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).
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 |
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 Name | Type Code |
---|---|
PBAU Sports Medicine | Doing Business As Name - Organization |
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 |
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 |
Street Address |
901 S FLAGLER DR |
City | WEST PALM BEACH |
State | FL |
Zip Code | 33401-6505 |
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 |
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 Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
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. |
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 |
City | WEST PALM BEACH |
Zip Code | 33401 |
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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.