RYAN CANTWELL (NPI# 1881057321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881057321 |
| Entity Type | Individual |
| Full Name | RYAN CANTWELL |
| Credential | DPM |
| Practice Address |
2717 N Wickham Rd Ste 4 Melbourne FL 32935-2200 |
| Practice Telephone | 3212536191 |
| Mailing Telephone | 3212667236 |
| Mailing Fax Number | 3214549877 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2019-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO4041 | FL | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 260 Fortenberry Rd, Merritt Island, FL 329523619 | 3214546333 | 3214549877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023007457 | Ryan V Cantwell | Internal Medicine | 320 Kennestone Hospital Blvd, Suite 201, Marietta, GA 30060-1161 | 2005-10-18 |
| Street Address |
2717 N WICKHAM RD STE 4 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1831248699 | Sag Ventures, Inc | Podiatrist | 1051 Eber Blvd Ste 106, Melbourne, FL 32904-8768 | 2007-01-10 |
| 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.