Everside Health-Indian River County

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

EVERSIDE HEALTH-INDIAN RIVER COUNTY

Practice address

960 37TH PL Ste 101
Vero Beach, FL 32960-6586

Phone

(704) 661-1380

NPI assigned

May 25, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jill Johnson Patton

Title

Director of Risk Management

Phone

(704) 936-5546

Specialties & licenses 1

Addresses

Tax ID family

Everside Health LLC200 organizations share this tax ID, including this one

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1194417279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 CHARLOTTE PARK DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 37TH PL STE 101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606586",
            "telephone_number": "704-661-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERSIDE HEALTH-INDIAN RIVER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "DIRECTOR OF RISK MANAGEMENT",
        "authorized_official_telephone_number": "704-936-5546"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E Etsen, MASSAGE THERAPIST
• Teresa Ann Eury, MPH, RDN, LDN
• Marcia Eustache, MS
• Henya Evans, PA-C
• Roslyn B Evans, OTR/L, CHT
• Executive Express Services LLC
• Executive Medicine of Vero Beach
• Eye Clinic of Vero Inc
• Eyeglass Enterprises Inc. (World of Vision)
• Face Center of Vero PLC

• Preventive Medicine/Occupational Environmental Medicine Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.