Treasure Coast Medical Group, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TREASURE COAST MEDICAL GROUP, PA

Practice address

2100 Nebraska Ave.
Suite 105
Fort Pierce, FL 34950-4831

Phone

(772) 461-0915

Fax

(772) 461-3825

NPI assigned

Jun 29, 2006

Last updated

Apr 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ziad M Marjieh, MDNPI 1992782577

Title

President

Phone

(772) 461-0915

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Ziad M Marjieh, M.D.

  • Cardiovascular Disease Physician
  • Fort Pierce, FL
  • NPI 1992782577
  NPD (past) Authorized official
• David Stephen Rogers

  • Certified Registered Nurse Anesthetist
  • Marianna, FL
  • NPI 1427003557
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1720016744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NEBRASKA AVE",
            "address_2": "SUITE 105",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34950",
            "telephone_number": "772-461-0915",
            "fax_number": "772-461-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NEBRASKA AVE.",
            "address_2": "SUITE 105",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504831",
            "telephone_number": "772-461-0915",
            "fax_number": "772-461-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "MARJIEH",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-461-0915",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CI1218",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Maria Townsley, M.S.W.
• Tran-Stim Solutions, Inc.
• Treasure Coast Chiropractic, Inc
• Treasure Coast Injury and Wellness Centre
• Treasure Coast J -Tacs, Inc.
• Treasure Coast Medortho LLC (Treasure Coast Injury & Walk-In Clinic)
• Treasure Coast Mobile Rehab
• Treasure Coast Nephrology LLC
• Treasure Coast Neurology, Inc
• Treasure Coast Neuroscience and Wellness Center LLC

• Family Medicine Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.