Ethan Michael Nowell, MD | |
5 Tampa General Cir # 750, Tampa, FL 33606-3601 | |
(813) 844-3397 | |
Not Available |
Full Name | Ethan Michael Nowell |
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Gender | Male |
Speciality | Hospitalist |
Location | 5 Tampa General Cir # 750, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609337369 | NPI | - | NPPES |
121315700 | Medicaid | FL | |
9N6GU | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME162905 (Florida) | Secondary |
208000000X | Pediatrics | ME162905 (Florida) | Secondary |
208M00000X | Hospitalist | ME162905 (Florida) | Primary |
Entity Name | University Medical Service Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
Mailing Address | Practice Location Address |
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Ethan Michael Nowell, MD Po Box 917770, Orlando, FL 32891-0001 Ph: () - | Ethan Michael Nowell, MD 5 Tampa General Cir # 750, Tampa, FL 33606-3601 Ph: (813) 844-3397 |
Ashley Marie Perry, Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 17 Davis Blvd Ste 308, Tampa, FL 33606 Phone: 813-974-2201 | |
Dr. Naveen Kumar Kannekanti, M.D., Hospitalist Medicare: Medicare Enrolled Practice Location: 3100 E Fletcher Ave Ste 126, Tampa, FL 33613 Phone: 813-467-4242 | |
Avani A Patel, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5130 Sunforest Dr Ste 300, Tampa, FL 33634 Phone: 727-439-3764 Fax: 813-514-8891 | |
Luke Casals, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 17 Davis Blvd Ste 308, Tampa, FL 33606 Phone: 813-974-2201 | |
Ramon Guerrero Cueto, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5331 Primrose Lake Cir Ste 112, Tampa, FL 33647 Phone: 813-651-1085 Fax: 813-289-6592 | |
Dr. Marijesmar Gonzalez Ball, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-974-2201 | |
Achint Patel, MD, MPH Hospitalist Medicare: Medicare Enrolled Practice Location: 8808 Cypress Manor Dr Apt 212, Tampa, FL 33647 Phone: 248-805-3807 |