| John Ness Md Pa | |
|
616 Universal Dr Tallahassee FL 32303-4787 | |
| (850) 385-1839 | |
| (850) 386-8371 |
| Full Name | John Ness Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 616 Universal Dr, Tallahassee, Florida |
| Authorized Official Name and Position | John L. Ness (OWNER) |
| Authorized Official Contact | 8503851839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Ness Md Pa 616 Universal Dr Tallahassee FL 32303-4787 Ph: (850) 385-1839 | John Ness Md Pa 616 Universal Dr Tallahassee FL 32303-4787 Ph: (850) 385-1839 |
| NPI Number | 1265605414 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 08/10/2010 |
| Medicare PECOS PAC ID | 9032298518 |
|---|---|
| Medicare Enrollment ID | O20100811000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265605414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME34707 (Florida) | Primary |
| Provider Name | John L Ness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922064203 PECOS PAC ID: 9931233111 Enrollment ID: I20100811000077 |
| Provider Name | Barbara L Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164479028 PECOS PAC ID: 4880718949 Enrollment ID: I20100826000926 |
| Provider Name | Kathy Odham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306802996 PECOS PAC ID: 1355530809 Enrollment ID: I20110113001017 |
| Provider Name | Carrie A Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912457045 PECOS PAC ID: 2365721107 Enrollment ID: I20161117001990 |
| Provider Name | Matthew Wayne Vermeer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740522242 PECOS PAC ID: 4486929924 Enrollment ID: I20171009002503 |
| Provider Name | Luisa Marie Wondra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669912457 PECOS PAC ID: 7113286535 Enrollment ID: I20180110002460 |
| Provider Name | Megan Lynn Mccurdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649787623 PECOS PAC ID: 2668714320 Enrollment ID: I20190429001386 |
| Provider Name | John Hollimon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760832539 PECOS PAC ID: 0749514271 Enrollment ID: I20190702003237 |
| Provider Name | Emmie Odham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316625635 PECOS PAC ID: 4082064027 Enrollment ID: I20240103001195 |
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