| Adventhealth Senior Care | |
|
1030 W Canton Ave Ste G100 Winter Park FL 32789-3050 | |
| (407) 901-4086 | |
| Not Available |
| Full Name | Adventhealth Senior Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1030 W Canton Ave Ste G100, Winter Park, Florida |
| Authorized Official Name and Position | Bryan Stiltz (PRESIDENT) |
| Authorized Official Contact | 4073572570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventhealth Senior Care 900 Hope Way Altamonte Springs FL 32714-1502 Ph: () - | Adventhealth Senior Care 1030 W Canton Ave Ste G100 Winter Park FL 32789-3050 Ph: (407) 901-4086 |
| NPI Number | 1336756204 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 7618397886 |
|---|---|
| Medicare Enrollment ID | O20201009001594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336756204 | NPI | - | NPPES |
| Provider Name | Joyce M Cortes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881883478 PECOS PAC ID: 5890762009 Enrollment ID: I20040915001078 |
| Provider Name | Matthew T Newberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417064841 PECOS PAC ID: 7911924212 Enrollment ID: I20051026000634 |
| Provider Name | Andrew J Niewald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548381049 PECOS PAC ID: 6608883228 Enrollment ID: I20060307000486 |
| Provider Name | Lisa R Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982740585 PECOS PAC ID: 7911914932 Enrollment ID: I20060316000386 |
| Provider Name | Tanya C Haber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487690657 PECOS PAC ID: 1355384645 Enrollment ID: I20070220000301 |
| Provider Name | Hugh V Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104931914 PECOS PAC ID: 9931204112 Enrollment ID: I20070417000354 |
| Provider Name | Joshua R Eisenhut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013112580 PECOS PAC ID: 3779655626 Enrollment ID: I20080709000434 |
| Provider Name | Cheryl I Oh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912920620 PECOS PAC ID: 4880585132 Enrollment ID: I20080828000443 |
| Provider Name | Robert M Rodgers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972547354 PECOS PAC ID: 7416848767 Enrollment ID: I20080828000480 |
| Provider Name | Maria R Gonzalez |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1730396896 PECOS PAC ID: 2769550938 Enrollment ID: I20081001000718 |
| Provider Name | Kristen Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861481517 PECOS PAC ID: 7911802442 Enrollment ID: I20100331000996 |
| Provider Name | Benjamin Jay Peck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841396769 PECOS PAC ID: 4486787223 Enrollment ID: I20100816000984 |
| Provider Name | Ashwinkumar R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801844071 PECOS PAC ID: 7416071741 Enrollment ID: I20100824000399 |
| Provider Name | Shashi Yuvraj Yoganand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184740110 PECOS PAC ID: 2567655822 Enrollment ID: I20101019000632 |
| Provider Name | Mabel Z Echeandia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063565471 PECOS PAC ID: 0244424026 Enrollment ID: I20101105000417 |
| Provider Name | Amir F Guirguis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669421418 PECOS PAC ID: 2860489606 Enrollment ID: I20101228000266 |
| Provider Name | Amy R Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306236435 PECOS PAC ID: 9739407792 Enrollment ID: I20150423001198 |
| Provider Name | Bennitta D Edmeade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770956971 PECOS PAC ID: 3971807124 Enrollment ID: I20160208002005 |
| Provider Name | Tobin John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972846558 PECOS PAC ID: 0749584845 Enrollment ID: I20160727001603 |
| Provider Name | Kristine Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225532336 PECOS PAC ID: 3971868001 Enrollment ID: I20180521001107 |
| Provider Name | Jessica Montes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659778033 PECOS PAC ID: 6507102894 Enrollment ID: I20190108000574 |
| Provider Name | Ramchandra Siram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710220314 PECOS PAC ID: 8527209873 Enrollment ID: I20190308002698 |
| Provider Name | Paul Louis Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013300441 PECOS PAC ID: 6507287588 Enrollment ID: I20200529000340 |
| Provider Name | Natasha Jairam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437507043 PECOS PAC ID: 9739471335 Enrollment ID: I20200629003209 |
| Provider Name | Amy Alexandra Reyes Arnaldy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1003298779 PECOS PAC ID: 6901150630 Enrollment ID: I20200724000153 |
| Provider Name | Shaifali Batra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306208160 PECOS PAC ID: 6507151909 Enrollment ID: I20220201002805 |
| Provider Name | Joseph Anthony Libby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861574279 PECOS PAC ID: 2860417110 Enrollment ID: I20220714004205 |
| Provider Name | Heather Vermilyea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952939977 PECOS PAC ID: 7719301894 Enrollment ID: I20230731000084 |
| Provider Name | Yuchen Jiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417560897 PECOS PAC ID: 9739506163 Enrollment ID: I20230731003938 |
| Provider Name | Trudy-ann Alston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043716749 PECOS PAC ID: 6305241316 Enrollment ID: I20230831002224 |
| Provider Name | Christina Cherry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720441637 PECOS PAC ID: 4486056298 Enrollment ID: I20230920001850 |
| Provider Name | Madhumita Lettman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144849142 PECOS PAC ID: 6709207368 Enrollment ID: I20231201000299 |
| Provider Name | Hana Hagos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588810956 PECOS PAC ID: 8022288265 Enrollment ID: I20240514003254 |
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