Active NPI
John Joseph Viola, MD
- Neurological Surgery Physician
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME102413
- Practice address
- 509 SE Riverside Dr
Ste 203
Stuart, FL 34994-2579 - Phone
- (772) 288-5862
- Fax
- (772) 288-5874
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 38706 | CO | |
| Neurological Surgery Physician | 207T00000X | ME102413 | FL | Primary |
Addresses
Primary practice location
509 SE Riverside Dr
Ste 203
Stuart, FL 34994-2579
Mailing address
PO Box 417
Stuart, FL 34995-0417
Phone (772) 223-5665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000464400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38706 | CO | MD | Neurological Surgery Physician |
| ME102413 | FL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Past | Accepting new patients | |
| Front Range Center for Brain & Spine Surgery, PC. | Neurological Surgery | Past | Accepting new patients |
| Coastal Care Corporation | Past | Accepting new patients |
Locations
509 SE Riverside Dr
Stuart, FL 34994
Phone (772) 223-2300
509 SE Riverside Dr
Ste 203
Stuart, FL 34994
Phone (772) 286-1550
3725 11th Cir
Vero Beach, FL 32960
Phone (772) 410-0155
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- Urgent Care Clinic/Center
- Stuart, FL
- NPI 1154962918
-
dba Cleveland Clinic Imaging
- Radiology Clinic/Center
- Port St Lucie, FL
- NPI 1558320556
-
- Neurological Surgery Physician
- Fort Collins, CO
- NPI 1588779383
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1174551949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 417",
"city": "STUART",
"state": "FL",
"postal_code": "349950417",
"telephone_number": "772-223-5665",
"fax_number": "772-223-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 SE RIVERSIDE DR",
"address_2": "STE 203",
"city": "STUART",
"state": "FL",
"postal_code": "349942579",
"telephone_number": "772-288-5862",
"fax_number": "772-288-5874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIOLA",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CO",
"license": "38706",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME102413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000464400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.