ELISIA MARIE LUTHER (NPI# 1881931079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881931079 |
| Entity Type | Individual |
| Full Name | ELISIA MARIE LUTHER |
| Credential | PA-C |
| Practice Address |
402 N Babcock St Suite 102 Melbourne FL 32935-7335 |
| Practice Telephone | 3212416540 |
| Mailing Telephone | 3212416540 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2016-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9107031 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
402 N BABCOCK ST SUITE 102 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-7335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508826652 | Marco Antonio Pinto | Dentist | 402 N Babcock St, Suite 102, Melbourne, FL 32935-7335 | 2006-03-24 |
| 1407331069 | Jenna Irving | Nurse Practitioner | 402 N Babcock St, Melbourne, FL 32935-7335 | 2018-09-30 |
| 1427400142 | Douglas D Weber Dc Pa | Chiropractor | 402 N Babcock St, Suite 101, Melbourne, FL 32935-7335 | 2016-07-06 |
| 1063757334 | Holly Carter Bell | Nurse Practitioner | 402 N Babcock St, Suite 102, Melbourne, FL 32935-7335 | 2012-11-27 |
| 1154526697 | Sylvie Morin | Acupuncturist | 402 N Babcock St, Suite 101, Melbourne, FL 32935-6787 | 2007-06-15 |
| 1588798342 | Mary L. Kalimnios, D.m.d. | Dentist | 402 N Babcock St, Suite 103, Melbourne, FL 32935-6787 | 2007-03-15 |
| 1427068584 | Medical Associates of Brevard LLC | Clinic/Center | 402 N Babcock St, Suite 102, Melbourne, FL 32935-7335 | 2006-08-09 |
| 1235197781 | Simmy Jerry Pinto | Internal Medicine | 402 N Babcock St, Suite 402, Melbourne, FL 32935-7335 | 2006-05-03 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021895 | Breeyon Beachel | Physician Assistant | 4610 Beck Lake Trl Apt 1, Melbourne, FL 32901-8805 | 2020-10-23 |
| 1215535257 | Melissa Lee Amos | Physician Assistant | 3543 Providence Trace Dr, Melbourne, KY 41059-9203 | 2020-10-12 |
| 1720694326 | Michelle Smith | Physician Assistant | 2330 Andrea Ct, Melbourne, FL 32934-7601 | 2020-09-18 |
| 1093331787 | Alyssa Capawana | Physician Assistant | 6740 Shadow Creek Trl Apt 5410, Melbourne, FL 32940-6293 | 2020-06-18 |
| 1194359018 | Jarrod D Kearney | Physician Assistant | 580 N Wickham Rd Ste C, Melbourne, FL 32935-8400 | 2020-02-29 |
| 1104392851 | Rachel Margaret Martins | Physician Assistant | 1052 Fieldstone Dr, Melbourne, FL 32940-1633 | 2018-10-21 |
| 1497230320 | Mirabella M. Muller | Physician Assistant | 298 Michigan Ave Ste 101, Melbourne, FL 32901-3104 | 2018-09-26 |
| 1952743924 | Kristin Wagner | Physician Assistant | 2200 W. Eau Gallie Blvd., Suite 202c, Melbourne, FL 32935-3166 | 2013-07-19 |
| 1538485941 | David Luke Brightwell | Physician Assistant | 54 Tate Springs Rd, Melbourne, AR 72556-8633 | 2010-04-09 |
| 1679808588 | Maycie A Cruz | Physician Assistant | Family Practice of Suntree and Viera, 2 Suntree Place, Melbourne, FL 32940 | 2009-10-09 |
| 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.