NAYOMI ELLEN OMURA (NPI# 1710936612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710936612 |
| Entity Type | Individual |
| Full Name | NAYOMI ELLEN OMURA |
| Credential | MD |
| Practice Address |
440 Se Osceola St Stuart FL 34994-2577 |
| Mailing Address |
600 Village Square Xing Palm Beach Gardens FL 33410-4542 |
| Practice Telephone | 7722192777 |
| Mailing Telephone | 5616949493 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2016-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME85895 | FL | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
ME85895 | FL | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
ME85895 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
440 SE OSCEOLA ST |
| City | STUART |
| State | FL |
| Zip Code | 34994-2577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760435986 | Sandra E Montie | Physician Assistant | 440 Se Osceola St, Stuart, FL 34994-2500 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144303009 | John Paul Minni | Dermatology | 440 Se Osceola St., Stuart, FL 34997 | 2006-10-23 |
| 1851480131 | Mark R Kaiser M D Pa | Dermatology | 301 Se Osceola St, Stuart, FL 34994-2227 | 2006-10-12 |
| 1003925173 | Steven M Glanz | Dermatology | 6100 Se Federal Hwy, Stuart, FL 34997-8105 | 2006-08-30 |
| 1205885506 | Cynthia Jenkins Rogers | Dermatology | 2065 S. Kanner Highway, Stuart, FL 34994 | 2006-05-06 |
| 1609863398 | Romagosa Dermatology Group LLC | Dermatology | 2220 Se Ocean Blvd, Suite 301, Stuart, FL 34996-2364 | 2005-09-29 |
| 1255327722 | Arthur Daniel King | Dermatology | 809 Se Osceola St, Stuart, FL 34994-2431 | 2005-09-21 |
| 1932720372 | Waterway Dermatology Pllc | Dermatology | 1050 Se Monterey Rd Ste 302, Stuart, FL 34994-4512 | 2020-04-27 |
| 1043668486 | Mckay Dermatology & Medspa, Pa | Dermatology | 969 Se Central Pkwy, Stuart, FL 34994-3904 | 2016-05-26 |
| 1083961312 | Luis F. Villar M.d.,p.a. | Dermatology | 309 Se Osceola St, Suite 201, Stuart, FL 34994-2251 | 2012-08-06 |
| 1952668121 | Donald R Cox Md Pa | Dermatology | 1001 Se Ocean Blvd, Suite 101, Stuart, FL 34996-2511 | 2012-04-12 |
| Find all providers in STUART | ||||
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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.