Organization Active NPI

Treasure Coast Obstetrics and Gynecology PL

  • Obstetrics & Gynecology Physician
  • Vero Beach, FL
National Provider Identifier
1841369089
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
TREASURE COAST OBSTETRICS AND GYNECOLOGY PL
Practice address
1000 37TH PL
Suite 105
Vero Beach, FL 32960-6579
Phone
(772) 562-2402
Fax
(772) 562-5842
NPI assigned
Nov 6, 2006
Last updated
Oct 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
James Presley, MDNPI 1386604395
Title
Owner
Phone
(772) 562-2402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X FL Primary

Addresses

Primary practice location

1000 37TH PL
Suite 105
Vero Beach, FL 32960-6579

Mailing address

1000 37TH PL
Suite 105
Vero Beach, FL 32960-6579
Phone (772) 562-2402

Other identifiers 2

IdentifierTypeStateIssuer
45792OtherFLBLUE CROSS
CK5256OtherFLRR MEDICARE

National Provider Directory

National Provider Directory

Locations

777 37th St
Ste D103
Vero Beach, FL 32960
Phone (561) 778-0708

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1841369089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 37TH PL",
            "address_2": "SUITE 105",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606579",
            "telephone_number": "772-562-2402",
            "fax_number": "772-562-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 37TH PL",
            "address_2": "SUITE 105",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606579",
            "telephone_number": "772-562-2402",
            "fax_number": "772-562-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST OBSTETRICS AND GYNECOLOGY PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "PRESLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-562-2402",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "45792",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CK5256",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.