PALM BEACH ATLANTIC UNIVERSITY


Address: 901 S Flagler Dr, West Palm Beach, FL 33401-6505
Phone: 5618032338

PALM BEACH ATLANTIC UNIVERSITY (NPI# 1689044687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689044687
Entity Type Organization
Organization Name PALM BEACH ATLANTIC UNIVERSITY
Other Organization Name PBAU SPORTS MEDICINE
Practice Address 901 S Flagler Dr
West Palm Beach
FL 33401-6505
Mailing Address Po Box 650850
Dept 1011
Dallas
TX 75265-0850
Practice Telephone 5618032338
Practice Fax Number 9723673451
Mailing Telephone 8005559073
Mailing Fax Number 9723673452
Enumeration Date 2015-10-02
Last Update Date 2015-10-02
Authorized Official Name MOUZON BASS III (AGENT)
Authorized Official Telephone 9723674845
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
PBAU Sports Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205180973 Palm Beach Atlantic University Clinic/Center 1000 South Dixie Hwy, Health and Wellness Center, West Palm Beach, FL 33416-4708 2012-11-02

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PALM BEACH ATLANTIC UNIVERSITY 901 S Flagler Dr, West Palm Beach, FL 33401-6505
Colorado Business Entities Palm Beach Atlantic University 901 South Flagler Dr, West Palm Beach, FL 33416

Office Location

Street Address 901 S FLAGLER DR
City WEST PALM BEACH
State FL
Zip Code 33401-6505

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134122542 Seena L Haines Pharmacist 901 S Flagler Dr, West Palm Beach, FL 33401-6505 2005-05-31
1538791264 Samantha Axtell Pharmacist 901 S Flagler Dr, West Palm Beach, FL 33401-6505 2020-02-11
1881243533 Sean Patrick Cunningham Rehabilitation Practitioner 901 S Flagler Dr, West Palm Beach, FL 33401-6505 2019-09-05
1235618554 Heather Barkley Specialist/Technologist 901 S Flagler Dr, West Palm Beach, FL 33401-6505 2018-08-08
1922513621 Hayley Elizabeth Betz Preventive Medicine 901 S Flagler Dr, West Palm Beach, FL 33401-6505 2017-12-05
1336654011 Krista Mcauley Physical Medicine & Rehabilitation 901 S Flagler Dr, West Palm Beach, FL 33401-6505 2017-12-04
1124530803 Catherine Harrington Pharmacist 901 S Flagler Dr, West Palm Beach, FL 33401-6505 2017-11-02
1467980094 Michelle Menard Specialist/Technologist 901 S Flagler Dr, West Palm Beach, FL 33401-6505 2017-05-26
1780041806 Robert Vincent Diller Specialist/Technologist 901 S Flagler Dr, West Palm Beach, FL 33401-6505 2016-01-20
1104297050 Samuel Eisens Specialist/Technologist 901 S Flagler Dr, West Palm Beach, FL 33401-6505 2015-10-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598371882 Curt David Miller Nurse Practitioner 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 2020-09-22
1699338152 Carly N Lupo Social Worker 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 2019-04-19
1740752625 Latasha Harper Specialist 512 N St, West Palm Beach, FL 33401 2018-12-17
1124595640 Elin Nordegren Counselor 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 2018-11-02
1205318664 Phanette Turene Behavior Technician 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 2018-09-02
1790277002 Ashley Zarda Developmental Therapist 253 8th St, West Palm Beach, FL 33401 2018-06-01
1487162988 Pinnacle Counseling Service Pllc Social Worker 1900 S Olive Avenue, West Palm Beach, FL 33401 2018-01-18
1245754027 Patricia Caroscio Dental Hygienist 800 Clematis Street, West Palm Beach, FL 33401 2017-08-02
1255852562 Dermnow Pa Dermatology 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 2017-06-28
1699204289 Edward Gerardo Ortiz Counselor 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 2017-06-07
Find all providers in zip 33401

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588020887 Florida Orthocare Network, LLC Orthopaedic Surgery 1411 N Flagler Dr Ste 4600, West Palm Beach, FL 33401-3408 2016-01-04
1982027249 Spine and Neurosurgical Center Orthopaedic Surgery 1840 Forest Hill Blvd Ste 201, West Palm Beach, FL 33406-6059 2014-01-22
1215186622 Kurt Hasenhuttl Orthopaedic Surgery 5205 Greenwood Avenue, West Palm Beach, FL 33407-2492 2008-09-10
1336220771 Gus Joseph Leotta IIi Orthopaedic Surgery 4631 N Congress Ave Ste 203, West Palm Beach, FL 33407-3209 2006-10-18
1205920139 Graham Frank Whitfield Orthopaedic Surgery 2150 South Congress Avenue, West Palm Beach, FL 33406 2006-10-03
1942221460 Michael Cooney Orthopaedic Surgery 1411 N Flagler Dr Ste 9800, West Palm Beach, FL 33401-3423 2006-07-21
1124048236 Ryan W Simovitch Orthopaedic Surgery 300 Palm Beach Lakes Blvd, West Palm Beach, FL 33401-2711 2006-07-20
1891737516 Kids and Teens Orthopaedic Surgery Orthopaedic Surgery 8645 N Military Trl, Suite 501, West Palm Beach, FL 33410-6294 2006-06-11
1962481366 Barry Allan Werries Orthopaedic Surgery 1411 N. Flagler Dr., Suite 4600, West Palm Beach, FL 33401 2006-01-13
1861499451 James Michael Kerpsack Orthopaedic Surgery 7701 Southern Blvd Ste 100, West Palm Beach, FL 33411-3803 2005-06-28
Find all providers in WEST PALM BEACH

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City WEST PALM BEACH
Zip Code 33401

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Dataset Information

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.

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