Langley Health Services | |
1389 S Us 301 Sumterville FL 33585-5143 | |
(352) 793-5900 | |
(352) 793-9558 |
Full Name | Langley Health Services |
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Speciality | Clinic/Center |
Location | 1389 S Us 301, Sumterville, Florida |
Authorized Official Name and Position | Thomas Chase (CEO) |
Authorized Official Contact | 3527935900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Langley Health Services 1425 S Us 301 Sumterville FL 33585-5141 Ph: (352) 793-5900 | Langley Health Services 1389 S Us 301 Sumterville FL 33585-5143 Ph: (352) 793-5900 |
NPI Number | 1437180239 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 12/11/2023 |
Medicare PECOS PAC ID | 0446153399 |
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Medicare Enrollment ID | O20040601001397 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437180239 | NPI | - | NPPES |
99022 | Other | FL | BLUE CROSS BLUE SHIELD |
029547700 | Medicaid | FL | |
10D0289672 | Other | FL | CLIA |
609521400 | Other | FL | DEPT OF LABOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | N/A (Florida) | Primary |
Provider Name | Faramarz H Ghazi-tehrani |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871713651 PECOS PAC ID: 9436056355 Enrollment ID: I20031217000943 |
Provider Name | Jeremy David Havas |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1043203003 PECOS PAC ID: 0143213678 Enrollment ID: I20040408000295 |
Provider Name | Donna M Edwards |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1073677332 PECOS PAC ID: 5698758209 Enrollment ID: I20040612000186 |
Provider Name | Michael Herron |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1700867207 PECOS PAC ID: 1052362001 Enrollment ID: I20050207000789 |
Provider Name | Deborah M Greer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780607846 PECOS PAC ID: 7618973827 Enrollment ID: I20061011000560 |
Provider Name | Rosa Malnati |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1659333417 PECOS PAC ID: 7416050265 Enrollment ID: I20070315000112 |
Provider Name | Pami Ball Pella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265567051 PECOS PAC ID: 3476618158 Enrollment ID: I20090212000271 |
Provider Name | Clifford C Adam |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1568662559 PECOS PAC ID: 8921164435 Enrollment ID: I20090309000450 |
Provider Name | George Kainz |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1366493702 PECOS PAC ID: 7012091481 Enrollment ID: I20100304000987 |
Provider Name | Sujata Kumar |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1679559512 PECOS PAC ID: 8921274093 Enrollment ID: I20111221000073 |
Provider Name | Michael Joseph Amiel |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1245254937 PECOS PAC ID: 1456515550 Enrollment ID: I20120620000578 |
Provider Name | William J Garofolo |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1225105463 PECOS PAC ID: 7416101845 Enrollment ID: I20130211000568 |
Provider Name | Alexander Moya |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1457616922 PECOS PAC ID: 2668610502 Enrollment ID: I20130604000692 |
Provider Name | Arthur Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265690440 PECOS PAC ID: 2163642950 Enrollment ID: I20140929002327 |
Provider Name | Sohail Arif |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386638898 PECOS PAC ID: 8224222534 Enrollment ID: I20150519002229 |
Provider Name | Amber J Judd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285003426 PECOS PAC ID: 5597063180 Enrollment ID: I20160414002145 |
Provider Name | Jeanette E Short |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831649656 PECOS PAC ID: 9436436722 Enrollment ID: I20170516001188 |
Provider Name | Komala N Bhushan |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1457412801 PECOS PAC ID: 7315211406 Enrollment ID: I20170928001975 |
Provider Name | Olga Grajales |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467431064 PECOS PAC ID: 0648538751 Enrollment ID: I20171219002159 |
Provider Name | Santharam Nallamshetty |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1578564811 PECOS PAC ID: 7810256187 Enrollment ID: I20180111001736 |
Provider Name | Marcy L Howard |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1386698272 PECOS PAC ID: 6103189469 Enrollment ID: I20180419000393 |
Provider Name | Tonya K Rezmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124504121 PECOS PAC ID: 8325387624 Enrollment ID: I20190305000301 |
Provider Name | Danielle Pare |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629629324 PECOS PAC ID: 3870920119 Enrollment ID: I20200225002856 |
Provider Name | Sara Matos |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316345879 PECOS PAC ID: 2860829058 Enrollment ID: I20200228000156 |
Provider Name | Vicki Sattler |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720674542 PECOS PAC ID: 9638582521 Enrollment ID: I20210114001111 |
Provider Name | Felix M Mckenzie |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1578660874 PECOS PAC ID: 7517121379 Enrollment ID: I20210401000467 |
Provider Name | Ermite Caris-barlatier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083185169 PECOS PAC ID: 8527469485 Enrollment ID: I20210629002631 |
Provider Name | Kenneth Shaun Garner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184231318 PECOS PAC ID: 5698173185 Enrollment ID: I20211014000195 |
Provider Name | Kristie Dawn Murdock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275203424 PECOS PAC ID: 2163810599 Enrollment ID: I20211103002723 |
Provider Name | Noel Espinosa Sanchez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1841831146 PECOS PAC ID: 4082004767 Enrollment ID: I20211213001257 |
Provider Name | Carmen Milagros Rodriguez Rodriguez |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871548313 PECOS PAC ID: 4688625569 Enrollment ID: I20220128001886 |
Provider Name | Israel Villanueva Matos |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1780232033 PECOS PAC ID: 2769810654 Enrollment ID: I20220525000265 |
Provider Name | Danielle Mcarthur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104463728 PECOS PAC ID: 2961838826 Enrollment ID: I20220729002960 |
Provider Name | Ariana Jazmin Leal Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598495905 PECOS PAC ID: 3476936287 Enrollment ID: I20220811001134 |
Provider Name | Kathy Brown Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275263766 PECOS PAC ID: 0446632335 Enrollment ID: I20220819001265 |
Provider Name | David Thao |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1679829212 PECOS PAC ID: 6709195126 Enrollment ID: I20220824003311 |
Provider Name | Samantha Z Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366170102 PECOS PAC ID: 3072989961 Enrollment ID: I20221018001326 |
Provider Name | Amanda Kaye Bright |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710336284 PECOS PAC ID: 3577992825 Enrollment ID: I20221117000103 |
Provider Name | Rebekah Jo Costello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518681006 PECOS PAC ID: 6709255334 Enrollment ID: I20221202002965 |
Provider Name | Keisha Odeen Walters-richards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740701556 PECOS PAC ID: 5496124554 Enrollment ID: I20221212002002 |
Provider Name | Alicia Lints |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891408878 PECOS PAC ID: 3779954748 Enrollment ID: I20230130002626 |
Provider Name | Juan Carlos De Los Santos |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1003885823 PECOS PAC ID: 4284531500 Enrollment ID: I20230209001992 |
Provider Name | Carmen D Cosme |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1912957994 PECOS PAC ID: 7911000153 Enrollment ID: I20230516003697 |
Provider Name | Peggy Sue Slusarski |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235824665 PECOS PAC ID: 6002273497 Enrollment ID: I20230530002304 |
Provider Name | Meaghan Marie Lutes |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1760974554 PECOS PAC ID: 3274995485 Enrollment ID: I20230818001895 |
Provider Name | Sierra Colclough |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598444895 PECOS PAC ID: 0840653994 Enrollment ID: I20230823000802 |
Provider Name | Elizabeth Bassey Duke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578738183 PECOS PAC ID: 5294183810 Enrollment ID: I20231121000116 |
Langley Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1425 S Us 301, Sumterville, FL 33585 Phone: 352-237-6162 | |
Sumter Pediatrics Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 S Us 301 Ste B, Sumterville, FL 33585 Phone: 352-569-4980 | |
Langley Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 N Lecanto Hwy, Sumterville, FL 33585 Phone: 352-793-5900 Fax: 352-687-2804 |