Carrie Alison Teagan, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME45861 Issued in FL

Practice address

2368 N Riverside Dr
Indialantic, FL 32903-3619

Phone

(321) 543-8778

NPI assigned

Apr 18, 2006

Last updated

Apr 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Osler Hma Medical Group LLC

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1518259050

  Cardiovascular Disease

  NPD (past)
• Osler Medical Inc

  • Multi-Specialty Clinic/Center
  • Melbourne, FL
  • NPI 1356308670
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1871558544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368 N RIVERSIDE DR",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033619",
            "telephone_number": "321-543-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2368 N RIVERSIDE DR",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033619",
            "telephone_number": "321-543-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGAN",
        "first_name": "CARRIE",
        "middle_name": "ALISON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME45861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266194200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "060004271",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles S Stewart III, MD
• Angela Stowers, ARNP, PMHNP
• Laura Clevenger Straut, DPT
• Tammy Kaliko Willingham, Inc.
• Jaclyn Taylor, ARNP
• Jessica Termini, LMHC
• The Health Hub
• Therapy Center of Brevard, LLC
• Meagan Thomas, DMD
• Adam N Tice, N.D.

• Cardiovascular Disease Physician in Indialantic, FL
• Providers in Indialantic, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.