IVAN MENEZES (NPI# 1841273836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841273836 |
| Entity Type | Individual |
| Full Name | IVAN MENEZES |
| Credential | MD |
| Practice Address |
701 W Plymouth Ave Deland FL 32720-3236 |
| Mailing Address |
Po Box 9430 Daytona Beach FL 32120-9430 |
| Practice Telephone | 3869434522 |
| Mailing Telephone | 3862747800 |
| Mailing Fax Number | 3862747801 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2008-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
ME78170 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BC BS | 58836 | 01 |
| Street Address |
701 W PLYMOUTH AVE |
| City | DELAND |
| State | FL |
| Zip Code | 32720-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790319994 | Coreen Kelly | Nurse Practitioner | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2020-02-26 |
| 1003449117 | Brent Wilkins | Physician Assistant | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2020-02-17 |
| 1497385991 | Kathrine N Rigney | Nurse Practitioner | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2020-01-23 |
| 1427690890 | Delaney Rodriguez | Registered Nurse | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2019-10-17 |
| 1275094195 | Eliza Jane Chevalier | Emergency Medicine | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2019-03-26 |
| 1245798206 | Apryl D Jania | Nurse Practitioner | 701 W Plymouth Ave, Deland, FL 32720 | 2019-03-08 |
| 1093297046 | Michael Angelo Carulli | Pharmacist | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2018-09-05 |
| 1629559240 | April Kelton | Dietitian, Registered | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2018-08-22 |
| 1285149229 | Dianne Marie David | Registered Nurse | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2017-12-13 |
| 1770005548 | Shannon Formas Badger | Family Medicine | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2017-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171532 | Kimberlee C Del Campo | Nurse Practitioner | 1590 S, State Highway 15a, Deland, FL 32720 | 2020-10-13 |
| 1699304840 | Grace Haven LLC | In Home Supportive Care | 805 S Stone St, Deland, FL 32720 | 2020-04-08 |
| 1609407766 | Michelle Rene' Tutt | Nurse Practitioner | 1590 South State Hwy 15a, Deland, FL 32720 | 2020-01-28 |
| 1902448715 | Volusia Medical Center LLC | Family Medicine | 850 N. Stone Street, Deland, FL 32720 | 2019-10-14 |
| 1548748957 | Christopher Lee Paik | Internal Medicine | 107 N Stone St, St A, Deland, FL 32720 | 2018-07-30 |
| 1164961041 | Melissa Sorensen | Counselor | 970 N Spring Ave, 523, Deland, FL 32720 | 2017-02-13 |
| 1669910329 | Stefanie Briann Yockey | Counselor | 804 N. Woodland Blvd., Deland, FL 32720 | 2017-02-02 |
| 1144648809 | Steven Shinn | Internal Medicine | 1590 S Sr 15a Ste 100, Deland, FL 32720 | 2014-03-31 |
| 1164843710 | Malgorzata Anna Szelwach | Occupational Therapist | 1590 State Rt 15a Suite B, Deland, FL 32720 | 2013-12-29 |
| 1730510926 | Adriana Marquez | Community/Behavioral Health | 33218 Tomahawk Trail, Deland, FL 32720 | 2013-12-12 |
| Find all providers in zip 32720 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982224259 | Excalibur Telemedical Services | Emergency Medicine | 405 Waterford Ln, Gulf Breeze, FL 32561-4872 | 2020-04-16 |
| 1225694953 | Good Care Rehab& Wellness Inc | Emergency Medicine | 885 N Powers Dr Ste B, Orlando, FL 32818-6842 | 2019-05-17 |
| 1568994556 | Hillard L Chemers | Emergency Medicine | 16145 Craigend Pl, Odessa, FL 33556-2818 | 2017-03-30 |
| 1790195469 | Albert Carl Maier | Emergency Medicine | 358 County Road 207a, East Palatka, FL 32131-4145 | 2014-05-05 |
| 1710319413 | Holy Cross Hospital, Inc | Emergency Medicine | 1115 S Federal Hwy, Ft Lauderdale, FL 33316-1256 | 2013-08-05 |
| 1790035921 | Elizabeth Hernandez | Emergency Medicine | 17121 Sw 281st St, Homestead, FL 33030-1905 | 2012-09-14 |
| 1821377201 | Urgent Care Physicians of Kendale Lakes LLC | Emergency Medicine | 14661 Sw 56 Street, Miami, FL 33175 | 2011-08-16 |
| 1316231608 | George T Besong Md Ob/gyn LLC | Emergency Medicine | 2728 Enterprise Rd, Suite 200, Orange City, FL 32763-8276 | 2011-06-03 |
| 1265662126 | Quick Care Med LLC | Emergency Medicine | 1907 Highway 44 W, Inverness, FL 34453-3801 | 2009-07-24 |
| 1578705273 | Laurie Ann Romig | Emergency Medicine | 8250 32nd Ave N, St Petersburg, FL 33710-2212 | 2009-03-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IVAN MENEZES.
| 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.