Premier Medical Associates | |
1580 Santa Barbara Blvd Suite C The Villages FL 32159 | |
(352) 259-2159 | |
(352) 259-5731 |
Full Name | Premier Medical Associates |
---|---|
Speciality | Internal Medicine |
Location | 1580 Santa Barbara Blvd, The Villages, Florida |
Authorized Official Name and Position | Cynthia Romska (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 3522592159 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Premier Medical Associates 1580 Santa Barbara Blvd The Villages FL 32159-6827 Ph: (352) 259-2159 | Premier Medical Associates 1580 Santa Barbara Blvd Suite C The Villages FL 32159 Ph: (352) 259-2159 |
NPI Number | 1093829442 |
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Provider Enumeration Date | 08/19/2006 |
Last Update Date | 11/16/2022 |
Medicare PECOS PAC ID | 2365418019 |
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Medicare Enrollment ID | O20041026000956 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093829442 | NPI | - | NPPES |
004699000 | Medicaid | FL | |
K3300 | Other | FL | PTAN |
Provider Name | Sanjay Bhupendra Shah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215986211 PECOS PAC ID: 7618869447 Enrollment ID: I20040326000881 |
Provider Name | Kevin Spohr |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1205032497 PECOS PAC ID: 1254301179 Enrollment ID: I20040728001228 |
Provider Name | Paul E Boor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689634941 PECOS PAC ID: 6608842000 Enrollment ID: I20040908000099 |
Provider Name | Dorothy J Cook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518952753 PECOS PAC ID: 6305742792 Enrollment ID: I20050311000122 |
Provider Name | Robert A Honegger |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942255120 PECOS PAC ID: 0345225728 Enrollment ID: I20051107001011 |
Provider Name | Evelyn Lois Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053317628 PECOS PAC ID: 5991700874 Enrollment ID: I20060927000504 |
Provider Name | Ritu Badola |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376529784 PECOS PAC ID: 8325047244 Enrollment ID: I20061204000203 |
Provider Name | Madhusudhan R Banda |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1164529293 PECOS PAC ID: 0244289577 Enrollment ID: I20070117000299 |
Provider Name | Mohammad A Eldeeb |
---|---|
Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1932213568 PECOS PAC ID: 8325029192 Enrollment ID: I20070731000614 |
Provider Name | Stephen I Hsu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538267802 PECOS PAC ID: 9335162569 Enrollment ID: I20081025000106 |
Provider Name | Jesus R Pichardo |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1922083948 PECOS PAC ID: 6204975857 Enrollment ID: I20091120000353 |
Provider Name | Alfred Soto |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265438105 PECOS PAC ID: 8426056607 Enrollment ID: I20101028001051 |
Provider Name | Dinesh Khanna |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275574360 PECOS PAC ID: 8426024183 Enrollment ID: I20110330000635 |
Provider Name | Sandra Rodriguez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538277090 PECOS PAC ID: 1658456884 Enrollment ID: I20110505000829 |
Provider Name | Sundeep Shah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982868972 PECOS PAC ID: 9133390826 Enrollment ID: I20110929000639 |
Provider Name | Amir Etemadnia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003115098 PECOS PAC ID: 0749453330 Enrollment ID: I20111026000649 |
Provider Name | Bruce Lobar |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1679534853 PECOS PAC ID: 7113926296 Enrollment ID: I20130417000242 |
Provider Name | Ramy Ibrahim |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407109903 PECOS PAC ID: 3971741356 Enrollment ID: I20130523000612 |
Provider Name | Maria Sanchez Avila |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1033133806 PECOS PAC ID: 1254327158 Enrollment ID: I20131024000747 |
Provider Name | Barbara Joeann Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013257583 PECOS PAC ID: 5193941466 Enrollment ID: I20140722001695 |
Provider Name | Melchor E Madarang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013975366 PECOS PAC ID: 6709865694 Enrollment ID: I20150210000893 |
Provider Name | Kenneth Ethan Lai |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1376893974 PECOS PAC ID: 8325266489 Enrollment ID: I20151201001118 |
Provider Name | Juan A De Jesus Kalil |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1306087713 PECOS PAC ID: 1153451349 Enrollment ID: I20161011001440 |
Provider Name | Santos Garcia |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1518989714 PECOS PAC ID: 0648301911 Enrollment ID: I20161103001835 |
Provider Name | Lesley A Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770038226 PECOS PAC ID: 0749578276 Enrollment ID: I20170207001687 |
Provider Name | Michelle Madonna |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508970914 PECOS PAC ID: 0840567657 Enrollment ID: I20170530000009 |
Provider Name | Sujata S Balulad |
---|---|
Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1952501454 PECOS PAC ID: 3375694359 Enrollment ID: I20170731003563 |
Provider Name | Thomas B Reilly |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1750574299 PECOS PAC ID: 0749573830 Enrollment ID: I20180208000675 |
Provider Name | Luis A Alvarado Hernandez |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1265481733 PECOS PAC ID: 0042571937 Enrollment ID: I20180312001099 |
Provider Name | Lisa M Livecchi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013211622 PECOS PAC ID: 6002061330 Enrollment ID: I20180505000119 |
Provider Name | Lester V Negron Ayala |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1558301275 PECOS PAC ID: 2365513538 Enrollment ID: I20180710000824 |
Provider Name | Carlos R Ramirez-ramirez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194793166 PECOS PAC ID: 9638260953 Enrollment ID: I20180829003722 |
Provider Name | Marilyn Llavona-suarez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1154586972 PECOS PAC ID: 1557614930 Enrollment ID: I20181101001113 |
Provider Name | Lydia Enid Sanchez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023193984 PECOS PAC ID: 7911925409 Enrollment ID: I20190606000506 |
Provider Name | Varendra Jamwant |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1205358777 PECOS PAC ID: 4587990601 Enrollment ID: I20190729000116 |
Provider Name | Seemab Nazar Malik |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124439336 PECOS PAC ID: 3678849767 Enrollment ID: I20190805001175 |
Provider Name | Thomas Mammana |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407473010 PECOS PAC ID: 5991128340 Enrollment ID: I20200702000679 |
Provider Name | Madelyn Delgado Borges |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306453683 PECOS PAC ID: 7810307782 Enrollment ID: I20201104000375 |
Provider Name | Amir I Kaldas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316914526 PECOS PAC ID: 4284607862 Enrollment ID: I20210316001487 |
Provider Name | Yodsui Linaida Llop |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1427663236 PECOS PAC ID: 2062820186 Enrollment ID: I20210409000201 |
Provider Name | Abdul Rezahi |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1972119113 PECOS PAC ID: 7214345909 Enrollment ID: I20210419001014 |
Provider Name | Mary Mildred Cornito |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396876116 PECOS PAC ID: 9739584368 Enrollment ID: I20210820000040 |
Provider Name | Harrison Marshall Lief |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174027387 PECOS PAC ID: 5496152498 Enrollment ID: I20210917000937 |
Provider Name | Aileen Denisse Velez Ortiz |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1538561543 PECOS PAC ID: 1850798356 Enrollment ID: I20210927001513 |
Provider Name | Luis Armando Richardson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942874664 PECOS PAC ID: 1254729155 Enrollment ID: I20211026002407 |
Provider Name | Arlyne Roque |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861163339 PECOS PAC ID: 9638568744 Enrollment ID: I20211111000565 |
Provider Name | Monique A Prince |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528349297 PECOS PAC ID: 6204220064 Enrollment ID: I20220222001221 |
Provider Name | Catherine M Klink |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598408544 PECOS PAC ID: 8325427263 Enrollment ID: I20220622003464 |
Provider Name | Jean Rhadenie Hernandez Montes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679095350 PECOS PAC ID: 8921487745 Enrollment ID: I20220623003267 |
Provider Name | James E Toth |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083643332 PECOS PAC ID: 0749475762 Enrollment ID: I20220701002571 |
Provider Name | Trisha Khanna |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1427554203 PECOS PAC ID: 6406289461 Enrollment ID: I20220705002542 |
Provider Name | Hardik J Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609430727 PECOS PAC ID: 3274913124 Enrollment ID: I20220708002537 |
Provider Name | Omar Jose Vazquez Alicea |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1811663131 PECOS PAC ID: 4688054596 Enrollment ID: I20220709000801 |
Provider Name | Jannelys Aviles Aguilar |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1639817620 PECOS PAC ID: 5597145334 Enrollment ID: I20220711001176 |
Provider Name | Maged Ghaly Takawy Ghaly |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659930253 PECOS PAC ID: 7517294143 Enrollment ID: I20220715001023 |
Provider Name | Valeria Santana |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1821731126 PECOS PAC ID: 2466828868 Enrollment ID: I20221025003507 |
Provider Name | Jessica E Ramirez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1245973965 PECOS PAC ID: 2961879481 Enrollment ID: I20221111002110 |
Provider Name | Teri Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114634094 PECOS PAC ID: 2567831035 Enrollment ID: I20221206002222 |
Provider Name | Francis Chalas Hungria |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609285808 PECOS PAC ID: 1658623285 Enrollment ID: I20230413003107 |
Provider Name | Robbin L Truett |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639866098 PECOS PAC ID: 8628433737 Enrollment ID: I20230425000938 |
Provider Name | Erickson Angen Baldera Garces |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1447903661 PECOS PAC ID: 4486019254 Enrollment ID: I20230501000537 |
Provider Name | Guyathri Mylinee Sivothayan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588350326 PECOS PAC ID: 8729444252 Enrollment ID: I20230525000883 |
Provider Name | Jaime Leavitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053002717 PECOS PAC ID: 8921465212 Enrollment ID: I20230531003660 |
Provider Name | Carolina Amador |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801542170 PECOS PAC ID: 8729474309 Enrollment ID: I20230606003473 |
Provider Name | Matthew Posada |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659909653 PECOS PAC ID: 9931527587 Enrollment ID: I20230620000480 |
Provider Name | Atef Wasef |
---|---|
Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1730140542 PECOS PAC ID: 0446215347 Enrollment ID: I20230831004650 |
Provider Name | Elizabeth Rose Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841078508 PECOS PAC ID: 3577919240 Enrollment ID: I20231108001652 |
Provider Name | Ritika Ohri |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1295175362 PECOS PAC ID: 7517240898 Enrollment ID: I20231211003532 |
Provider Name | John Samaan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1225325988 PECOS PAC ID: 9133413164 Enrollment ID: I20231220003576 |
Provider Name | Kim Pham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700571395 PECOS PAC ID: 5092163774 Enrollment ID: I20240502001540 |
Provider Name | Roilan Garcia Noblet |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1477263937 PECOS PAC ID: 0547616419 Enrollment ID: I20240503000527 |
Provider Name | Jose L Medina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619735701 PECOS PAC ID: 2860834892 Enrollment ID: I20240522002860 |
Martinez Cruz Medical Associates Of The Villages Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 N Us Highway 441, Bldg 920 Ste 922, The Villages, FL 32159 Phone: 352-750-6650 Fax: 352-750-6651 | |
Bethsaida Healthcare System Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 910 Old Camp Rd Ste 144, The Villages, FL 32162 Phone: 352-753-2224 Fax: 353-753-0833 | |
The Villages Regional Hospital East Campus Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Us Highway 441, Suite 1830, The Villages, FL 32159 Phone: 352-751-8828 | |
Premier Medical Associates Of Florida Healthcare, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1580 Santa Barbara Blvd, The Villages, FL 32159 Phone: 352-259-2159 | |
Life Family Practice Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Us Highway 441, 1702, The Villages, FL 32159 Phone: 352-750-4333 Fax: 352-750-2034 | |
The Villages Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Us Highway 441, Suite 1404, The Villages, FL 32159 Phone: 352-350-2136 Fax: 352-350-2137 |