| Rizwana Thanawala Md Pa | |
|
4367 Nw American Ln Lake City FL 32055-4828 | |
| (386) 758-6094 | |
| (386) 758-6995 |
| Full Name | Rizwana Thanawala Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4367 Nw American Ln, Lake City, Florida |
| Authorized Official Name and Position | Rizwana Thanawala (OWNER) |
| Authorized Official Contact | 3867586094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rizwana Thanawala Md Pa 4367 Nw American Lane Lake City FL 32055-4828 Ph: (386) 758-6094 | Rizwana Thanawala Md Pa 4367 Nw American Ln Lake City FL 32055-4828 Ph: (386) 758-6094 |
| NPI Number | 1194945097 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 01/31/2011 |
| Medicare PECOS PAC ID | 5092706994 |
|---|---|
| Medicare Enrollment ID | O20040519001662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194945097 | NPI | - | NPPES |
| 74502 | Other | FL | BCBS GROUP ID |
| 266910200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Mitchell Duterte |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558345462 PECOS PAC ID: 7810988235 Enrollment ID: I20040524000123 |
| Provider Name | Rizwana Thanawala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922082833 PECOS PAC ID: 6800887704 Enrollment ID: I20040524000148 |
| Provider Name | William S Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457345092 PECOS PAC ID: 9234188897 Enrollment ID: I20050617000598 |
| Provider Name | Philip A Carnevale |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1225105299 PECOS PAC ID: 6204867849 Enrollment ID: I20050824000214 |
| Provider Name | Darrah L Friedman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033248604 PECOS PAC ID: 3173623832 Enrollment ID: I20070710000634 |
| Provider Name | Kimberly Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073784807 PECOS PAC ID: 3971674367 Enrollment ID: I20080612000100 |
| Provider Name | Cameron Cushenbery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093953259 PECOS PAC ID: 3577629930 Enrollment ID: I20090310000222 |
| Provider Name | Zohar Levites |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912147794 PECOS PAC ID: 2062579386 Enrollment ID: I20090331000392 |
| Provider Name | Luis H Cajina |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841200367 PECOS PAC ID: 0143128066 Enrollment ID: I20100203000606 |
| Provider Name | Veronica Adderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760712459 PECOS PAC ID: 7618012758 Enrollment ID: I20100301000834 |
| Provider Name | Efrain De Leon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902874225 PECOS PAC ID: 3971786856 Enrollment ID: I20110330000942 |
| Provider Name | Amy S Kirby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053610576 PECOS PAC ID: 0941485247 Enrollment ID: I20110502000532 |
| Provider Name | John B Weatherwax |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902943038 PECOS PAC ID: 4183801749 Enrollment ID: I20110607000758 |
| Provider Name | Cimaron Holt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457646721 PECOS PAC ID: 3274702881 Enrollment ID: I20110816000083 |
| Provider Name | Brian C Rhoden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417237371 PECOS PAC ID: 6507038999 Enrollment ID: I20111006000653 |
| Provider Name | John Pierce Floyd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538419858 PECOS PAC ID: 9638320385 Enrollment ID: I20121106000691 |
| Provider Name | Israel Hernandez Ramirez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225479801 PECOS PAC ID: 1951544865 Enrollment ID: I20130826000115 |
| Provider Name | Faisal Mukhtar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093973943 PECOS PAC ID: 3779635354 Enrollment ID: I20141219000879 |
| Provider Name | Kimberly Guadalupe-andersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275949323 PECOS PAC ID: 5092081174 Enrollment ID: I20171017002004 |
| Provider Name | Jennifer L Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386152072 PECOS PAC ID: 1850647280 Enrollment ID: I20180627002347 |
| Provider Name | Ariel D Parnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942706452 PECOS PAC ID: 0941546584 Enrollment ID: I20190118000057 |
| Provider Name | Victoria C Mejia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003387994 PECOS PAC ID: 7719225143 Enrollment ID: I20190211001912 |
| Provider Name | Yvette Bantilan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346711926 PECOS PAC ID: 0042559742 Enrollment ID: I20190225000706 |
| Provider Name | Shawn Dooley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063077329 PECOS PAC ID: 8325378292 Enrollment ID: I20190919002907 |
| Provider Name | Sarah A Galloway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083991350 PECOS PAC ID: 5193154268 Enrollment ID: I20200413000202 |
Ernest De Leon, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4225 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6141 | |
Richard Weizenecker, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1297 Sw State Road 47, Lake City, FL 32025 Phone: 386-752-4711 Fax: 386-752-5075 | |
Palms Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 173 Nw Albritton Ln, Lake City, FL 32055 Phone: 386-755-4020 Fax: 386-752-9143 | |
Artemis Billing Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 284 Sw Loren Ct, Lake City, FL 32024 Phone: 772-404-8426 Fax: 772-209-7667 | |
Internal Medicine Of Lake City , Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 334 Sw Commerce Dr, Suite 2, Lake City, FL 32025 Phone: 386-755-1703 Fax: 386-755-1744 | |
Randolph Medical Practices Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1847 Sw Barnett Way, Lake City, FL 32025 Phone: 386-755-1440 Fax: 386-758-5628 | |
Raimah Primary Care Center Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1283 Sw State Road 47, 103, Lake City, FL 32025 Phone: 386-754-0339 Fax: 386-754-0393 |