Nautilus Health Care Group, LLC

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

License

01059975A Issued in IN

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

Organization subpart

No

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

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Nautilus Health Care Group LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Melbourne, FL
  • NPI 1912013558

  O20040108000803

  Same enrollment

Locations

Practitioners 158

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robyn Michele Ache, D.O.

  • Surgery Physician
  • St Petersburg, FL
  • NPI 1033389788
  NPD
• Terry Ann Allen, FNP-BC

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1770963779
  NPD
• Debra Gail Angelo, M.D.

  • Internal Medicine Physician
  • Trinity, FL
  • NPI 1174852362

  Undersea and Hyperbaric Medicine

  NPD
• Horacio J Argeles, MD

  • Pulmonary Disease Physician
  • Bradenton, FL
  • NPI 1487854212
  NPD
• Roger N Arumugam, M.D.

  • Internal Medicine Physician
  • Sebring, FL
  • NPI 1184680332

  Undersea and Hyperbaric Medicine

  NPD
• Jason Scott Barton, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Saint Petersburg, FL
  • NPI 1649996869
  NPD
• Katherine Ann Becker, A.R.N.P.

  • Family Nurse Practitioner
  • New Smyrna Beach, FL
  • NPI 1891003216
  NPD
• Amy Bennett, APRN

  • Nurse Practitioner
  • Saint Cloud, FL
  • NPI 1720884273
  NPD
• Christopher J. Bosarge, M.D.

  • Vascular & Interventional Radiology Physician
  • Pensacola, FL
  • NPI 1437117124
  NPD
• Kimberly Lavita Clayton Brown, MD

  • Surgery Physician
  • Daytona Beach, FL
  • NPI 1306830617
  NPD
• Willy Alberto Bustinza Farfan, D.O.

  • Surgery Physician
  • New Smyrna Beach, FL
  • NPI 1023455508
  NPD
• Vincent G Carifi, M.D.

  • Surgery Physician
  • Davenport, FL
  • NPI 1669478087
  NPD

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DR0806",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201012090B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Raina Andrea Neal
• Peter S.E. Nechay, MD
• Jeri Needler-Schantz, LCSW
• Brooklynn Ryan Neff, RBT

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Indiana

• 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.

Verify at the official NPI Registry.