ATLANTIC SKIN SURGERY LLC (NPI# 1942555289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942555289 |
| Entity Type | Organization |
| Organization Name | ATLANTIC SKIN SURGERY LLC |
| Practice Address |
176 Nw Magnolia Lakes Blvd Port St Lucie FL 34986-3567 |
| Practice Telephone | 7728281907 |
| Mailing Telephone | 7728281907 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |
| Authorized Official Name | RICHARD A JAMES (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7728281907 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME66880 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
176 NW MAGNOLIA LAKES BLVD |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34986-3567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659387405 | Richard James | Surgery | 176 Nw Magnolia Lakes Blvd, Port St Lucie, FL 34986 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
| 1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
| 1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
| 1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
| 1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| Find all providers in zip 34986 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245529551 | Meshach P Heenatigala | Surgery | 293 Nw Peacock Blvd Ste 202, Port St Lucie, FL 34986 | 2011-04-07 |
| 1598887010 | Jon Robert Brown | Surgery | 1400 Se Goldtree Dr Ste 103, Port St Lucie, FL 34952-7582 | 2007-04-04 |
| 1013929439 | Rafael Quinones | Surgery | 295 Nw Peacock Blvd, Port St Lucie, FL 34986-2212 | 2006-08-13 |
| 1659387405 | Richard James | Surgery | 176 Nw Magnolia Lakes Blvd, Port St Lucie, FL 34986 | 2006-08-01 |
| 1528066958 | Matthew N Peebles | Surgery | 10050 Sw Innovation Way, Port St Lucie, FL 34987-2117 | 2005-07-11 |
| 1174521595 | Adam D Kurtin | Surgery | 1400 Se Goldtree Dr, Suite 102-104, Port St Lucie, FL 34952-7582 | 2005-07-09 |
| 1376956045 | Eric Duffy | Surgery | 1400 Se Goldtree Dr Ste 103, Port St Lucie, FL 34952-7582 | 2014-06-10 |
| 1073878872 | Diane Marie Krutzler | Surgery | 1400 Se Goldtree Dr, Ste 102-104, Port St Lucie, FL 34952-7582 | 2012-07-08 |
| 1740543057 | Eric Williams Owings | Surgery | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2012-06-21 |
| 1356637110 | Ana Paula Machado-hopkins | Surgery | 1400 Se Goldtree Dr Ste 103, Port St Lucie, FL 34952-7582 | 2011-06-21 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34986 |
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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.