STUART A WALEK MD PA (NPI# 1912217928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912217928 |
| Entity Type | Organization |
| Organization Name | STUART A WALEK MD PA |
| Practice Address |
4314 Ligustrum Dr Melbourne FL 32934-8603 |
| Practice Telephone | 3212550258 |
| Mailing Telephone | 3212550258 |
| Enumeration Date | 2010-10-12 |
| Last Update Date | 2010-10-12 |
| Authorized Official Name | STUART WALEK (PRESIDENT) |
| Authorized Official Telephone | 3212550258 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME89667 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4314 LIGUSTRUM DR |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32934-8603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530419 | Ryan Thomas Kammerdener | Pharmacist | 3003 Bay Wind Ct, Melbourne, FL 32934 | 2020-05-20 |
| 1558833731 | Deborah J Gaffney | Specialist/Technologist | 3060 Kershaw Court, Melbourne, FL 32934 | 2018-12-27 |
| 1548703200 | Damaris Escarment | Counselor | 3550 W. Eau Gallie Blvd, Melbourne, FL 32934 | 2016-11-29 |
| 1447686324 | Sarai Escarment | Counselor | 3550 W Eau Gallie Blvd, Melbourne, FL 32934 | 2013-09-23 |
| 1871874974 | Felipe E. Dominguez, Md, Pa | Clinical Medical Laboratory | 3030 Venture Lane, Ste 108, Melbourne, FL 32934 | 2011-09-01 |
| 1376821637 | Christine Natasha Williams Kelly | Counselor | 4450 West Eau Gallie Blvd, Suite 200, Melbourne, FL 32934 | 2011-08-03 |
| 1912203316 | Sheryl Yatsko | Physical Therapy Assistant | 3303 Sarno Rd, Melbourne, FL 32934 | 2011-02-01 |
| 1255564191 | Joy Cheryl Mullen | Occupational Therapy Assistant | 1890 Whispering Oaks Cir, West Melbourne, FL 32934 | 2009-08-26 |
| 1619031531 | The Devereux Foundation | Case Management | 1591 Robert J Conlan Boulevard, Palm Bay, FL 32934 | 2006-12-22 |
| 1457456600 | Jo A Kologlu | Physical Therapist | 5025 Smithfield Rd, Melbourne, FL 32934 | 2006-09-13 |
| Find all providers in zip 32934 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205290913 | Megan Marie Cronin | Dermatology | 1399 S. Harbor City Blvd, Melbourne, FL 32901-3208 | 2016-04-08 |
| 1104152495 | Porter Premier Dermatology and Surgery Center, Pllc | Dermatology | 1515 W Nasa Blvd Ste 101, Melbourne, FL 32901-2605 | 2009-10-22 |
| 1174614663 | Stephen H Hornell | Dermatology | 333 E Sheridan Rd, Melbourne, FL 32901-3152 | 2006-09-27 |
| 1942227814 | Sandra K Shrader | Dermatology | 1700 W Hibiscus Blvd, Melbourne, FL 32901-2615 | 2006-07-16 |
| 1023046885 | Peter Mangone Zies | Dermatology | 17 East Silver Palm Avenue, Melbourne, FL 32901-3123 | 2006-06-29 |
| 1013957133 | Anthony Jerome Porter | Dermatology | 1515 W Nasa Blvd, Suite 101, Melbourne, FL 32901-2605 | 2006-06-07 |
| 1275594277 | Rosalind A Freas | Dermatology | 2571 W Eau Gallie Blvd, Suite 2, Melbourne, FL 32935-8954 | 2006-03-29 |
| 1598732471 | Stacia Poole | Dermatology | 930s Harbor City Blvd 101, Melbourne, FL 32901-1901 | 2006-03-01 |
| 1447234000 | Anita Saluja | Dermatology | 6559 N Wickham Rd Ste C-105, Melbourne, FL 32940-2039 | 2005-12-06 |
| 1255325049 | Larry S Bishop | Dermatology | 7125 Murrell Rd, Melbourne, FL 32940-7999 | 2005-09-07 |
| 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.