Pioneer Medical Group, Pl | |
13067 N Telecom Pkwy Temple Terrace FL 33637-0926 | |
(813) 779-6303 | |
(888) 977-1998 |
Full Name | Pioneer Medical Group, Pl |
---|---|
Speciality | Internal Medicine |
Location | 13067 N Telecom Pkwy, Temple Terrace, Florida |
Authorized Official Name and Position | Syed I Ali (OWNER) |
Authorized Official Contact | 8137796303 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pioneer Medical Group, Pl 13067 N Telecom Pkwy Temple Terrace FL 33637-0926 Ph: (813) 779-6303 | Pioneer Medical Group, Pl 13067 N Telecom Pkwy Temple Terrace FL 33637-0926 Ph: (813) 779-6303 |
NPI Number | 1710315775 |
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Provider Enumeration Date | 10/29/2013 |
Last Update Date | 06/05/2020 |
Medicare PECOS PAC ID | 8224266655 |
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Medicare Enrollment ID | O20140110000843 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710315775 | NPI | - | NPPES |
Provider Name | James L. Willis |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1154322915 PECOS PAC ID: 5597658914 Enrollment ID: I20040207000228 |
Provider Name | Mohammad Munir |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1023080363 PECOS PAC ID: 9032105986 Enrollment ID: I20040424000136 |
Provider Name | Horacio Jorge Rodriguez-jimenez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427156421 PECOS PAC ID: 0749257475 Enrollment ID: I20040915000869 |
Provider Name | Dany Ghassan El-hajjar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063401057 PECOS PAC ID: 2961465182 Enrollment ID: I20041109000617 |
Provider Name | Dipti D Mehta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558348862 PECOS PAC ID: 4385684588 Enrollment ID: I20050506000455 |
Provider Name | May B Porciuncula |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679649404 PECOS PAC ID: 6103857164 Enrollment ID: I20050830000143 |
Provider Name | Narsing Rao |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1841368636 PECOS PAC ID: 9739111477 Enrollment ID: I20050902000200 |
Provider Name | Stanimir Stantchev |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255324091 PECOS PAC ID: 4981637485 Enrollment ID: I20050915000202 |
Provider Name | Masood Hamid Khan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588687248 PECOS PAC ID: 3870526932 Enrollment ID: I20050920000143 |
Provider Name | Sailesh Shah |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1437191244 PECOS PAC ID: 0446263453 Enrollment ID: I20060717000042 |
Provider Name | Alamelu Murugappan |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1033219100 PECOS PAC ID: 7416988290 Enrollment ID: I20070205000029 |
Provider Name | Kathy H Lee |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588654685 PECOS PAC ID: 6406754829 Enrollment ID: I20070327000489 |
Provider Name | Khizzar Shaukat |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1215972161 PECOS PAC ID: 6709787690 Enrollment ID: I20070505000107 |
Provider Name | Syed Irfan Ali |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1801905898 PECOS PAC ID: 7810093622 Enrollment ID: I20070510000230 |
Provider Name | Imran Q Samnani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801829098 PECOS PAC ID: 7810085040 Enrollment ID: I20071121000253 |
Provider Name | Babu K Rankupalli |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275607228 PECOS PAC ID: 3476642968 Enrollment ID: I20071207000110 |
Provider Name | Abdul Nadeem |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1912993072 PECOS PAC ID: 1759471550 Enrollment ID: I20071217000717 |
Provider Name | Syed W Hasan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1952325029 PECOS PAC ID: 2961409693 Enrollment ID: I20080227000567 |
Provider Name | Mark L Glickfeld |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1710909833 PECOS PAC ID: 6800895384 Enrollment ID: I20080627000233 |
Provider Name | Geetha Kanajam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629099973 PECOS PAC ID: 9537146626 Enrollment ID: I20080708000017 |
Provider Name | Shweta Ekka |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1720264575 PECOS PAC ID: 8022185248 Enrollment ID: I20080930000164 |
Provider Name | Tanveer Ahmed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053576702 PECOS PAC ID: 6901966134 Enrollment ID: I20081118000719 |
Provider Name | Ketheeswaran Kathiripillai |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972549368 PECOS PAC ID: 9537249982 Enrollment ID: I20090128000372 |
Provider Name | Matthew Acton |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1578732772 PECOS PAC ID: 0648337550 Enrollment ID: I20090320000187 |
Provider Name | David A Decker |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1548344633 PECOS PAC ID: 8820149347 Enrollment ID: I20090623000750 |
Provider Name | Lalit Kanaparthi |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1043222870 PECOS PAC ID: 1355347352 Enrollment ID: I20090701000317 |
Provider Name | Bhavik M Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730310137 PECOS PAC ID: 4789723727 Enrollment ID: I20091203000535 |
Provider Name | Milton Fitzgerald Brown |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275695306 PECOS PAC ID: 3971547134 Enrollment ID: I20091211000175 |
Provider Name | Francisco J Gomez |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1255397089 PECOS PAC ID: 3779502984 Enrollment ID: I20100206000009 |
Provider Name | Rachel Komala Moodey |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1124231774 PECOS PAC ID: 6800930785 Enrollment ID: I20100216000160 |
Provider Name | Joanne V Davson-sterling |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861709610 PECOS PAC ID: 1850584814 Enrollment ID: I20101022000156 |
Provider Name | Salman Ahmed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174709968 PECOS PAC ID: 7214083294 Enrollment ID: I20110520000261 |
Provider Name | Ronniel Mercado |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1013240035 PECOS PAC ID: 3274711189 Enrollment ID: I20110623000714 |
Provider Name | Belinda B Johnson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386891760 PECOS PAC ID: 6002085511 Enrollment ID: I20110817000538 |
Provider Name | Ihtasham Habib |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932374469 PECOS PAC ID: 5193887990 Enrollment ID: I20111116000942 |
Provider Name | Juan Pablo Loor-tuarez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184854069 PECOS PAC ID: 4981850633 Enrollment ID: I20120810000772 |
Provider Name | Darnella C Richardson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346593159 PECOS PAC ID: 9335390483 Enrollment ID: I20121119000331 |
Provider Name | Verona I Girod |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710224902 PECOS PAC ID: 9234384090 Enrollment ID: I20130227000406 |
Provider Name | Beverly Griffis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457622102 PECOS PAC ID: 7911152756 Enrollment ID: I20130301000066 |
Provider Name | Saif Nazar Abdullah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255503033 PECOS PAC ID: 2264600923 Enrollment ID: I20130520000135 |
Provider Name | Manohar K Chenchugalla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508982273 PECOS PAC ID: 3274603626 Enrollment ID: I20130611000195 |
Provider Name | Michael L Caselnova |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689696833 PECOS PAC ID: 6103989009 Enrollment ID: I20130625000598 |
Provider Name | Michele Brengs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457798068 PECOS PAC ID: 4486895752 Enrollment ID: I20130729000869 |
Provider Name | Mihaela Satalan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548581630 PECOS PAC ID: 8729220603 Enrollment ID: I20130805000877 |
Provider Name | Adeel H Mikael |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1114238581 PECOS PAC ID: 8527200203 Enrollment ID: I20130808000420 |
Provider Name | Kalpesh Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093733867 PECOS PAC ID: 8224061726 Enrollment ID: I20131007000879 |
Provider Name | Stephanie Nicole Graham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497186936 PECOS PAC ID: 0345477030 Enrollment ID: I20131231000276 |
Provider Name | Mari S Tofani |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1710958541 PECOS PAC ID: 7012049836 Enrollment ID: I20140304001467 |
Provider Name | Sabeeha F Ahmed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912916909 PECOS PAC ID: 6608870118 Enrollment ID: I20140507001565 |
Provider Name | Zwadie C.k. March |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750638706 PECOS PAC ID: 2567685613 Enrollment ID: I20140519001697 |
Provider Name | Mirza Hamza Parvez Mughal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811254410 PECOS PAC ID: 2163640723 Enrollment ID: I20140825000721 |
Provider Name | Saima Rafiq |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851680805 PECOS PAC ID: 9234357476 Enrollment ID: I20140829000197 |
Provider Name | Jeronimo Lopez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316350697 PECOS PAC ID: 8123246311 Enrollment ID: I20140829001896 |
Provider Name | John Isaak |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1265725519 PECOS PAC ID: 9436398971 Enrollment ID: I20140918000576 |
Provider Name | Bina B Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447564562 PECOS PAC ID: 0143464313 Enrollment ID: I20140924001548 |
Provider Name | Samia S Khan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831415017 PECOS PAC ID: 6002046778 Enrollment ID: I20141001001176 |
Provider Name | Rodrigo A Torres |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1255625083 PECOS PAC ID: 4880917780 Enrollment ID: I20141230000566 |
Provider Name | Patrick Mella |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982915781 PECOS PAC ID: 7113240045 Enrollment ID: I20141230001547 |
Provider Name | Paru Dilip Mehta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376837112 PECOS PAC ID: 5597993774 Enrollment ID: I20150109000861 |
Provider Name | Imran Humayun Mirza |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558500587 PECOS PAC ID: 5890947600 Enrollment ID: I20150126001852 |
Provider Name | Memory Kashumba |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740622182 PECOS PAC ID: 5294050761 Enrollment ID: I20150205000525 |
Provider Name | Olamiju Olaleye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891113932 PECOS PAC ID: 2062630437 Enrollment ID: I20150213000580 |
Provider Name | Jeffrey Arlin Rumbaugh |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1528093705 PECOS PAC ID: 2668452053 Enrollment ID: I20150507000836 |
Provider Name | Jennifer Pricher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710370499 PECOS PAC ID: 9133448467 Enrollment ID: I20150507001153 |
Provider Name | Renee M Jones-march |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598012627 PECOS PAC ID: 8628397742 Enrollment ID: I20150512000274 |
Provider Name | Carlos F Ramos |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407113582 PECOS PAC ID: 2860704558 Enrollment ID: I20150709000876 |
Provider Name | Farhana Rahman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033484266 PECOS PAC ID: 8921313099 Enrollment ID: I20150818005977 |
Provider Name | Giselle Ann Alfafara Racho |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780940692 PECOS PAC ID: 7911213830 Enrollment ID: I20150908001853 |
Provider Name | Sumeet Bhavsar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275884280 PECOS PAC ID: 7810204724 Enrollment ID: I20150909002158 |
Provider Name | Jose Guillermo Revelo Paiz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073877411 PECOS PAC ID: 6406164623 Enrollment ID: I20151007001783 |
Provider Name | Bhavik K Vala |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1104075316 PECOS PAC ID: 6204024607 Enrollment ID: I20151112001942 |
Provider Name | Sarkis Morales Vidal |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811211899 PECOS PAC ID: 4587858592 Enrollment ID: I20151116001594 |
Provider Name | Rhonel Lanique Citterbart |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962797092 PECOS PAC ID: 7214106236 Enrollment ID: I20151118000794 |
Provider Name | Melinda Rivera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619371051 PECOS PAC ID: 2365769627 Enrollment ID: I20160219001723 |
Provider Name | Viviane L Goncalves |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013386572 PECOS PAC ID: 0446558761 Enrollment ID: I20160419002201 |
Provider Name | Haseeb Shahid Hashmi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760605190 PECOS PAC ID: 4385745298 Enrollment ID: I20160525001127 |
Provider Name | Lindsey Dambly Sperry |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1700228921 PECOS PAC ID: 6507157369 Enrollment ID: I20160624002053 |
Provider Name | Lucas B Meadors |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063840999 PECOS PAC ID: 2769774785 Enrollment ID: I20160712003204 |
Provider Name | Ahmed R Abdelkarim |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215171103 PECOS PAC ID: 8729217666 Enrollment ID: I20160718002420 |
Provider Name | Ronoel Penalver |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083054324 PECOS PAC ID: 3870726623 Enrollment ID: I20160809000690 |
Provider Name | Emill Levasseur-sanchez |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1053745703 PECOS PAC ID: 5698060135 Enrollment ID: I20160823003097 |
Provider Name | Joanna Kingsley Tavarez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346661857 PECOS PAC ID: 7517252968 Enrollment ID: I20160824000466 |
Provider Name | Aceela M Kaif |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548527807 PECOS PAC ID: 6800182429 Enrollment ID: I20160908001126 |
Provider Name | Khayam Shaukat |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639117120 PECOS PAC ID: 1456246636 Enrollment ID: I20160914001286 |
Provider Name | Mehul Suman Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346504123 PECOS PAC ID: 4587964135 Enrollment ID: I20161010001942 |
Provider Name | Ines J Rodriguez-capote |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255789194 PECOS PAC ID: 6002196615 Enrollment ID: I20161216000674 |
Provider Name | Mazhar Shah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558653238 PECOS PAC ID: 4880826882 Enrollment ID: I20170111002993 |
Provider Name | Ayorinde Ogunbameru |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134416522 PECOS PAC ID: 6901023514 Enrollment ID: I20170123000350 |
Provider Name | Ronald Salazar Manalo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992065049 PECOS PAC ID: 2961668785 Enrollment ID: I20170123000600 |
Provider Name | Marium Tariq |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1033498068 PECOS PAC ID: 6608094735 Enrollment ID: I20170128000300 |
Provider Name | Joanne Pierre-louis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407225014 PECOS PAC ID: 4183906993 Enrollment ID: I20170130003094 |
Provider Name | Hassan Jadid |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1104171925 PECOS PAC ID: 4789818501 Enrollment ID: I20170215001575 |
Provider Name | Paul Saint-fleur |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528406725 PECOS PAC ID: 0244551448 Enrollment ID: I20170220001420 |
Provider Name | Maria Lourdes P Madarang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184174559 PECOS PAC ID: 4688958341 Enrollment ID: I20170225000298 |
Provider Name | Simone M Clement Joseph |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952853129 PECOS PAC ID: 2264709732 Enrollment ID: I20170605001773 |
Provider Name | Myrna Go |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568997609 PECOS PAC ID: 1254609464 Enrollment ID: I20170612002586 |
Provider Name | Augustas Kavaliauskas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851709737 PECOS PAC ID: 6709156219 Enrollment ID: I20170717001130 |
Provider Name | Dominyka Bitinaite |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588072466 PECOS PAC ID: 2264702364 Enrollment ID: I20170724000261 |
Provider Name | Adam D Beeble |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720473564 PECOS PAC ID: 5395037162 Enrollment ID: I20170728000459 |
Provider Name | Vernadeth Cruz Manuel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902213648 PECOS PAC ID: 0547531576 Enrollment ID: I20170809000653 |
Provider Name | Ryan James Reed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003221292 PECOS PAC ID: 0345512273 Enrollment ID: I20170828000601 |
Provider Name | Jesse W Ping |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609286079 PECOS PAC ID: 6002031275 Enrollment ID: I20170908000703 |
Provider Name | Miguel Angel Davila |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376958504 PECOS PAC ID: 9931472099 Enrollment ID: I20170912001319 |
Provider Name | Khine Swe Zin Min |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1114210226 PECOS PAC ID: 3375866718 Enrollment ID: I20170918001546 |
Provider Name | Niraj Kumar Jani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558604371 PECOS PAC ID: 7214224666 Enrollment ID: I20170921003154 |
Provider Name | Charles Christian Kohnken |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306399027 PECOS PAC ID: 2961799192 Enrollment ID: I20170927000150 |
Provider Name | Ryan Clarke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417493867 PECOS PAC ID: 8921373168 Enrollment ID: I20171013001566 |
Provider Name | Yasmine Mohamed Ibrahim |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1487069506 PECOS PAC ID: 8820213796 Enrollment ID: I20171023000284 |
Provider Name | Frederic Faugue |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316312051 PECOS PAC ID: 5294001897 Enrollment ID: I20171026001789 |
Provider Name | Carmel Alamban |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366808602 PECOS PAC ID: 9335444827 Enrollment ID: I20171121002996 |
Provider Name | Amar A Dalsania |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1497976732 PECOS PAC ID: 9234275314 Enrollment ID: I20171206003397 |
Provider Name | Amy E Burk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154785806 PECOS PAC ID: 3173880754 Enrollment ID: I20171207000466 |
Provider Name | Albert C Flowers |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1558656264 PECOS PAC ID: 6204073711 Enrollment ID: I20171209000302 |
Provider Name | Adolph Walter Flowers |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1053637447 PECOS PAC ID: 8022238781 Enrollment ID: I20171218000653 |
Provider Name | Shandell Nicole Elliott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912453580 PECOS PAC ID: 2466711940 Enrollment ID: I20180108001841 |
Provider Name | Nicole Borst |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1659429173 PECOS PAC ID: 2860707940 Enrollment ID: I20180207002760 |
Provider Name | Danielle Wildmon Hanlon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912450982 PECOS PAC ID: 1850652835 Enrollment ID: I20180308001118 |
Provider Name | Dona Maria Bramwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770090938 PECOS PAC ID: 3678834652 Enrollment ID: I20180308001119 |
Provider Name | Mary C Kawalya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497256861 PECOS PAC ID: 6002177094 Enrollment ID: I20180308001674 |
Provider Name | Cecelia Sears |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659795961 PECOS PAC ID: 1456679323 Enrollment ID: I20180320002641 |
Provider Name | Antony Abraham |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1104114263 PECOS PAC ID: 3577783026 Enrollment ID: I20180404001181 |
Provider Name | Tina Otero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114439932 PECOS PAC ID: 5991068918 Enrollment ID: I20180404001320 |
Provider Name | Angela Pachla Bryson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417482001 PECOS PAC ID: 4183988124 Enrollment ID: I20180430000017 |
Provider Name | Cynthia Leo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124529193 PECOS PAC ID: 9032473343 Enrollment ID: I20180512000020 |
Provider Name | Ana Rodriguez |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1417072257 PECOS PAC ID: 7618140898 Enrollment ID: I20180516001649 |
Provider Name | Edline Pierre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477906139 PECOS PAC ID: 3173878329 Enrollment ID: I20180612002812 |
Provider Name | Tryphaena Manoharan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841679180 PECOS PAC ID: 2264789320 Enrollment ID: I20180719002796 |
Provider Name | Nishit K Jailwala |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1508251315 PECOS PAC ID: 9739436437 Enrollment ID: I20180726002376 |
Provider Name | Veshal Malhotra |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023428380 PECOS PAC ID: 1153646021 Enrollment ID: I20180824000497 |
Provider Name | Laeeq Butt |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841684735 PECOS PAC ID: 2264719335 Enrollment ID: I20180901000154 |
Provider Name | Agnes Sharon Berlin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982015012 PECOS PAC ID: 4981906161 Enrollment ID: I20180907000477 |
Provider Name | Linh Phuong T Dinh |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083068175 PECOS PAC ID: 6800146093 Enrollment ID: I20180910001864 |
Provider Name | Stephanie Banafshe Willis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093198368 PECOS PAC ID: 4082965660 Enrollment ID: I20180920001086 |
Provider Name | Gabriel Rodriguez |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1598132698 PECOS PAC ID: 9335443381 Enrollment ID: I20180925000526 |
Provider Name | Sarah Victoria Marisia Mallett |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417335696 PECOS PAC ID: 5193025179 Enrollment ID: I20181001000511 |
Provider Name | Aviraj Saund |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033598826 PECOS PAC ID: 1254684483 Enrollment ID: I20181105002209 |
Provider Name | Samantha Joan Bethel-ellison |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275950297 PECOS PAC ID: 6507135290 Enrollment ID: I20181119000751 |
Provider Name | Abraham Tareq Yacoub |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790172567 PECOS PAC ID: 2961722376 Enrollment ID: I20190103000809 |
Provider Name | Jeremy J Olloqui |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346632270 PECOS PAC ID: 2860783289 Enrollment ID: I20190104002093 |
Provider Name | Ersin Turkcan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508241407 PECOS PAC ID: 3678871761 Enrollment ID: I20190107003312 |
Provider Name | Maria Antonieta Silva Marquez |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1972979649 PECOS PAC ID: 3476862160 Enrollment ID: I20190118001346 |
Provider Name | Melissa Ann Kruse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194296848 PECOS PAC ID: 3476891698 Enrollment ID: I20190214000373 |
Provider Name | Karen Theresa Jacobs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225419161 PECOS PAC ID: 8820330608 Enrollment ID: I20190426000088 |
Provider Name | Rosalinda Paje Tiongco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154392207 PECOS PAC ID: 6305188764 Enrollment ID: I20190506000045 |
Provider Name | Irina Moullette |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578927687 PECOS PAC ID: 4587997143 Enrollment ID: I20190613001171 |
Provider Name | Tima I Peterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992281414 PECOS PAC ID: 2466786439 Enrollment ID: I20190625001534 |
Provider Name | Aimal Nikamal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205290020 PECOS PAC ID: 7012203920 Enrollment ID: I20190711001430 |
Provider Name | Shawna R Edge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609436203 PECOS PAC ID: 6002142684 Enrollment ID: I20190722000376 |
Provider Name | Mahrukh Ali |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457648453 PECOS PAC ID: 3274860812 Enrollment ID: I20190806000909 |
Provider Name | Rameez Ahmad |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588011852 PECOS PAC ID: 4284928003 Enrollment ID: I20190827000904 |
Provider Name | Kathy D Bass |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609435239 PECOS PAC ID: 2062741598 Enrollment ID: I20190909004207 |
Provider Name | Saramma Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245703826 PECOS PAC ID: 3274864202 Enrollment ID: I20191007000324 |
Provider Name | Harmony Vance |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295293173 PECOS PAC ID: 9436481819 Enrollment ID: I20191105000710 |
Provider Name | Anuradha Bhavsar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164871257 PECOS PAC ID: 0345533089 Enrollment ID: I20191112000247 |
Provider Name | Amy Elizabeth Debella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366092348 PECOS PAC ID: 2466884812 Enrollment ID: I20191122002503 |
Provider Name | Anniaday Chris Morris |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215383526 PECOS PAC ID: 8527491174 Enrollment ID: I20191212000669 |
Provider Name | Jan Lorraine C David |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922497155 PECOS PAC ID: 1557796075 Enrollment ID: I20200110000601 |
Provider Name | Andrena Patrice Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134772528 PECOS PAC ID: 8628403813 Enrollment ID: I20200116000665 |
Provider Name | Hibah Ahmad |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982056800 PECOS PAC ID: 4981979374 Enrollment ID: I20200227001371 |
Provider Name | Ashley Marie Compagni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447870993 PECOS PAC ID: 7214352178 Enrollment ID: I20200810001006 |
Provider Name | Uma Mahesh Gudur |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790215903 PECOS PAC ID: 8820400781 Enrollment ID: I20201217000603 |
Provider Name | Andrea V Morgan Bedasse |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982804233 PECOS PAC ID: 3072646199 Enrollment ID: I20210114000413 |
Provider Name | Gabriela E Rivera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225621030 PECOS PAC ID: 9638585227 Enrollment ID: I20210305000613 |
Provider Name | Danielle J Schmidt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609477348 PECOS PAC ID: 9234546805 Enrollment ID: I20210326000314 |
Provider Name | Jerry Lynn Reed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073158630 PECOS PAC ID: 4981005154 Enrollment ID: I20210624003013 |
Provider Name | Mohamed Gharib |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720575137 PECOS PAC ID: 7012319387 Enrollment ID: I20210708002389 |
Provider Name | Oliver Fowler |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538656095 PECOS PAC ID: 9638573751 Enrollment ID: I20210811000814 |
Provider Name | Andrew Cappiello |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023512027 PECOS PAC ID: 7517294457 Enrollment ID: I20210818002003 |
Provider Name | Craig Novack |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1285121764 PECOS PAC ID: 0042615304 Enrollment ID: I20210827002155 |
Provider Name | Arismendy E Perez Tavera |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215441225 PECOS PAC ID: 9133526098 Enrollment ID: I20210921001067 |
Provider Name | Ketsia Aurelien |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598247314 PECOS PAC ID: 0446641443 Enrollment ID: I20211230001349 |
Provider Name | Sara Mehrsefat |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1548793961 PECOS PAC ID: 4486072816 Enrollment ID: I20220112000862 |
Provider Name | Tiffany Falcon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407529928 PECOS PAC ID: 3971996828 Enrollment ID: I20220217000693 |
Provider Name | Sneha Sunil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346836855 PECOS PAC ID: 0840684023 Enrollment ID: I20220304000181 |
Provider Name | Abirammy Sundaramoorthy |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1922310580 PECOS PAC ID: 7416183983 Enrollment ID: I20220429000959 |
Provider Name | Gabriella M Muller |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194285619 PECOS PAC ID: 3274860150 Enrollment ID: I20220715001084 |
Provider Name | Anusha Ghaffar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407315641 PECOS PAC ID: 0244612075 Enrollment ID: I20220726003809 |
Provider Name | Joseph J Poon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144882101 PECOS PAC ID: 8123358744 Enrollment ID: I20220801000007 |
Provider Name | Cherri Anne Potts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093453466 PECOS PAC ID: 7113309634 Enrollment ID: I20220801000711 |
Provider Name | Camille Lee Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639825300 PECOS PAC ID: 6709252893 Enrollment ID: I20221013003651 |
Provider Name | Ahmed Ali Alhassani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376163733 PECOS PAC ID: 6103293220 Enrollment ID: I20221102002699 |
Provider Name | Jorick Sison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760070726 PECOS PAC ID: 3173990298 Enrollment ID: I20221102002825 |
Provider Name | Kelsey Reis Metzmeier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831845973 PECOS PAC ID: 0840661989 Enrollment ID: I20230127000496 |
Provider Name | Gian Gonzalez Quiles |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689108086 PECOS PAC ID: 9739506239 Enrollment ID: I20230216000857 |
Provider Name | Farah Lazarre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699264663 PECOS PAC ID: 0446501332 Enrollment ID: I20230223001420 |
Provider Name | Hossein Tohidi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053949073 PECOS PAC ID: 6608290135 Enrollment ID: I20230802002016 |
Provider Name | Yanet Perez Sori |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285361204 PECOS PAC ID: 3072969062 Enrollment ID: I20231027000181 |
Provider Name | Myranda Hotchkiss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720865835 PECOS PAC ID: 8628425113 Enrollment ID: I20231105000016 |
Provider Name | Megan Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174205223 PECOS PAC ID: 6406204163 Enrollment ID: I20231120000764 |
Provider Name | Aimie Hope Benko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740051044 PECOS PAC ID: 3173961588 Enrollment ID: I20240404001728 |
Provider Name | Yvenadine Cherazar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336813286 PECOS PAC ID: 3971945544 Enrollment ID: I20240528003257 |
Dr. Michael Major, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11401 North 56th Street, Suite 18, Temple Terrace, FL 33687 Phone: 813-988-8088 Fax: 813-464-8089 | |
Chapters Health Palliative Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12470 Telecom Dr, Suite 300, Temple Terrace, FL 33637 Phone: 813-871-8200 Fax: 813-871-8199 | |
Ally Healthcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5503 E Busch Blvd, Temple Terrace, FL 33617 Phone: 813-200-7717 Fax: 813-985-8500 | |
Just Medical Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10320 N 56th St Ste 100, Temple Terrace, FL 33617 Phone: 813-442-5144 Fax: 833-792-1020 | |
Agnes Ubani Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10320 N 56th St, Suite 120, Temple Terrace, FL 33617 Phone: 813-341-7900 | |
Superior Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10730 N 56th St Ste 209, Temple Terrace, FL 33617 Phone: 813-365-5680 | |
Clinical Care Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11531 N 56th St # 103, Temple Terrace, FL 33617 Phone: 813-999-4963 |