Indian River Surgical Associates, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

INDIAN RIVER SURGICAL ASSOCIATES, LLC

Practice address

3735 11TH Cir Ste 101
Vero Beach, FL 32960-4884

Phone

(772) 569-5660

Fax

(772) 569-4343

NPI assigned

Mar 17, 2014

Organization subpart

No

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

Authorized official

Name

Derek Paul, M.D.NPI 1518905801

Title

Partner

Phone

(772) 569-5660

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Derek Kazim Paul, M.D.

  • Surgery Physician
  • Vero Beach, FL
  • NPI 1518905801
  NPD (past) Authorized official
• Brittany Lynn McDonald, PA

  • Physician Assistant
  • Gainesville, FL
  • NPI 1477862472
  NPD (past)

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1932525797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 11TH CIR STE 101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604884",
            "telephone_number": "772-569-5660",
            "fax_number": "772-569-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 11TH CIR STE 101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604884",
            "telephone_number": "772-569-5660",
            "fax_number": "772-569-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN RIVER SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "772-569-5660",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indian River Radiology PA
• Indian River Rehabilitation Medicine Clinic P a
• Indian River Spine & Joint PLLC
• Indian River Surgery Center LTD
• Indian River Surgery Center, LTD.
• Indian River Surgical Service Corp.
• Indian River Urology Associates PA
• Individualized Support Services LLC
• Infusion Services of the Treasure Coast Inc
• Katherine Ingerto, DPT

• Surgery Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.