MARTHA J STEWART (NPI# 1588664809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588664809 |
| Entity Type | Individual |
| Full Name | MARTHA J STEWART |
| Credential | MD |
| Practice Address |
5992 Berryhill Rd Ste 302 Milton FL 32570-1017 |
| Mailing Address |
Po Box 2699 Pensacola FL 32513-2699 |
| Practice Telephone | 8504164620 |
| Practice Fax Number | 8506233541 |
| Mailing Telephone | 8504164620 |
| Mailing Fax Number | 8506233541 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD.32707 | AL | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME92289 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2717034 00 | 05 | |
| AL | 009982475 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447502224 | Martha Lynn Stewart | Registered Nurse | 3042 Archway Cir, Buford, GA 30519-8074 | 2012-10-04 |
| 1073820577 | Martha K Stewart | Counselor | 2007 Powers Ln, Effingham, SC 29541-3161 | 2010-09-03 |
| 1790304483 | Martha Stewart | Student in an Organized Health Care Education/Training Program | 3420 5th Ave, Pittsburgh, PA 15213-3205 | 2020-04-13 |
| 1598132581 | Martha Jean Stewart | Nurse Practitioner | 131 Coventry St, Hartford, CT 06112-1548 | 2015-08-26 |
| 1619156163 | Martha Louise Stewart | Nurse Practitioner | 101 Merrimac St, Rm. 420, Boston, MA 02114-4724 | 2007-11-01 |
| 1285707653 | Martha Anne Stewart | Physician Assistant | 1665 Dominican Way, Suite 222, Santa Cruz, CA 95065-1580 | 2006-11-15 |
| 1972535284 | Martha E Stewart | Dermatology | 4060 Lonesome Rd, Mandeville, LA 70448-7085 | 2006-07-07 |
| 1972575520 | Martha D Stewart | Family Medicine | 22 Hartford St, Houlton, ME 04730-1844 | 2006-02-07 |
| Street Address |
5992 BERRYHILL RD STE 302 |
| City | MILTON |
| State | FL |
| Zip Code | 32570-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922590637 | Shelby Ellis Grice | Physician Assistant | 5992 Berryhill Rd Ste 302, Milton, FL 32570-1017 | 2018-05-30 |
| 1982154654 | Autumn Caughey | Nurse Practitioner | 5992 Berryhill Rd Ste 302, Milton, FL 32570 | 2016-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
| 1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
| 1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
| 1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| Find all providers in zip 32570 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1003868605 | Richard M Delany | Internal Medicine | 2 Reedsdale Rd, Milton, MA 02186-3324 | 2006-05-16 |
| 1508047531 | Philip J Doherty Md Facc PC | Internal Medicine | 100 Highland Street, Suite 106, Milton, MA 02186-0268 | 2007-11-19 |
| 1629277280 | Nasser Nabi Md PC | Internal Medicine | 100 Highland St, Suite 107, Milton, MA 02186 | 2007-07-13 |
| 1205932522 | Wing Kin Fung | Internal Medicine | 100 Highland St, Suite 300, Milton, MA 02186-3881 | 2006-09-15 |
| 1831201110 | Total Health Care, Inc. | Internal Medicine | 2 Reedsdale Rd, Kerrigan's Corner, Milton, MA 02186-3324 | 2006-08-31 |
| 1093827438 | Milton Cardiac Testing, P.C. | Internal Medicine | 92 Highland St, Milton, MA 02186-3800 | 2006-08-31 |
| 1093740193 | Mark T Hodgman | Internal Medicine | 100 Highland St, Milton, MA 02186-3881 | 2006-07-11 |
| 1447282967 | Scott B Lutch | Internal Medicine | 100 Highland St, Suite 300, Milton, MA 02186-3881 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765443 | Premier Cardiovascular Center, LLC | Internal Medicine | 450 W State Road 434 Ste 2010, Longwood, FL 32750-5187 | 2020-09-16 |
| 1679199236 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 877 3rd St Ste 3, Chipley, FL 32428-1855 | 2020-06-19 |
| 1972123701 | Heart Clinic of Central Florida LLC | Internal Medicine | 52 Riley Rd # 429, Celebration, FL 34747-5420 | 2020-04-22 |
| 1205465440 | Cardiology Group Panel LLC | Internal Medicine | 201 Nw 82nd Ave Ste 405, Plantation, FL 33324-1883 | 2020-04-08 |
| 1346876745 | H & D Cardiology, Pa | Internal Medicine | 1879 Nightingale Ln Ste B2, Tavares, FL 32778-4363 | 2020-03-17 |
| 1427690775 | The Cardiac and Vascular Institute Ambulatory Surgery Center | Internal Medicine | 4645 Nw 8th Ave Ste 10, Gainesville, FL 32605-4688 | 2019-10-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1023660255 | Florida Medical Specialists LLC | Internal Medicine | 1250 S Tamiami Trl Ste 300, Sarasota, FL 34239-2221 | 2019-07-09 |
| 1962064493 | Ckk Medical LLC | Internal Medicine | 6600 Sw State Road 200 # 200, Ocala, FL 34476-5554 | 2019-07-04 |
| 1952968026 | Jose Miguel Simo | Internal Medicine | 3347 S State Road 7 Ste 205, Wellington, FL 33449-8148 | 2019-05-23 |
| Find all providers with the same taxonomy | ||||
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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.