Boynton Beach, FL 33426 | 2006-05-02 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33436 |
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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.