MELISSA ANN KUSHLAK (NPI# 1659664175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659664175 |
| Entity Type | Individual |
| Full Name | MELISSA ANN KUSHLAK |
| Credential | D.O. |
| Practice Address |
2466 E Commercial Blvd Ste 101 Ft Lauderdale FL 33308 |
| Mailing Address |
2466 E Commercial Blvd Ste 101 Fort Lauderdale FL 33308-4011 |
| Practice Telephone | 9547764877 |
| Practice Fax Number | 9547761399 |
| Mailing Telephone | 9547764877 |
| Mailing Fax Number | 9547761399 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2018-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 15456 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1445 Sheldon Rd, Suite 301, Grand Haven, MI 494172480 | 6168472500 |
| Street Address |
2466 E COMMERCIAL BLVD STE 101 |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831449453 | Linda Ann Pratson | Nurse Practitioner | 2466 E Commercial Blvd Ste 101, Ft Lauderdale, FL 33308-4011 | 2012-09-11 |
| 1598058935 | Sweta Tina Mehta | Obstetrics & Gynecology | 2466 E Commercial Blvd Ste 101, Ft Lauderdale, FL 33308 | 2011-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| 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 |
|---|---|---|---|---|
| 1639283781 | Uzi Bodman | Obstetrics & Gynecology | 3305 Ne 40th St, Ft Lauderdale, FL 33308-6411 | 2006-08-18 |
| 1154323640 | Miguel Angel Gonzalez | Obstetrics & Gynecology | 401 Se 16th St, Ft Lauderdale, FL 33316-2529 | 2005-08-15 |
| 1831191568 | Rachel Corey Bernstein | Obstetrics & Gynecology | 4701 N Federal Hwy, Building B, Ft Lauderdale, FL 33308-4608 | 2005-08-12 |
| 1336147693 | Earle M Pescatore Jr. | Obstetrics & Gynecology | 2021 E Commercial Blvd, Suite 305, Ft Lauderdale, FL 33308-3763 | 2005-07-11 |
| 1285637066 | Phoenix Obstetrics-gynecology LLC | Obstetrics & Gynecology | 1600 S Andrews Ave, Suite 323, West Wing, Ft Lauderdale, FL 33316-2510 | 2005-05-24 |
| 1679913206 | George B Maroulis | Obstetrics & Gynecology | 1600 S Andrews Ave, Suite 1090 West Wing, Ft Lauderdale, FL 33316-2510 | 2013-06-27 |
| 1598058935 | Sweta Tina Mehta | Obstetrics & Gynecology | 2466 E Commercial Blvd Ste 101, Ft Lauderdale, FL 33308 | 2011-05-18 |
| 1922320662 | Quik Clinic Medical Center | Obstetrics & Gynecology | 4055 N Andrews Ave, Ft Lauderdale, FL 33309-5269 | 2010-02-23 |
| 1467569244 | Patricia Calvo | Obstetrics & Gynecology | 4701 N Federal Hwy, Bldg. B, Ft Lauderdale, FL 33308-4608 | 2006-08-25 |
| 1033226881 | Ghea Adeboyejo | Obstetrics & Gynecology | 4701 N Federal Hwy, Bldg B, Ft Lauderdale, FL 33308-4608 | 2006-08-25 |
| Find all providers in FT LAUDERDALE | ||||
| City | FT LAUDERDALE |
| Zip Code | 33308 |
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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.