ENGLEWOOD MEDICAL CENTER (NPI# 1821169178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821169178 |
| Entity Type | Organization |
| Organization Name | ENGLEWOOD MEDICAL CENTER |
| Practice Address |
655 N Indiana Ave Englewood FL 34223-2766 |
| Practice Telephone | 9414756207 |
| Practice Fax Number | 9414759801 |
| Mailing Telephone | 9414756207 |
| Mailing Fax Number | 9414759801 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-10-12 |
| Authorized Official Name | DR. CHARLES B. EAGAR (OWNER) |
| Authorized Official Telephone | 9414756207 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ME 46072 | FL | Ambulatory Health Care Facilities |
| Street Address |
655 N INDIANA AVE |
| City | ENGLEWOOD |
| State | FL |
| Zip Code | 34223-2766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275632101 | Kristin Noel Klopfer | Chiropractor | 655 N Indiana Ave, Suite A, Englewood, FL 34223-2766 | 2006-09-21 |
| 1740805084 | Stacey L Merritt | Behavior Technician | 655 N Indiana Ave, Englewood, FL 34223-2756 | 2020-06-12 |
| 1184259335 | Sandie Marie Benton | Behavior Technician | 655 N Indiana Ave, Englewood, FL 34223-2756 | 2020-03-09 |
| 1295383818 | Sarah Kay Hopkins | Behavior Technician | 655 N Indiana Ave, Englewood, FL 34223-2756 | 2019-08-27 |
| 1912550740 | Michele Kristen Gordon | Behavioral Analyst | 655 N Indiana Ave, Englewood, FL 34223-2756 | 2019-07-21 |
| 1326537309 | Michele Anne Meservey | Behavioral Analyst | 655 N Indiana Ave, Englewood, FL 34223-2756 | 2018-05-06 |
| 1154824290 | Gabrielle Chantal Cunningham | Behavior Technician | 655 N Indiana Ave, Englewood, FL 34223-2756 | 2018-03-15 |
| 1487152880 | Tiffani Anne Jones-lewis | Behavior Technician | 655 N Indiana Ave, Englewood, FL 34223-2756 | 2018-01-31 |
| 1003270281 | Mariah Nelson | Behavioral Analyst | 655 N Indiana Ave, Englewood, FL 34223-2756 | 2016-04-13 |
| 1831387034 | Charles B. Eagar | Family Medicine | 655 N Indiana Ave, Englewood, FL 34223-2705 | 2007-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180285 | Shelby Katherine Chirillo | Behavior Technician | 2500 Bobcat Center, Suite G, North Port, FL 34223 | 2018-10-16 |
| 1073022885 | Stacey Jo Seitz | Nurse Practitioner | 900 Pine Street, Suite 222, Englewood, FL 34223 | 2017-09-25 |
| 1750823688 | Bernice Cynthia Putnam | Technician | 401 E Langsner St, Englewood, FL 34223 | 2016-11-09 |
| 1003366949 | Tiffany Kristine Lamarca | Nurse Practitioner | 2061 Englewood Rd Ste 5, Englewood, FL 34223 | 2016-10-04 |
| 1336578293 | Lawrence Hale | Dentist | 701 S Indiana Ave Ste A, Englewood, FL 34223 | 2013-11-01 |
| 1730404310 | Michael A Arpasi | Hearing Instrument Specialist | 1720 S Mccall Rd Ste H, Englewood, FL 34223 | 2010-04-07 |
| 1962657452 | Amy J. Culbertson | Nurse Practitioner | 1719 Gale St, Englewood, FL 34223 | 2008-11-25 |
| 1396884433 | Cynthia J Juliao | Audiologist | 1108 Larchmont Dr, Englewood, FL 34223 | 2007-02-05 |
| 1538224092 | Cynthia Kay Davis | Obstetrics & Gynecology | 2061 Englewood Rd Ste 1, Englewood, FL 34223 | 2006-12-26 |
| 1902966146 | Dennis M Jewell Dc Pa | Chiropractor | 579 South Indiana Ave, Suite C, Englewood, FL 34223 | 2006-12-11 |
| Find all providers in zip 34223 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339163 | Colorado Urgent Care Physicians, PC | Clinic/Center | 5102 South Broadway, Englewood, CO 80113 | 2018-06-07 |
| 1740729201 | Nancy Bilello L.ac., Inc. | Clinic/Center | 3460 S Sherman St, #201, Englewood, CO 80113-2681 | 2017-02-16 |
| 1124206396 | Prana Internal Medicine Pllc | Clinic/Center | 3292 S Bannock St, Englewood, CO 80110-2418 | 2008-02-09 |
| 1023043593 | Pascack Valley Hospital | Clinic/Center | 291 South Van Brunt St, The Childbirth Center, Englewood, NJ 07631 | 2006-07-12 |
| 1316571359 | Richard Phillips | Clinic/Center | 5 N Main St, Englewood, OH 45322-1326 | 2020-02-28 |
| 1609409317 | Miami Valley Mt LLC | Clinic/Center | 5 N Main St, Englewood, OH 45322-1326 | 2020-02-20 |
| 1649825266 | Hospice Care of The Rockies LLC | Clinic/Center | 750 W Hampden Ave Ste 280, Englewood, CO 80110-2215 | 2019-08-09 |
| 1245742683 | Audiology Services Company Usa, LLC | Clinic/Center | 200 Engle St Ste 17, Englewood, NJ 07631-2417 | 2017-10-25 |
| 1346693371 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 2955 S Broadway, Englewood, CO 80113-1526 | 2016-07-14 |
| 1003245200 | Passport Health Holdings LLC | Clinic/Center | 401a S Van Brunt St, Ste 202, Englewood, NJ 07631-4600 | 2013-11-07 |
| Find all providers in ENGLEWOOD | ||||
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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.