ADVANCED COLORECTAL SURGERY AND WELLNESS (NPI# 1609164029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609164029 |
| Entity Type | Organization |
| Organization Name | ADVANCED COLORECTAL SURGERY AND WELLNESS |
| Practice Address |
1050 Se Monterey Rd Suite 202 Stuart FL 34994-4512 |
| Practice Telephone | 7724190560 |
| Mailing Telephone | 7724190560 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |
| Authorized Official Name | ROBERT GLUCKMAN (OWNER) |
| Authorized Official Telephone | 7724190560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1050 SE MONTEREY RD SUITE 202 |
| City | STUART |
| State | FL |
| Zip Code | 34994-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087737 | Rafael Angel Diaz | Optometrist | 1050 Se Monterey Rd, Ste 103, Stuart, FL 34994-4512 | 2005-07-20 |
| 1053772095 | Erin Shaw | Family Medicine | 1050 Se Monterey Rd, 201, Stuart, FL 34994-4512 | 2016-03-18 |
| 1851751895 | Cristina Maria Quintairos-raley | Physical Therapist | 1050 Se Monterey Rd, Suite 304, Stuart, FL 34994-4512 | 2016-03-03 |
| 1811365646 | Premier Neurology and Wellness Center, LLC | Specialist | 1050 Se Monterey Rd, Suite 302, Stuart, FL 34994-4512 | 2015-09-10 |
| 1861879223 | Ashley Erikson | Nurse Practitioner | 1050 Se Monterey Rd, Suite 202, Stuart, FL 34994-4512 | 2015-05-05 |
| 1700277217 | Samantha Ann Hamilton | Nurse Practitioner | 1050 Se Monterey Rd, 101, Stuart, FL 34994-4512 | 2015-02-05 |
| 1154731362 | Advanced Digestive Care of Stuart | Specialist | 1050 Se Monterey Rd, Suite 203, Stuart, FL 34994-4512 | 2014-04-28 |
| 1942553144 | Katz Pediatrics P.a. | Pediatrics | 1050 Se Monterey Rd, Ste 302, Stuart, FL 34994-4512 | 2012-10-25 |
| 1588936025 | Kelly L Carbonaro | Nurse Practitioner | 1050 Se Monterey Rd, #201, Stuart, FL 34994-4512 | 2012-01-30 |
| 1295028348 | Employee Wellness, P.a. | Internal Medicine | 1050 Se Monterey Rd, Suite 101, Stuart, FL 34994-4512 | 2011-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047670 | Annamarie Kondek | Colon & Rectal Surgery | 100 N Dean Rd Ste 200b, Orlando, FL 32825-3710 | 2019-11-18 |
| 1821645458 | Rs Surgical | Colon & Rectal Surgery | 4608 Swilcan Bridge Ln S, Jacksonville, FL 32224-5620 | 2019-08-19 |
| 1265927297 | South Florida Colorectal Institute Pllc | Colon & Rectal Surgery | 1600 S Federal Hwy Ste 420, Pompano Beach, FL 33062-7531 | 2018-06-22 |
| 1881036440 | Michael Jay Haimo | Colon & Rectal Surgery | 3020 Ne 44th St, Fort Lauderdale, FL 33308-5308 | 2013-07-24 |
| 1083973408 | Marco Ferrara | Colon & Rectal Surgery | 110 W Underwood St Ste A, Orlando, FL 32806 | 2012-05-04 |
| 1760748784 | Juliet June Ray | Colon & Rectal Surgery | 5503 S Congress Ave Ste 206, Atlantis, FL 33462-6626 | 2012-04-03 |
| 1033496401 | Dennis Alan Fried | Colon & Rectal Surgery | 680 Ternberry Forest Dr, The Villages, FL 32162-6446 | 2011-11-12 |
| 1992004600 | Robert John Yu | Colon & Rectal Surgery | 550 Memorial Cir Ste H, Ormond Beach, FL 32174-5055 | 2011-03-21 |
| 1487970679 | Anal Rectal Clinic Pa | Colon & Rectal Surgery | 40124 Highway 27 Ste 203, Davenport, FL 33837-5905 | 2010-04-13 |
| 1629210836 | Amit Sharma | Colon & Rectal Surgery | 2130 E Johnson Ave Ste 130, Pensacola, FL 32514-6065 | 2009-04-02 |
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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.