Indialantic Medical Associates, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME63923 Issued in FL

Legal business name

INDIALANTIC MEDICAL ASSOCIATES, LLC

Practice address

408 5TH Ave
Indialantic, FL 32903-4280

Phone

(321) 724-9900

Fax

(321) 724-6609

NPI assigned

Jan 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Arthur M Stember, M.D.NPI 1548246739

Title

Manager

Phone

(321) 724-9900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Arthur Stember, MD

  • Pediatrics Physician
  • Indialantic, FL
  • NPI 1548246739

  FL, Pediatrics

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1346570041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 ISLAND VIEW DR",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374346",
            "telephone_number": "321-724-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 5TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034280",
            "telephone_number": "321-724-9900",
            "fax_number": "321-724-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIALANTIC MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "STEMBER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-724-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME63923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Page Moorefield Hyler
• Pauline R Hyvonen, MD
• Imagine Pediatric Therapy of Brevard, LLC
• In2 Health, Inc.
• Indialantic Chiropractic & Acupuncture Inc
• Indialantic Psychiatry & Counseling Center, Inc.
• Jay Medical PLLC
• Jessica L. Mansfield, DDS, PA
• Hannah Naomi Johnson
• Lisa Marie Johnson, P.A.

• All providers in Indialantic, FL
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.