DR. JUAN C BIRD (NPI# 1669606109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669606109 |
| Entity Type | Individual |
| Full Name | DR. JUAN C BIRD |
| Credential | MD |
| Practice Address |
10080 Sw Innovation Way Ste 201 Port St Lucie FL 34987-2129 |
| Mailing Address |
Po Box 417 Stuart FL 34995-0417 |
| Practice Telephone | 7722839111 |
| Practice Fax Number | 7722832955 |
| Mailing Telephone | 7722232832 |
| Mailing Fax Number | 7722232955 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 18180 | PR | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME133140 | FL | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD043743 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BLUE | IEUU3 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 Calle Casia, San Juan, PR 009213200 | 7876417582 | 7876414561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881615359 | Juan Carlos Bird | Dentist | 401 Miracle Mile Ste 411, Coral Gables, FL 33134-4926 | 2006-07-21 |
| Street Address |
10080 SW INNOVATION WAY STE 201 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34987-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992777338 | Purandath Lall | Surgery | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2006-02-01 |
| 1629501911 | Lisai Zhang | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2017-04-04 |
| 1164801130 | Konstantin Alekseyenko | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2015-05-23 |
| 1720498470 | Josue Limage | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987 | 2014-05-03 |
| 1356777650 | Jennifer Moody | Nurse Practitioner | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2013-09-18 |
| 1639425986 | Kathie Kowalczyk | Psychiatry & Neurology | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2012-07-24 |
| 1740543057 | Eric Williams Owings | Surgery | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2012-06-21 |
| 1750672200 | Avneet Vig | Internal Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2011-05-02 |
| 1295796290 | Mona F Fakhry | Internal Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093299604 | Karen Cecilia Wong Li James | Registered Nurse | 10024 Sw Glenbrook Drive, Port Saint Lucie, FL 34987 | 2018-09-19 |
| 1134646151 | B & T Diagnostics LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 323, Port Saint Lucie, FL 34987 | 2017-08-30 |
| 1538684048 | Transport With Care, LLC | Non-emergency Medical Transport (VAN) | 1850 Sw Our Ct, Port Saint Lucie, FL 34987 | 2017-08-04 |
| 1154859825 | True Path Diagnostics, LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 309, Port St Lucie, FL 34987 | 2017-05-25 |
| 1316326515 | Aleksey Alekseyenko | Family Medicine | Mhpg Primary Care @ Tradition Health Park II, 10080 Sw Innovation Way Suite 201, Port St Lucie, FL 34987 | 2015-05-21 |
| 1053658583 | Tameka Argo | Contractor | 7664 Germany Canal Road, Fort Pierce, FL 34987 | 2013-01-03 |
| 1780967976 | Mennette J Colon | Specialist/Technologist, Other | 1970 Sw Glendale St., Port Saint Lucie, FL 34987 | 2011-09-23 |
| 1366416257 | Cynthia A Dolan | Dermatology | 10080 Sw Innovation Way Ste 301, Port St Lucie, FL 34987 | 2006-02-15 |
| 1205829074 | Andres M Reyes | Internal Medicine | 10050 Nw Innovation Way, Suite 102, Port St Lucie, FL 34987 | 2005-08-26 |
| 1013296110 | Karen Lee Harris | Pharmacist | 11995 Sw Elsinore Dr, Port Saint Lucie, FL 34987-1907 | 2011-08-08 |
| Find all providers in zip 34987 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1346453610 | Scott E Altschuler | Internal Medicine | 1701 Se Hillmoor Dr Ste 4, Port St Lucie, FL 34952-7552 | 2007-05-07 |
| 1568416030 | Jayshree Matadial | Internal Medicine | 501 Nw Lake Whitney Pl Ste 102, Port St Lucie, FL 34986-1615 | 2006-05-20 |
| 1316922511 | Khiem Nguyen | Internal Medicine | 1822 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2005-12-09 |
| 1881115343 | Treasure Coast Gi LLC | Internal Medicine | 1701 Se Hillmoor Dr Ste 4, Port St Lucie, FL 34952-7552 | 2017-07-05 |
| 1003102211 | Theodore G Pettle | Internal Medicine | 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 | 2011-06-27 |
| 1477888444 | Gastroenterology Specialist of The Treasure Coast, Inc | Internal Medicine | 501 Nw Lake Whitney Pl Ste 102, Port St Lucie, FL 34986-1615 | 2009-10-08 |
| 1518128438 | St. Lucie Gastrointestinal Diseases Pl | Internal Medicine | 1822 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2008-06-23 |
| 1053325118 | Celso E Pineiro | Internal Medicine | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2006-07-27 |
| 1043239866 | Edwin D. Flanagan | Internal Medicine | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2006-07-19 |
| 1912940479 | Kenneth R Kohen | Internal Medicine | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2006-06-13 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34987 |
Please comment or provide details below to improve the information on DR. JUAN C BIRD.
| 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.