SAG VENTURES, INC (NPI# 1831248699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831248699 |
| Entity Type | Organization |
| Organization Name | SAG VENTURES, INC |
| Other Organization Name | SAGVENTURESOR SHELLY GARROW, DPM |
| Practice Address |
1051 Eber Blvd Ste 106 Melbourne FL 32904-8768 |
| Practice Telephone | 3217233498 |
| Practice Fax Number | 3217232761 |
| Mailing Telephone | 3217233498 |
| Mailing Fax Number | 3217232761 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | DR. SHELLY GARROW (OWNER) |
| Authorized Official Telephone | 3217233498 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| SAGVenturesor Shelly Garrow, DPM | Doing Business As Name - Organization |
| Street Address |
1051 EBER BLVD STE 106 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-8768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881057321 | Ryan Cantwell | Podiatrist | 2717 N Wickham Rd Ste 4, Melbourne, FL 32935-2200 | 2016-04-01 |
| 1639328396 | Robert Paul Dunne Dpm Pa | Podiatrist | 2717 N. Wickham Rd, Suite 4, Melbourne, FL 32935 | 2008-09-17 |
| 1275705899 | David A Weik Inc | Podiatrist | 1361 Bedford Dr, Suite 103, Melbourne, FL 32940-1984 | 2008-03-25 |
| 1518908672 | Robert Paul Dunne | Podiatrist | 2717 N Wickham Rd, Suite 4, Melbourne, FL 32935-2200 | 2006-06-09 |
| 1720698160 | Upperline Healthcare, PC | Podiatrist | 1601 S Apollo Blvd, Melbourne, FL 32901-4484 | 2020-07-31 |
| 1457883126 | Sara Elizabeth Lewis | Podiatrist | 205 E Nasa Blvd Fl 1, Melbourne, FL 32901-1950 | 2017-03-31 |
| 1629310099 | Fraaz M. Sayeed | Podiatrist | 1601 S Apollo Blvd, Melbourne, FL 32901 | 2013-03-22 |
| 1154565315 | Claudia R Mallette Dpm LLC | Podiatrist | 1555 W Nasa Blvd, Melbourne, FL 32901-2640 | 2009-04-30 |
| 1073755963 | Brian J Mallette Dpm LLC | Podiatrist | 200 S Harbor City Blvd, Suite302, Melbourne, FL 32901-1384 | 2009-03-24 |
| 1861633463 | Claudia R. Mallette | Podiatrist | 200 S Harbor City Blvd, Suite 302, Melbourne, FL 32901-1384 | 2009-03-12 |
| Find all providers in MELBOURNE | ||||
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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.