Active NPI
Nautilus Health Care Group, LLC
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- 01059975A
- Legal business name
- NAUTILUS HEALTH CARE GROUP, LLC
- Practice address
- 1907 W Sycamore St
Kokomo, IN 46901-5148 - Phone
- (765) 456-5433
- Fax
- (877) 496-2102
- NPI assigned
- Apr 22, 2010
- Last updated
- Jun 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank Williams
- Title
- Ceo
- Phone
- (904) 446-3519
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 01059975A | IN | |
| Procedural Dermatology Physician | 207NS0135X | 01059975A | IN | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 01059975A | IN | Primary |
Addresses
Primary practice location
1907 W Sycamore St
Kokomo, IN 46901-5148
Mailing address
PO Box 645743
Cincinnati, OH 45264-6018
Phone (855) 689-5105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040108000803 | FL | Part B Supplier - Clinic/Group Practice | 5991604852 |
Receives reassigned benefits from 123 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Melbourne, FL
- NPI 1912013558
O20040108000803
National Provider Directory
National Provider DirectoryLocations
11375 Cortez Blvd
Ste 134
Brooksville, FL 34613
Phone (352) 606-7182
401 Fairwood Ave
Ste 130
Clearwater, FL 33759
305 Memorial Medical Pkwy
Ste 130
Daytona Beach, FL 32117
Phone (386) 231-3615
280 Patterson Rd
Haines City, FL 33844
280 Patterson Rd
Ste 4
Haines City, FL 33844
Phone (863) 422-8123
515 W State Road 434
Ste 101
Longwood, FL 32750
Phone (407) 767-5843
715 W State Road 434
Longwood, FL 32750
Phone (407) 767-5843
2329 9TH N Ave
St Petersburg, FL 33713
Phone (727) 328-6214
2901 W Swann Ave
#2E
Tampa, FL 33609
Phone (813) 342-1445
2901 W Swann Ave
Fl 2
Tampa, FL 33609
3001 W Dr Martin Luther King Jr Blvd
Ste 2
Tampa, FL 33607
3001 W Mlk Blvd
Fl 2
Tampa, FL 33607
Phone (813) 397-1251
1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480
2200 Randallia Dr
Fl 2
Fort Wayne, IN 46805
Phone (260) 373-6070
251 E Ohio St
Ste 500
Indianapolis, IN 46204
Phone (727) 867-5480
Practitioners & affiliated clinicians
Practitioners 158
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- St Petersburg, FL
- NPI 1033389788
-
- Family Nurse Practitioner
- Tampa, FL
- NPI 1770963779
-
- Internal Medicine Physician
- Trinity, FL
- NPI 1174852362
Undersea and Hyperbaric Medicine
-
- Pulmonary Disease Physician
- Bradenton, FL
- NPI 1487854212
-
- Internal Medicine Physician
- Sebring, FL
- NPI 1184680332
Undersea and Hyperbaric Medicine
-
- Family Nurse Practitioner
- St Petersburg, FL
- NPI 1649996869
-
- Family Nurse Practitioner
- New Smyrna Beach, FL
- NPI 1891003216
-
- Nurse Practitioner
- Saint Cloud, FL
- NPI 1720884273
-
- Vascular & Interventional Radiology Physician
- Pensacola, FL
- NPI 1437117124
-
- Surgery Physician
- Daytona Beach, FL
- NPI 1306830617
-
- Surgery Physician
- New Smyrna Beach, FL
- NPI 1023455508
-
- Surgery Physician
- Davenport, FL
- NPI 1669478087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685577600000",
"number": "1013234699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 645743",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452646018",
"telephone_number": "855-689-5105",
"fax_number": "877-496-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 W SYCAMORE ST",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469015148",
"telephone_number": "765-456-5433",
"fax_number": "877-496-2102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAUTILUS HEALTH CARE GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-22",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-446-3519"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": "IN",
"license": "01059975A",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "IN",
"license": "01059975A",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "IN",
"license": "01059975A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.