LISA R ROSE (NPI# 1982740585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982740585 |
Entity Type | Individual |
Full Name | LISA R ROSE |
Other Name | LISA REGAL |
Credential | M.D. |
Practice Address |
2120 Sarno Rd Melbourne FL 32935-3084 |
Mailing Address |
Po Box 1137 Melbourne FL 32902-1137 |
Practice Telephone | 3212416800 |
Practice Fax Number | 3212416888 |
Mailing Telephone | (321) 952-9696 |
Mailing Fax Number | 3219527937 |
Enumeration Date | 2007-01-30 |
Last Update Date | 2017-09-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | ME93262 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 274053200 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821695727 | Lisa Marie Rose | Massage Therapist | 11203 Newport Sound Pl, New Smyrna Beach, FL 32168-7591 | 2020-10-04 |
1598255432 | Lisa Hermann Rose | Marriage & Family Therapist | 1801 Shoreline Dr Apt 125, Alameda, CA 94501-6080 | 2018-05-16 |
1659734390 | Lisa S. Rose | Nurse Practitioner | 5647 Us Highway 26, Dubois, WY 82513-9607 | 2016-03-31 |
1972609741 | Lisa M Rose | Chiropractor | 1795 S Washington St Ste 109, Naperville, IL 60565-2058 | 2006-09-16 |
1548253123 | Lisa M Rose | Pharmacist | 238 Church St, Naytahwaush, MN 56566-0039 | 2005-08-29 |
1851741151 | Lisa Rose | Audiologist-Hearing Aid Fitter | 3600 Broadway, #4 Head and Neck Surgery Department, Oakland, CA 94611-5730 | 2016-06-16 |
1710309026 | Lisa Rose | Registered Nurse | 7055 Samuel Morse Dr, Suite 200, Columbia, MD 21046-3439 | 2014-01-07 |
1649508714 | Lisa Ann Rose | Registered Nurse | 5514 Hohman Ave, Hammond, IN 46320-1933 | 2009-11-30 |
1710163365 | Lisa A Rose | Counselor | 925 Highway V V, Kennett, MO 63857-7707 | 2008-01-14 |
1205050473 | Lisa Ann Rose | Dietitian, Registered | 221 Ne Glen Oak Ave, Peoria, IL 61636-0002 | 2007-04-12 |
Street Address |
2120 SARNO RD |
City | MELBOURNE |
State | FL |
Zip Code | 32935-3084 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952303059 | Gregory Earl Cheshire | Dentist | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2005-06-02 |
1154936482 | Nadia Zahara Jomaa | Social Worker | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2020-09-14 |
1235750100 | Lisa G Gurri | Speech-Language Pathologist | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2020-05-02 |
1154956217 | Ashley Archer | Nurse Practitioner | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2020-03-10 |
1306479399 | Jessica Matos | Nurse Practitioner | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2020-02-18 |
1952869794 | Robert Edward Geiger | Pharmacist | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2019-03-12 |
1538627294 | Jennifer Griffin | Pharmacist | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2019-03-12 |
1083180434 | The Brevard Health Alliance, Inc. | Clinic/Center | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2018-10-23 |
1285111732 | Brevard Health Alliance Inc | Pharmacy | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2018-07-26 |
1700323789 | Kinard Cooper | Nurse Practitioner | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2017-01-27 |
Find all providers in the same location |
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 | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558970277 | Kimberly Gayle Ross | Family Medicine | 1919 Slone Blvd, Melbourne, FL 32935-4756 | 2020-07-28 |
1245706423 | Vargas Medical Services LLC | Family Medicine | 606 Sheridan Rd, Melbourne, FL 32901-3227 | 2018-10-16 |
1013467554 | First Locums Inc | Family Medicine | 3248 Cortona Dr, Melbourne, FL 32940-8613 | 2016-10-07 |
1922327774 | Angela Matthews | Family Medicine | 2694 Judge Fran Jamieson Way, Overflow Parking Lot, Melbourne, FL 32940 | 2010-05-19 |
1013197201 | Lauren Romeo Md Pa | Family Medicine | 1698 W Hibiscus Blvd Ste B, Melbourne, FL 32901-2639 | 2007-11-06 |
1023220605 | Marta Cyzio | Family Medicine | 1368 Tipperary Dr, Melbourne, FL 32940-6030 | 2007-05-04 |
1578787941 | Donna J. Badolato, Md, Pa | Family Medicine | 8061 Spyglass Hill Rd., Suite 102, Melbourne, FL 32940 | 2007-04-13 |
1801914858 | Marilyn C. Moss, M.d. | Family Medicine | 3210 N Wickham Rd, Suite 1, Melbourne, FL 32935-2300 | 2007-03-27 |
1639217870 | Kenneth Robert Mcelynn | Family Medicine | 7925 N Wickham Rd Ste B, Melbourne, FL 32940-8211 | 2007-02-01 |
1760568935 | Kristine R Everding | Family Medicine | 2002 Pennwood Dr, Melbourne, FL 32901-5934 | 2006-10-31 |
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.