BETHUNE-COOKMAN UNIVERSITY (NPI# 1689076499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689076499 |
Entity Type | Organization |
Organization Name | BETHUNE-COOKMAN UNIVERSITY |
Other Organization Name | BETHUNE-COOKMAN SPORTS MEDICINE |
Practice Address |
640 Dr Mary Mcleod Bethune Blvd Daytona Beach FL 32114-3012 |
Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
Practice Telephone | 3864212215 |
Mailing Telephone | 8005559073 |
Mailing Fax Number | 9723673452 |
Enumeration Date | 2014-09-24 |
Last Update Date | 2014-09-24 |
Authorized Official Name | SCOTT ARMSTRONG (DIRECTOR OF SPORTS MEDICINE) |
Authorized Official Telephone | 3864812261 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Bethune-Cookman Sports Medicine | Doing Business As Name - Organization |
Street Address |
640 DR MARY MCLEOD BETHUNE BLVD |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32114-3012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922074293 | Brian William Jansen | Specialist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2006-02-27 |
1467052399 | Kasiim Shakir Barr | Psychologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2020-10-29 |
1770199416 | Nikkita Nozistel | Student in an Organized Health Care Education/Training Program | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2020-09-18 |
1629691985 | Sydney Viar | Student in an Organized Health Care Education/Training Program | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2020-05-21 |
1154978575 | Zumondrae Newsome | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2019-08-20 |
1659859544 | Tamera Alexis Demps | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2018-08-01 |
1033697479 | Bria Jones | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2018-07-28 |
1295236057 | Stephone Delano Devante Baker | Kinesiotherapist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2018-02-26 |
1689128431 | Matthew Luers | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2016-08-10 |
1639549272 | Neville Willibe Spurgeon Jr. | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2015-09-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
Find all providers in zip 32114 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073514253 | Scott Ian Silas | Orthopaedic Surgery | 1630 Mason Ave, Daytona Beach, FL 32117-4547 | 2005-08-10 |
1922239110 | Michael N Fulton | Orthopaedic Surgery | 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 | 2009-08-05 |
1295701670 | Michael N Fulton | Orthopaedic Surgery | 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 | 2006-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801401021 | Ortho Florida, LLC | Orthopaedic Surgery | 17425 7th St Ste 560174, Montverde, FL 34756-3206 | 2020-09-14 |
1801429022 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 | 2020-02-17 |
1750913141 | Tyrance Orthopedics and Sports Medicine | Orthopaedic Surgery | 1620 S Congress Ave Ste 201, Palm Springs, FL 33461-2128 | 2020-02-04 |
1255979076 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 | 2019-12-11 |
1730740218 | Baptist Physician Group LLC | Orthopaedic Surgery | 133 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1644 | 2019-06-25 |
1164984720 | Ortho Florida, LLC | Orthopaedic Surgery | 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 | 2019-04-03 |
1578043998 | Bahri Orthopedics Institute | Orthopaedic Surgery | 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 | 2018-08-15 |
1154834489 | Dorothy Richardson | Orthopaedic Surgery | 1120 W Lakeshore Dr, Clermont, FL 34711-2936 | 2017-11-08 |
1225541790 | Ortho Florida, LLC | Orthopaedic Surgery | 3702 Washington St Ste 202, Hollywood, FL 33021-8283 | 2017-11-07 |
1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
Find all providers with the same taxonomy |
City | DAYTONA BEACH |
Zip Code | 32114 |
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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.