MUKUL GARG MD PA (NPI# 1932362787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932362787 |
| Entity Type | Organization |
| Organization Name | MUKUL GARG MD PA |
| Practice Address |
875 Sterthaus Ave Ormond Beach FL 32174-5131 |
| Mailing Address |
Po Box 1917 Ormond Beach FL 32175-1917 |
| Practice Telephone | 3866766000 |
| Mailing Telephone | 3866764419 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-09-08 |
| Authorized Official Name | MUKUL GARG (MD PA) |
| Authorized Official Telephone | 3866764419 |
| Authorized Official Credential | MD PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME 0047738 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 047843100 | 05 |
| Street Address |
875 STERTHAUS AVE |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568456101 | John S Newman | Nurse Anesthetist, Certified Registered | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2005-09-09 |
| 1952538175 | William Vonlubbe Jr. | Nurse Anesthetist, Certified Registered | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2009-06-15 |
| 1225262819 | Meshel S Yany | Anesthesiology | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2009-05-11 |
| 1053593681 | Skeuthaus Inpatient Physicians | Internal Medicine | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2007-12-05 |
| 1528252319 | Idaliz Canales-colon | Emergency Medicine | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2007-09-05 |
| 1578764759 | Ameer Ajani Wright | Anesthesiology | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2007-05-29 |
| 1659592095 | Susan Haizelden | Nurse Practitioner | 875 Sterthaus Ave, Birth Care Center, Ormond Beach, FL 32174-5131 | 2007-05-02 |
| 1346347762 | Candace Rainelle Raw | Registered Nurse | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2006-09-20 |
| 1720195449 | Memorial Health Systems Inc | Internal Medicine | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2006-08-25 |
| 1548377260 | Memorial Health Systems Inc | Family Medicine | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023397643 | Vanessa Ann Mitchell | Specialist | 115 E Granada Blvd Ste 9&10, Ormond Beach, FL 32176-6680 | 2011-08-13 |
| 1093026965 | Jaideep Hoskote Md Pa | Specialist | 4 Brook Crest Way, Ormond Beach, FL 32174-1841 | 2010-06-25 |
| 1841527850 | Eleanor Miles | Specialist | 555 W Granada Blvd Ste D6, Ormond Beach, FL 32174-5196 | 2009-11-11 |
| 1912230798 | Jacqueline Marie Green | Specialist | 37 Sandpiper Cir, Ormond Beach, FL 32174-6042 | 2009-09-11 |
| 1932371598 | Volusia & Flagler Ob-gyn Pa | Specialist | 598 Sterthaus Ave Ste C, Ormond Beach, FL 32174-5128 | 2008-03-24 |
| 1609064336 | Rebecca Anne Arthur | Specialist | 53 N Old Kings Rd, Ste. C, Ormond Beach, FL 32174-9519 | 2007-10-09 |
| 1083805188 | A Healthy Place Pa | Specialist | 55 N Old Kings Rd, Suite A, Ormond Beach, FL 32174-9506 | 2007-08-05 |
| 1235347766 | Denise D Beitel | Specialist | 170 S Yonge St, Ste. A, Ormond Beach, FL 32174-6286 | 2007-05-18 |
| 1568586907 | Hansa M Parikh | Specialist | 598 Sterthaus Ave, Suite C, Ormond Beach, FL 32174-5128 | 2007-03-19 |
| 1265456594 | Mark James Bigelow | Specialist | 763 Riverside Dr, Ormond Beach, FL 32176-7878 | 2006-07-27 |
| Find all providers in ORMOND BEACH | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
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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.