DR. STEPHEN S FALKOWSKI (NPI# 1902879158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902879158 |
Entity Type | Individual |
Full Name | DR. STEPHEN S FALKOWSKI |
Credential | DO |
Practice Address |
630 N Main St Williston FL 32696-1705 |
Mailing Address |
911 S Main St Trenton FL 32693-3239 |
Practice Telephone | 3525280587 |
Practice Fax Number | 3524632726 |
Mailing Telephone | 3524632374 |
Mailing Fax Number | 3524632726 |
Enumeration Date | 2006-02-08 |
Last Update Date | 2013-09-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
OS11123 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 002889900 | 05 | |
FL | MEDICARE PTAN | EBO33Z | 01 |
Street Address |
630 N MAIN ST |
City | WILLISTON |
State | FL |
Zip Code | 32696-1705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437780764 | Chantal Marie Nichols | Family Medicine | 630 N Main St, Williston, FL 32696-1705 | 2020-01-27 |
1174181333 | Tonya L Jones | Nurse Practitioner | 630 N Main St, Williston, FL 32696-1705 | 2019-06-03 |
1730619594 | Catherine Alexandra Koubek | Dentist | 630 N Main St, Williston, FL 32696-1705 | 2017-06-14 |
1396280103 | Shonverea S Robinson | Registered Nurse | 630 N Main St, Williston, FL 32696-1705 | 2017-01-03 |
1659620409 | Carmen I Tozzo Pa | Psychologist | 630 N Main St, Williston, FL 32696-1705 | 2012-09-06 |
1508154956 | Tamara Michelle Wood | Physician Assistant | 630 N Main St, Williston, FL 32696-1705 | 2011-07-19 |
1720313950 | Elizabeth Eddins Thompson | Nurse Practitioner | 630 N Main St, Williston, FL 32696-1705 | 2009-10-06 |
1255577631 | Trenton Medical Center Inc | Clinic/Center | 630 N Main St, Williston, FL 32696-1705 | 2009-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962060939 | Quick Care Med LLC | Non-Pharmacy Dispensing Site | 517 W Noble Ave, Williston, FL 32696 | 2019-06-04 |
1346770930 | Michelle Yvette Dempsey | Home Health Aide | 931 Ne 207th Ave, Williston, FL 32696 | 2017-06-15 |
1801157185 | Pratibha Lumb | Family Medicine | 630 N. Main Street, Williston, FL 32696 | 2012-06-04 |
1821261306 | Raymond T Webber | Dentist | 610 Sw 1st Ave, Williston, FL 32696 | 2008-04-07 |
1003912635 | Jeremie Joseph Young | General Practice | 125 Sw 7th Street, Williston, FL 32696 | 2006-09-14 |
1073514543 | Kolli Prabhakara Reddy | Family Medicine | 520 Sw 5th Ave, Williston, FL 32696 | 2005-08-09 |
1578584884 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-07-21 |
1841631249 | Lawrence C Rush Jr. | Pharmacist | 727 W Noble Ave, Williston, FL 32696-1515 | 2013-07-13 |
1952401648 | Teresa Sever | Pharmacist | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-09-23 |
1497060784 | Priscilla Smith | Social Worker | 18990 Ne 49th St, Williston, FL 32696-1555 | 2010-08-11 |
Find all providers in zip 32696 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679511711 | Martha Stitelman | Family Medicine | 600blair Park Rd, Suite 190, Williston, VT 05495 | 2006-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821620618 | Heather J Cappello LLC | Family Medicine | 2571 Dick Wilson Dr, Sarasota, FL 34240-8722 | 2020-02-10 |
1225682784 | Brevard Geriatrics, LLC | Family Medicine | 720 E New Haven Ave Suite 11, Melbourne, FL 32901-5474 | 2019-08-01 |
1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
1184137929 | Saint George Medical Center Inc | Family Medicine | 1118 Hospital Rd, Fort Walton Beach, FL 32547-6742 | 2017-11-15 |
1750835211 | Gainesville Geriatric Rehabilitation Medicine LLC | Family Medicine | 5002 Nw 15th Pl, Gainesville, FL 32605-4555 | 2016-08-12 |
1033570171 | Reliance Med, LLC | Family Medicine | 8450 Reymont St, Orlando, FL 32827-7430 | 2016-03-17 |
1013375062 | Kravitz Physician Services, P.a. | Family Medicine | 5150 Nw 82nd Ter, Coral Springs, FL 33067-2811 | 2016-02-05 |
1972968089 | Wm R George II Md Pa | Family Medicine | 327 Plaza Real Ste 307, Boca Raton, FL 33432-3944 | 2015-12-17 |
1710369020 | Robert N. Baskin, Md, P.a. | Family Medicine | 2108 N Golfview Dr, Plant City, FL 33566-6768 | 2015-06-23 |
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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.