THE COUNCIL ON AGING OF MARTIN COUNTY INC (NPI# 1770855405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770855405 |
| Entity Type | Organization |
| Organization Name | THE COUNCIL ON AGING OF MARTIN COUNTY INC |
| Practice Address |
900 Se Salerno Rd Stuart FL 34997-6405 |
| Practice Telephone | 7722237803 |
| Practice Fax Number | 7724630091 |
| Mailing Telephone | 7722237803 |
| Mailing Fax Number | 7724630091 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-07-11 |
| Authorized Official Name | KENNETH KANESKI (DIRECTO OF FINANCE) |
| Authorized Official Telephone | 7722237803 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942419361 | The Council On Aging of Martin County Inc | Community/Behavioral Health | 1071 Se 10th St, Stuart, FL 34996-4162 | 2007-05-22 |
| Street Address |
900 SE SALERNO RD |
| City | STUART |
| State | FL |
| Zip Code | 34997-6405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416865 | Carrie Reeves Mccreary | Registered Nurse | 900 Se Salerno Rd, Stuart, FL 34997-6405 | 2005-06-09 |
| 1538651435 | Barbara Beausejour | Family Medicine | 900 Se Salerno Rd, Stuart, FL 34997-6405 | 2018-06-06 |
| 1548612534 | Danae Clark Dowd | Nurse Practitioner | 900 Se Salerno Rd, Stuart, FL 34997-6405 | 2016-07-01 |
| 1639537558 | Lindsay Serey | Registered Nurse | 900 Se Salerno Rd, Stuart, FL 34997-6405 | 2016-02-06 |
| 1619348125 | Melissa Ann Gonzalez | Nurse Practitioner | 900 Se Salerno Rd, Stuart, FL 34997-6405 | 2015-10-09 |
| 1326472788 | Katlyn Theresa Diamond | Nurse Practitioner | 900 Se Salerno Rd, Stuart, FL 34997-6405 | 2013-08-21 |
| 1174745764 | Victoria Anne Dodds | Nurse Practitioner | 900 Se Salerno Rd, Stuart, FL 34997-6405 | 2007-05-03 |
| 1699812024 | Robert Emmet Kenney | Internal Medicine | 900 Se Salerno Rd, Stuart, FL 34997-6405 | 2007-02-01 |
| 1447328760 | Donna True | Social Worker | 900 Se Salerno Rd, Stuart, FL 34997-6405 | 2006-12-04 |
| 1225001126 | Mildred Ruth Sabo | Family Medicine | 900 Se Salerno Rd, Stuart, FL 34997-6405 | 2006-02-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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. |
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| 1356811897 | Lake Behavioral Health Management | Internal Medicine | 225 W Canton Ave Ste 600, Winter Park, FL 32789-3181 | 2018-11-27 |
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1710464946 | Baptist Agewell Physicians Inc | Internal Medicine | 1350 13th Ave S Ste 118-a, Jacksonville Beach, FL 32250-3203 | 2018-07-20 |
| 1659891018 | Pocketdoc Physicians Pa | Internal Medicine | 333 Se 2nd Ave Ste 2000, Miami, FL 33131-2185 | 2017-06-26 |
| 1003349549 | On Call Wound Care LLC | Internal Medicine | 12798 Forest Hill Blvd Ste 205b, Wellington, FL 33414-4768 | 2017-04-11 |
| 1154781284 | Verimed Health Group Land O' Lakes, LLC | Internal Medicine | 2638 Narnia Way, Ste 101, Land O Lakes, FL 34638-7231 | 2016-03-02 |
| 1083082895 | Edith Maria Ortega | Internal Medicine | 528 Oceanfront, Neptune Beach, FL 32266 | 2015-09-10 |
| 1881083020 | Arnold Jay Simon, M.d. | Internal Medicine | 3175 S Congress Ave Ste 305, Palm Springs, FL 33461-2562 | 2015-01-12 |
| 1912300575 | Geriatrics and Hospitalists Associates | Internal Medicine | 3255 Cypress Legends Cir Apt 433, Fort Myers, FL 33905-5516 | 2014-09-26 |
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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.