| Osceola Surgical Associates Llc | |
|
320 W Bass St Kissimmee FL 34741-5001 | |
| (407) 870-0808 | |
| (407) 846-9115 |
| Full Name | Osceola Surgical Associates Llc |
|---|---|
| Speciality | Surgery |
| Location | 320 W Bass St, Kissimmee, Florida |
| Authorized Official Name and Position | John Mark Rodkey (VP) |
| Authorized Official Contact | 8505232117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osceola Surgical Associates Llc 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 372-5426 | Osceola Surgical Associates Llc 320 W Bass St Kissimmee FL 34741-5001 Ph: (407) 870-0808 |
| NPI Number | 1578723540 |
|---|---|
| Provider Enumeration Date | 06/13/2008 |
| Last Update Date | 05/16/2024 |
| Medicare PECOS PAC ID | 0840366126 |
|---|---|
| Medicare Enrollment ID | O20080910000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578723540 | NPI | - | NPPES |
| 047675700 | Medicaid | FL | |
| 000352300 | Medicaid | FL | |
| P00674127 GRP#D0365 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
| Provider Name | Barry Alan Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942287149 PECOS PAC ID: 2466341888 Enrollment ID: I20040313000218 |
| Provider Name | Mohammad B Anwer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285643445 PECOS PAC ID: 2567457666 Enrollment ID: I20040420001478 |
| Provider Name | Matthew V Burry |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821016817 PECOS PAC ID: 8022060342 Enrollment ID: I20050215000794 |
| Provider Name | Keith C Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194732750 PECOS PAC ID: 9133158017 Enrollment ID: I20050810001189 |
| Provider Name | Fuad H Shahin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063409027 PECOS PAC ID: 7012939283 Enrollment ID: I20060103000051 |
| Provider Name | Snehal C Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699717454 PECOS PAC ID: 8224036199 Enrollment ID: I20061201000378 |
| Provider Name | Peter A Pappas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861618514 PECOS PAC ID: 6204905359 Enrollment ID: I20080515000598 |
| Provider Name | Marvin J Young |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235221219 PECOS PAC ID: 7214007087 Enrollment ID: I20080605000306 |
| Provider Name | Antonio J Ramirez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063409076 PECOS PAC ID: 3173693975 Enrollment ID: I20080605000587 |
| Provider Name | Sara A Meinz |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1790872406 PECOS PAC ID: 8022077510 Enrollment ID: I20080617000249 |
| Provider Name | Heather E Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245566546 PECOS PAC ID: 4587707252 Enrollment ID: I20100203000229 |
| Provider Name | Robert Emmanuel Benjamin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992763395 PECOS PAC ID: 9537248562 Enrollment ID: I20100303000989 |
| Provider Name | Christopher Sott Bryant |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1801836366 PECOS PAC ID: 7214910371 Enrollment ID: I20100413000117 |
| Provider Name | Cesare P Peraglie |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1538125000 PECOS PAC ID: 7416982848 Enrollment ID: I20101018001018 |
| Provider Name | Ajay K Mangal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669706347 PECOS PAC ID: 4082507173 Enrollment ID: I20111018000387 |
| Provider Name | Luis A Jaramillo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1063506905 PECOS PAC ID: 0749338838 Enrollment ID: I20130314000390 |
| Provider Name | Walter Schratt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619298007 PECOS PAC ID: 0244472108 Enrollment ID: I20130806000691 |
| Provider Name | Mohammed I Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306131875 PECOS PAC ID: 1759511645 Enrollment ID: I20140219001816 |
| Provider Name | Melinda C Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013357342 PECOS PAC ID: 0749400679 Enrollment ID: I20140927000398 |
| Provider Name | Christy A Waldron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891198123 PECOS PAC ID: 0648594648 Enrollment ID: I20150122001529 |
| Provider Name | Jessica M Gielow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326369455 PECOS PAC ID: 4880908920 Enrollment ID: I20150803000499 |
| Provider Name | Amina Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689090276 PECOS PAC ID: 1557650603 Enrollment ID: I20160513000381 |
| Provider Name | Roger L Crouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477538197 PECOS PAC ID: 5991840050 Enrollment ID: I20160722002169 |
| Provider Name | Erik D Schoenberg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316947948 PECOS PAC ID: 7517096696 Enrollment ID: I20160824002910 |
| Provider Name | Harold D Neyra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245510171 PECOS PAC ID: 3072756402 Enrollment ID: I20161228001223 |
| Provider Name | Javier E Varela |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780797134 PECOS PAC ID: 9638108020 Enrollment ID: I20170427002362 |
| Provider Name | Khaled M Shahrour |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063643039 PECOS PAC ID: 0547315236 Enrollment ID: I20170607002025 |
| Provider Name | Joshua Shultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063839421 PECOS PAC ID: 4385954296 Enrollment ID: I20171017001036 |
| Provider Name | David A Ossin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073873931 PECOS PAC ID: 0547526907 Enrollment ID: I20171117002045 |
| Provider Name | Natalie Christine Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962929315 PECOS PAC ID: 1951668797 Enrollment ID: I20171201002486 |
| Provider Name | Wade L Fischer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033116710 PECOS PAC ID: 1153350574 Enrollment ID: I20180221000542 |
| Provider Name | Joshua Steven Elder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144615725 PECOS PAC ID: 1759695059 Enrollment ID: I20180912000937 |
| Provider Name | Allison Poimboeuf Ferrara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477812824 PECOS PAC ID: 5991939985 Enrollment ID: I20181107003566 |
| Provider Name | Enid Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518327592 PECOS PAC ID: 1355682196 Enrollment ID: I20190404002151 |
| Provider Name | Nicole Rachelle Brenner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104212695 PECOS PAC ID: 8224361662 Enrollment ID: I20190618000102 |
| Provider Name | Bradelie A Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073080743 PECOS PAC ID: 3870828981 Enrollment ID: I20190711002567 |
| Provider Name | Hiep Cong Nguyen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821189937 PECOS PAC ID: 9436251642 Enrollment ID: I20190724002287 |
| Provider Name | Eduardo Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497253108 PECOS PAC ID: 9638506108 Enrollment ID: I20200221001120 |
| Provider Name | Tuan Nguyenduy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124097886 PECOS PAC ID: 0042240434 Enrollment ID: I20200522000123 |
| Provider Name | Maria P Ruiz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811330897 PECOS PAC ID: 3971806415 Enrollment ID: I20200609001721 |
| Provider Name | Emilio Alonso |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1649619115 PECOS PAC ID: 3971937145 Enrollment ID: I20200722001986 |
| Provider Name | Evaristo Fernandez Sada |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437419843 PECOS PAC ID: 6103157854 Enrollment ID: I20201006002852 |
| Provider Name | Luis Felipe Serrano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407275324 PECOS PAC ID: 8123448248 Enrollment ID: I20201012001366 |
| Provider Name | Muhammad-atif Zubairi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053616722 PECOS PAC ID: 6800030198 Enrollment ID: I20201210000593 |
| Provider Name | Manuel A Carrazana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427551233 PECOS PAC ID: 4183025232 Enrollment ID: I20210625002283 |
| Provider Name | Mark J Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740783554 PECOS PAC ID: 2264834142 Enrollment ID: I20210714003723 |
| Provider Name | Ayman A Al-salaimeh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154609485 PECOS PAC ID: 8729304530 Enrollment ID: I20210719001743 |
| Provider Name | Michael Verdul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710495189 PECOS PAC ID: 5496148876 Enrollment ID: I20220207002424 |
| Provider Name | Maria G. Montanez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467877209 PECOS PAC ID: 6002195864 Enrollment ID: I20220215002405 |
| Provider Name | Doris V Lorenzi Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801287693 PECOS PAC ID: 6305147794 Enrollment ID: I20220412000636 |
| Provider Name | Nima M Hosseinian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902365141 PECOS PAC ID: 9234512344 Enrollment ID: I20220822002187 |
| Provider Name | Jean-luc Delafontaine |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1013304559 PECOS PAC ID: 8527364587 Enrollment ID: I20221107001312 |
| Provider Name | Gerard Deib |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942535059 PECOS PAC ID: 0648562447 Enrollment ID: I20221128001644 |
| Provider Name | Amanda Irene Flick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346696226 PECOS PAC ID: 7719355338 Enrollment ID: I20221201001195 |
| Provider Name | Ajeet S Sodhi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417105685 PECOS PAC ID: 1658523493 Enrollment ID: I20230309002756 |
| Provider Name | Sneha Jacob |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952729493 PECOS PAC ID: 8729336896 Enrollment ID: I20230901000048 |
| Provider Name | Isaac Vila Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518669951 PECOS PAC ID: 2264886811 Enrollment ID: I20230929002700 |
| Provider Name | Alicia A Mohamed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861967028 PECOS PAC ID: 2466791892 Enrollment ID: I20231202000259 |
| Provider Name | Gabriel Mario Moreno |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376886457 PECOS PAC ID: 1052669967 Enrollment ID: I20231214000688 |
| Provider Name | Narinder Paul Grewal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144657560 PECOS PAC ID: 0840514188 Enrollment ID: I20240109002464 |
| Provider Name | Daryl V Nisbett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942562608 PECOS PAC ID: 6800144999 Enrollment ID: I20240311003535 |
| Provider Name | Paul Gagarin Colmenares Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447800164 PECOS PAC ID: 7315383379 Enrollment ID: I20240312004150 |
Infectious Disease Specialists Of Central Florida , Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Hilda St, Ste # 22, Kissimmee, FL 34741 Phone: 407-279-5069 Fax: 407-378-3076 | |
Lps Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 N Main St Ste 105, Kissimmee, FL 34744 Phone: 407-483-7975 Fax: 888-772-5242 | |
Tropical Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2037 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744 Phone: 407-749-8877 | |
Ams Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2258 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744 Phone: 407-750-8750 Fax: 407-750-8752 | |
Guidewell Emergency Medicine Doctors, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2465 N Orange Blossom Trail, Kissimmee, FL 34744 Phone: 407-917-5911 | |
Rps Primary Medical Center Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Loopdale Ln, Kissimmee, FL 34741 Phone: 686-221-0039 | |
Digestive Disease Center P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 N John Young Pkwy Ste 102, Kissimmee, FL 34741 Phone: 407-891-8703 Fax: 407-891-8705 |