INDIAN RIVER HEALTH SERVICES INC (NPI# 1578833315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578833315 |
Entity Type | Organization |
Organization Name | INDIAN RIVER HEALTH SERVICES INC |
Other Organization Name | IRHS-PRIMARY CARE BAREFOOT BAY |
Practice Address |
937 Barefoot Blvd Barefoot Bay FL 32976-7654 |
Mailing Address |
1000 36th St Vero Beach FL 32960-4862 |
Practice Telephone | 7726644349 |
Mailing Telephone | 7725674311 |
Mailing Fax Number | 7725634723 |
Enumeration Date | 2012-01-11 |
Last Update Date | 2012-01-11 |
Authorized Official Name | JEFFREY L SUSI (PRESIDENT/CEO) |
Authorized Official Telephone | 7725674311 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
IRHS-PRIMARY CARE BAREFOOT BAY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
1073027769 | Indian River Health Services Inc | Surgery | 920 37th Pl Ste 104, Vero Beach, FL 32960-6595 | 2017-11-17 |
1255738480 | Indian River Health Services Inc | Internal Medicine | 880 37th Pl, Suite 105, Vero Beach, FL 32960-6506 | 2014-12-03 |
1093095333 | Indian River Health Services Inc | Internal Medicine | 4165 Oslo Rd, Suite 106, Vero Beach, FL 32968-4878 | 2011-08-18 |
1720319809 | Indian River Health Services Inc | Clinic/Center | 1960 Pointe West Drive, Vero Beach, FL 32966-4962 | 2010-01-29 |
1588298285 | Indian River Health Services Inc | Specialist | 1000 36th St, Vero Beach, FL 32960-4862 | 2020-03-03 |
1609424415 | Indian River Health Services Inc | Anesthesiology | 1000 36th St, Vero Beach, FL 32960-4862 | 2019-08-27 |
1689112765 | Indian River Health Services Inc | Obstetrics & Gynecology | 3450 11th Ct, Suite 304, Vero Beach, FL 32960-5012 | 2017-02-08 |
1205370327 | Indian River Health Services Inc | Internal Medicine | 3450 11th Court, Suite 104b, Vero Beach, FL 32960-4862 | 2016-12-08 |
1144764325 | Indian River Health Services Inc | Internal Medicine | 1000 36th St, Vero Beach, FL 32960-4862 | 2016-12-07 |
Street Address |
937 BAREFOOT BLVD |
City | BAREFOOT BAY |
State | FL |
Zip Code | 32976-7654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043501695 | Mary Helena Lesperance | Pharmacist | 7960 Us Hwy 1, Micco, FL 32976 | 2011-04-29 |
1346735727 | Clara Lee | Physician Assistant | 7901 Ron Beatty Blvd, Sebastian, FL 32976 | 2018-06-27 |
1457996282 | Lori Ellen Bray | Doula | 8520 Us Highway 1 Apt B12, Micco, FL 32976-2616 | 2019-11-15 |
1447720362 | Nola Trossman | Nurse Practitioner | 5155 Wilden Rd, Micco, FL 32976-2728 | 2018-12-04 |
1245570647 | Debbi Wagner Santos | Behavioral Analyst | 4890 Wagon Master Trl, Micco, FL 32976-2736 | 2013-02-21 |
1386943637 | Brian Brady | Occupational Therapist | 4053 11th St, Sebastian, FL 32976-2805 | 2011-03-24 |
1538649181 | Joelene Newman | Occupational Therapy Assistant | 1007 Ginger Ln., Sebastian, FL 32976-3297 | 2018-08-14 |
1750520714 | Jessica Fitzgerald | Speech-Language Pathologist | 9853 Honeysuckle Dr, Sebastian, FL 32976-3319 | 2009-02-16 |
1679107619 | Roberta Jo Miller | Nurse Practitioner | 9750 Fleming Grant Rd, Micco, FL 32976-3326 | 2020-02-28 |
1861866253 | Leslie Bertrand | Registered Nurse | 1204 Calusa Dr, Barefoot Bay, FL 32976-7072 | 2015-11-23 |
Find all providers in zip 32976 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477522241 | Brenda Elaine Field | Internal Medicine | 8000 Ron Beatty Blvd, Suite A-3, Barefoot Bay, FL 32976-7474 | 2006-03-15 |
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Find all providers with the same taxonomy |
City | BAREFOOT BAY |
Zip Code | 32976 |
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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.