Steven Kurumada (NPI# 1851867105, PAC ID# 5698019370) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1851867105 |
| PAC ID by PECOS | 5698019370 |
| Professional Enrollment ID | I20181206002290 |
| Full Name | Steven Kurumada |
| Organization Legal Name | WATERS EDGE DERMATOLOGY LLC |
| Address |
121 S State Rd Suite 7 Wellington FL 33414-4338 |
| Phone Number | 5612969666 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6901893155 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5101 Okeechobee Rd, Fort Pierce, FL 34947-5415 | 7725955995 | WATERS EDGE DERMATOLOGY LLC |
| 6250 Lantana Rd, Suite 9, Lake Worth, FL 33463-6609 | 5615788100 | WATERS EDGE DERMATOLOGY LLC |
| 301 Ne 19th Dr, Okeechobee, FL 34972-1911 | 8634676767 | WATERS EDGE DERMATOLOGY LLC |
| 2601 S Kanner Hwy, Stuart, FL 34994-4622 | 7722192777 | WATERS EDGE DERMATOLOGY LLC |
| 440 Se Osceola St, Stuart, FL 34994-2500 | 7722192777 | WATERS EDGE DERMATOLOGY LLC |
| 121 S State Rd, Suite 7, Wellington, FL 33414-4338 | 5612969666 | WATERS EDGE DERMATOLOGY LLC |
| Organization Legal Name | WATERS EDGE DERMATOLOGY LLC |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan M Carp | Dermatology | Waters Edge Dermatology LLC | 6642 W Atlantic Ave, Delray Beach, FL 33446-1616 |
| Stefan Doig | Dermatology | Waters Edge Dermatology LLC | 2910 Se3rd Ct, Ocala, FL 34471-0485 |
| Christopher Spock | Dermatology | Waters Edge Dermatology LLC | 121 S State Rd, Suite 7, Wellington, FL 33414-4338 |
| Gioconda A Boaz | Physician Assistant | Waters Edge Dermatology LLC | 2685 Forest Hill Blvd, West Palm Beach, FL 33406-5930 |
| Claudia Alejandra Vera | Physician Assistant | Waters Edge Dermatology LLC | 562 N Us Hwy 27, Lady Lake, FL 32159-3776 |
| Shery M Varghese | Dermatology | Waters Edge Dermatology LLC | 590 Malabar Rd Se, Suite 2, Palm Bay, FL 32907-3108 |
| Michael T Siino | Physician Assistant | Waters Edge Dermatology LLC | 7605 Conroy Windermere Rd, Orlando, FL 32835-2646 |
| Laura B Destefano | Dermatology | Waters Edge Dermatology LLC | 2484 Caring Way, Unit C, Port Charlotte, FL 33952-5306 |
| Theodore A Schiff | Dermatology | Waters Edge Dermatology LLC | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 |
| John Gregory Neily | Dermatology | Waters Edge Dermatology LLC | 4315 Tamiami Trl S, Venice, FL 34293-5117 |
| Street Address |
121 S STATE RD SUITE 7 |
| City | WELLINGTON |
| State | FL |
| Zip | 33414-4338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Spock | Dermatology | Waters Edge Dermatology LLC | 121 S State Rd, Suite 7, Wellington, FL 33414-4338 |
| Apphia Wang | Dermatology | Waters Edge Dermatology LLC | 121 S State Rd, Suite 7, Wellington, FL 33414-4338 |
| Melissa A Chasez | Physician Assistant | Waters Edge Dermatology LLC | 121 S State Rd, Suite 7, Wellington, FL 33414-4338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jasmine Jones Green | Nurse Practitioner | West Boynton Urgent Care LLC | 129 S State Rd, Suite 401, Royal Palm Beach, FL 33414 |
| Ivan Eduardo Lizarazo | Family Medicine | West Boynton Urgent Care LLC | 129 S State Rd, Suite 401, Royal Palm Beach, FL 33414 |
| Rose Fernande Toussaint | Nurse Practitioner | Bcmd Pain Management Pllc | 10330 Nu Vista Ave, Nu Vista Living At Wellington Green, Wellington, FL 33414 |
| Nubia Porras | Family Medicine | West Boynton Urgent Care LLC | 129 S State Rd, Suite 401, Royal Palm Beach, FL 33414 |
| Yasmin Sealey | Nurse Practitioner | Bcmd Pain Management Pllc | 10330 Nu Vista Ave, Nu Vista Living At Wellington Green, Wellington, FL 33414 |
| Gregory Bernard Listoe | General Practice | West Boynton Urgent Care LLC | 129 S State Rd, Suite 401, Royal Palm Beach, FL 33414 |
| Jose G Cevallos | Internal Medicine | 1873 Fox Ct, Wellington, FL 33414-3100 | |
| Sarah Knowlton | Obstetrics/gynecology | Florida Woman Care LLC | 10115 Forest Hill Blvd, Suite 300, Wellington, FL 33414-3102 |
| Jessica A Clark | Obstetrics/gynecology | Florida Woman Care LLC | 10115 Forest Hill Blvd, Suite 300, Wellington, FL 33414-3102 |
| Gary R Cohen | Obstetrics/gynecology | Institute for Women's Health and Body LLC | 10115 Forest Hill Blvd, Suite 302, Wellington, FL 33414-3102 |
| Find all physicians in zip 33414 | |||
| City | WELLINGTON |
| Zip Code | 33414 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WELLINGTON + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.