| The Villages Health | |
|
779 Kristine Way The Villages FL 32163 | |
| (352) 674-1700 | |
| Not Available |
| Full Name | The Villages Health |
|---|---|
| Speciality | General Practice |
| Location | 779 Kristine Way, The Villages, Florida |
| Authorized Official Name and Position | Jeffrey Lowenkron (CMO) |
| Authorized Official Contact | 3526748950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Villages Health 1020 Lake Sumter Lndg The Villages FL 32162-2699 Ph: (352) 674-8905 | The Villages Health 779 Kristine Way The Villages FL 32163 Ph: (352) 674-1700 |
| NPI Number | 1699012922 |
|---|---|
| Provider Enumeration Date | 01/07/2013 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 2163667288 |
|---|---|
| Medicare Enrollment ID | O20130320000580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699012922 | NPI | - | NPPES |
| 0041U | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Stephen J Sandler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851387542 PECOS PAC ID: 0648160861 Enrollment ID: I20040319000213 |
| Provider Name | John D Thompson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578624342 PECOS PAC ID: 4880676790 Enrollment ID: I20040607000500 |
| Provider Name | Tomas Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659442903 PECOS PAC ID: 0143297564 Enrollment ID: I20040915000352 |
| Provider Name | Yiqun Hu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972529592 PECOS PAC ID: 0547218455 Enrollment ID: I20050107000197 |
| Provider Name | Albert F Turri |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1093750002 PECOS PAC ID: 8426086414 Enrollment ID: I20050808000148 |
| Provider Name | Deon K Sutherland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184784845 PECOS PAC ID: 3870524846 Enrollment ID: I20050830000243 |
| Provider Name | Joanne Kitson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124092374 PECOS PAC ID: 2264454784 Enrollment ID: I20051228000229 |
| Provider Name | Christopher S Pead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972596260 PECOS PAC ID: 6103840095 Enrollment ID: I20060118000656 |
| Provider Name | Julie E Sudduth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326060716 PECOS PAC ID: 9436166923 Enrollment ID: I20060308000243 |
| Provider Name | Thiruvallur E Vallabhan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316992175 PECOS PAC ID: 6406754076 Enrollment ID: I20070105000305 |
| Provider Name | Jody L Costanzo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356373732 PECOS PAC ID: 2860591575 Enrollment ID: I20070621000146 |
| Provider Name | Jesus Mendiolaza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437294881 PECOS PAC ID: 3971690520 Enrollment ID: I20071030000392 |
| Provider Name | Sylvia Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366652364 PECOS PAC ID: 5395834188 Enrollment ID: I20071201000046 |
| Provider Name | Harsha Rajashekar |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1760668164 PECOS PAC ID: 8426121260 Enrollment ID: I20080726000090 |
| Provider Name | Richard S Hoffer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760461081 PECOS PAC ID: 8729991740 Enrollment ID: I20080811000438 |
| Provider Name | Michele A Cofield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164421301 PECOS PAC ID: 6002874005 Enrollment ID: I20081103000264 |
| Provider Name | Debra A Fulton-fisette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497907547 PECOS PAC ID: 6608904917 Enrollment ID: I20100506000948 |
| Provider Name | Daniel W Whinnen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487647772 PECOS PAC ID: 3375594997 Enrollment ID: I20100727000262 |
| Provider Name | Denise Claire Ollivierre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124021712 PECOS PAC ID: 0244355311 Enrollment ID: I20100913000673 |
| Provider Name | John B Stabler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972547370 PECOS PAC ID: 8628971033 Enrollment ID: I20100925000333 |
| Provider Name | Robert I Kersh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609847276 PECOS PAC ID: 6002932464 Enrollment ID: I20100927000808 |
| Provider Name | Victor S Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760790661 PECOS PAC ID: 7618165267 Enrollment ID: I20101222001024 |
| Provider Name | Matthew A. Shlapack |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982729109 PECOS PAC ID: 4688844566 Enrollment ID: I20110901000334 |
| Provider Name | Lauren M Hana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477650141 PECOS PAC ID: 3274585575 Enrollment ID: I20111003000607 |
| Provider Name | Tressie L Waldo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225023849 PECOS PAC ID: 0446416333 Enrollment ID: I20120720000430 |
| Provider Name | David Lawerence Modders |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346460862 PECOS PAC ID: 2466601182 Enrollment ID: I20121012000164 |
| Provider Name | Brooke A Leever |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891048922 PECOS PAC ID: 3678727625 Enrollment ID: I20130129000353 |
| Provider Name | Michael E Clifford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821065657 PECOS PAC ID: 5698738300 Enrollment ID: I20130206000540 |
| Provider Name | John E Hocutt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982679924 PECOS PAC ID: 1153372628 Enrollment ID: I20130417000688 |
| Provider Name | Brooks Betts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982653325 PECOS PAC ID: 9537262449 Enrollment ID: I20130531000196 |
| Provider Name | Uyen Anh Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053415158 PECOS PAC ID: 1850584103 Enrollment ID: I20130627000314 |
| Provider Name | Saul Rosenblum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770563991 PECOS PAC ID: 5193771772 Enrollment ID: I20130709000307 |
| Provider Name | Kimberly W Giovannelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063709012 PECOS PAC ID: 1850532276 Enrollment ID: I20130729000205 |
| Provider Name | Robert Reilly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992725089 PECOS PAC ID: 5597787366 Enrollment ID: I20130729000289 |
| Provider Name | Edmund G Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104854421 PECOS PAC ID: 1658458708 Enrollment ID: I20131021001846 |
| Provider Name | Robert Herman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760493563 PECOS PAC ID: 3971569179 Enrollment ID: I20131022002041 |
| Provider Name | James H Mersey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669477683 PECOS PAC ID: 4486551116 Enrollment ID: I20131119000911 |
| Provider Name | Smita Ojha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922184498 PECOS PAC ID: 9931281086 Enrollment ID: I20140604001670 |
| Provider Name | Ashok Ojha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659457117 PECOS PAC ID: 7719966936 Enrollment ID: I20140610002358 |
| Provider Name | Mirko Roethlisberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205885480 PECOS PAC ID: 3173551918 Enrollment ID: I20140617002016 |
| Provider Name | Laura Cloukey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538158423 PECOS PAC ID: 9537190491 Enrollment ID: I20140919001652 |
| Provider Name | Suzanne E Graham-hooker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235103441 PECOS PAC ID: 0840212825 Enrollment ID: I20141216000051 |
| Provider Name | Frank James Melidona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497756878 PECOS PAC ID: 7113838277 Enrollment ID: I20150102000803 |
| Provider Name | James F Flaherty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639148331 PECOS PAC ID: 5890704324 Enrollment ID: I20150115002309 |
| Provider Name | Robert Skotnicki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215930334 PECOS PAC ID: 9234106428 Enrollment ID: I20150413001836 |
| Provider Name | Heidi Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174559173 PECOS PAC ID: 2264566264 Enrollment ID: I20150601002111 |
| Provider Name | Brooke Thermidor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083787675 PECOS PAC ID: 4789750035 Enrollment ID: I20150625001040 |
| Provider Name | Jeffrey D. Lowenkron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659432177 PECOS PAC ID: 0749336576 Enrollment ID: I20150831001802 |
| Provider Name | Vjolka Zaka |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780051433 PECOS PAC ID: 0648580530 Enrollment ID: I20151104002826 |
| Provider Name | Donna K Koss-bradish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487050522 PECOS PAC ID: 2567786304 Enrollment ID: I20151201001817 |
| Provider Name | Kristen Michelle Hubbard |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437514536 PECOS PAC ID: 0042514275 Enrollment ID: I20160209002356 |
| Provider Name | Susan L. Lephart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194976647 PECOS PAC ID: 3779630264 Enrollment ID: I20160525000196 |
| Provider Name | Kimberly Basham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790154169 PECOS PAC ID: 9335439157 Enrollment ID: I20160608000016 |
| Provider Name | Sweny Gulati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689011736 PECOS PAC ID: 5991949174 Enrollment ID: I20160630001815 |
| Provider Name | Elizabeth M Raquet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780647644 PECOS PAC ID: 5294870275 Enrollment ID: I20160722002289 |
| Provider Name | Ashley L Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053573568 PECOS PAC ID: 6901063502 Enrollment ID: I20160803001880 |
| Provider Name | Sarah Montero |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679924310 PECOS PAC ID: 5890081699 Enrollment ID: I20160902001141 |
| Provider Name | Yerania Rodriguez Navedo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548454788 PECOS PAC ID: 7416181292 Enrollment ID: I20161110001212 |
| Provider Name | Gregory V Freeman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629081955 PECOS PAC ID: 4082687868 Enrollment ID: I20170215000244 |
| Provider Name | Anna-marie M Roswold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205362332 PECOS PAC ID: 3072883479 Enrollment ID: I20170718001357 |
| Provider Name | Rani Marie Arkwell Powierza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992231021 PECOS PAC ID: 7517230352 Enrollment ID: I20170830001906 |
| Provider Name | Wayne Carroll Burgess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790703981 PECOS PAC ID: 2062488166 Enrollment ID: I20181221001550 |
| Provider Name | Catherine L Sullivan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548256100 PECOS PAC ID: 1850281155 Enrollment ID: I20190103001017 |
| Provider Name | Shelia Moore-miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427452127 PECOS PAC ID: 2062720428 Enrollment ID: I20190205000980 |
| Provider Name | Alexandra Zambito Hopkins |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801376249 PECOS PAC ID: 7911250824 Enrollment ID: I20190315000038 |
| Provider Name | Sheila A Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215988548 PECOS PAC ID: 7618115742 Enrollment ID: I20190326001005 |
| Provider Name | Jofy Gerard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821558321 PECOS PAC ID: 9436490349 Enrollment ID: I20190402002296 |
| Provider Name | Netrali Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255596052 PECOS PAC ID: 2466624341 Enrollment ID: I20190426000695 |
| Provider Name | Sobia Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548672769 PECOS PAC ID: 0446592174 Enrollment ID: I20190430001244 |
| Provider Name | Priscilla Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649631896 PECOS PAC ID: 7315245057 Enrollment ID: I20190604001582 |
| Provider Name | Raymond J Mis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023014735 PECOS PAC ID: 7911924485 Enrollment ID: I20190612000907 |
| Provider Name | Joseph Michael Rizzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942658083 PECOS PAC ID: 8325374499 Enrollment ID: I20190726001477 |
| Provider Name | Darlene Patricia Strossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497008072 PECOS PAC ID: 2163667726 Enrollment ID: I20190820001328 |
| Provider Name | James S Wrobel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881797223 PECOS PAC ID: 5092899856 Enrollment ID: I20190919003093 |
| Provider Name | Kristin N Debusk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134774896 PECOS PAC ID: 7911237722 Enrollment ID: I20190920002251 |
| Provider Name | Alan Sonsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083723225 PECOS PAC ID: 0547205106 Enrollment ID: I20191002002534 |
| Provider Name | Rebecca Lynn Craven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679036776 PECOS PAC ID: 4082945134 Enrollment ID: I20191004000058 |
| Provider Name | Neutt Dellareeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396201638 PECOS PAC ID: 1254663578 Enrollment ID: I20191105002591 |
| Provider Name | Danielle L Blakemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437533973 PECOS PAC ID: 3971812173 Enrollment ID: I20191212002031 |
| Provider Name | Laura Anne Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053329367 PECOS PAC ID: 9739086083 Enrollment ID: I20200108001438 |
| Provider Name | Jennifer Peters |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356378277 PECOS PAC ID: 1658465364 Enrollment ID: I20200228000047 |
| Provider Name | Allison G Yow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124289731 PECOS PAC ID: 0345496089 Enrollment ID: I20200324001550 |
| Provider Name | Tracey Lee Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164069860 PECOS PAC ID: 0547690158 Enrollment ID: I20200422003362 |
| Provider Name | Roland R More |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437250065 PECOS PAC ID: 2860528056 Enrollment ID: I20200505000788 |
| Provider Name | Greg J Jun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043212780 PECOS PAC ID: 7315917606 Enrollment ID: I20200506000835 |
| Provider Name | Pranav Ravi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881076040 PECOS PAC ID: 0446597694 Enrollment ID: I20200611002165 |
| Provider Name | Jenna L Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487280434 PECOS PAC ID: 4284056037 Enrollment ID: I20200624000289 |
| Provider Name | Samantha Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275141954 PECOS PAC ID: 5193144079 Enrollment ID: I20200925001300 |
| Provider Name | Sharon L Peterson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346584943 PECOS PAC ID: 7113346503 Enrollment ID: I20201005001353 |
| Provider Name | Adam Kakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700048618 PECOS PAC ID: 7517957681 Enrollment ID: I20201014001224 |
| Provider Name | Carrie Joan Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275175457 PECOS PAC ID: 2860812328 Enrollment ID: I20201022000085 |
| Provider Name | Lacey Jane Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063001832 PECOS PAC ID: 3375958127 Enrollment ID: I20210209001708 |
| Provider Name | Theresa Konieczny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720615958 PECOS PAC ID: 8628485554 Enrollment ID: I20210322000525 |
| Provider Name | Vanessa Lynn Bingamon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073102307 PECOS PAC ID: 3375950116 Enrollment ID: I20210324000144 |
| Provider Name | Faustino Macuha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548402423 PECOS PAC ID: 6305025545 Enrollment ID: I20210512002456 |
| Provider Name | Elizabeth Pautler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750822474 PECOS PAC ID: 3072899731 Enrollment ID: I20210615002764 |
| Provider Name | Samuel Estochen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821637224 PECOS PAC ID: 5698102945 Enrollment ID: I20210629000068 |
| Provider Name | Stacy Odowd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700853082 PECOS PAC ID: 9830177435 Enrollment ID: I20210708003090 |
| Provider Name | Jeanine Marie Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134700461 PECOS PAC ID: 0446652200 Enrollment ID: I20210715003159 |
| Provider Name | Tila Alicia Skipper-resendiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770195430 PECOS PAC ID: 7113329855 Enrollment ID: I20210716001980 |
| Provider Name | Sara Ishaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124515903 PECOS PAC ID: 6608111786 Enrollment ID: I20210921000821 |
| Provider Name | Kathie Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841272499 PECOS PAC ID: 1355394495 Enrollment ID: I20211007003181 |
| Provider Name | Joseph Michael Rios |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487194742 PECOS PAC ID: 8729486170 Enrollment ID: I20211014003222 |
| Provider Name | Jahnyra Jahrisha Cambran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992477939 PECOS PAC ID: 7214335959 Enrollment ID: I20211019000436 |
| Provider Name | Kayla Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831852235 PECOS PAC ID: 2163811514 Enrollment ID: I20211105001419 |
| Provider Name | Denitra Bost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356910459 PECOS PAC ID: 9931598943 Enrollment ID: I20211112001788 |
| Provider Name | Linda Marts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386053056 PECOS PAC ID: 2769602887 Enrollment ID: I20211202001200 |
| Provider Name | Amber Leight Teresa Hartzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508530775 PECOS PAC ID: 6800287871 Enrollment ID: I20211230000032 |
| Provider Name | Kenechi Anuligo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093974305 PECOS PAC ID: 3971787763 Enrollment ID: I20220105000890 |
| Provider Name | Obie Ramsay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952504789 PECOS PAC ID: 6608905658 Enrollment ID: I20220120001882 |
| Provider Name | Greg Hawkesworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790978120 PECOS PAC ID: 0345434221 Enrollment ID: I20220124001690 |
| Provider Name | Hugo Bloise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477080414 PECOS PAC ID: 5092107060 Enrollment ID: I20220125001343 |
| Provider Name | Jeffrey G Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891732004 PECOS PAC ID: 5496776981 Enrollment ID: I20220207001971 |
| Provider Name | Emily Matheson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912518424 PECOS PAC ID: 3274943535 Enrollment ID: I20220208001392 |
| Provider Name | Lisa M Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316583362 PECOS PAC ID: 7416341532 Enrollment ID: I20220304002037 |
| Provider Name | Frederick Niegos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649277401 PECOS PAC ID: 2769432038 Enrollment ID: I20220305000077 |
| Provider Name | Kelly Deboer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023070257 PECOS PAC ID: 2961402102 Enrollment ID: I20220309001893 |
| Provider Name | Adam M Matheson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932560059 PECOS PAC ID: 0840599536 Enrollment ID: I20220317000490 |
| Provider Name | Suze H Tessier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972241883 PECOS PAC ID: 2860871118 Enrollment ID: I20220616002958 |
| Provider Name | Andrea Galloway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942224225 PECOS PAC ID: 8325009681 Enrollment ID: I20220727000772 |
| Provider Name | Rosa De Carvalho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699235655 PECOS PAC ID: 9537542675 Enrollment ID: I20220822003689 |
| Provider Name | Lina Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316406200 PECOS PAC ID: 6305245002 Enrollment ID: I20220908000140 |
| Provider Name | Latifah Sabree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811978059 PECOS PAC ID: 9739121286 Enrollment ID: I20220913002265 |
| Provider Name | Mary Busto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093193112 PECOS PAC ID: 7315250032 Enrollment ID: I20220927001220 |
| Provider Name | Tabatha Harley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598336075 PECOS PAC ID: 9436547999 Enrollment ID: I20221201002984 |
| Provider Name | Arlene Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275579203 PECOS PAC ID: 1557367984 Enrollment ID: I20221202000548 |
| Provider Name | Joyce Kusuma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144536145 PECOS PAC ID: 8729254982 Enrollment ID: I20230208000305 |
| Provider Name | Jennifer Hooker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558942854 PECOS PAC ID: 4688043615 Enrollment ID: I20230209000032 |
| Provider Name | Sundararaj Cherala |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1689698359 PECOS PAC ID: 1951207901 Enrollment ID: I20230222003246 |
| Provider Name | Julie Diane Roberts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811964463 PECOS PAC ID: 7416905880 Enrollment ID: I20230306000664 |
| Provider Name | Kent Kirby |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013980697 PECOS PAC ID: 2163521642 Enrollment ID: I20230324000921 |
| Provider Name | Michael Reed |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558740266 PECOS PAC ID: 9739430083 Enrollment ID: I20230414000918 |
| Provider Name | Ronald Grose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699743310 PECOS PAC ID: 3779561386 Enrollment ID: I20230421002652 |
| Provider Name | Swati Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144566001 PECOS PAC ID: 2365684099 Enrollment ID: I20230426002266 |
| Provider Name | Julie Wuest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154395135 PECOS PAC ID: 7618059643 Enrollment ID: I20230427002204 |
| Provider Name | Madhu L Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437326238 PECOS PAC ID: 8426126111 Enrollment ID: I20230612003211 |
| Provider Name | Kaley Saraha Caruthers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245914225 PECOS PAC ID: 3779941091 Enrollment ID: I20230620000169 |
| Provider Name | Kathryn Mcallister |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1912602418 PECOS PAC ID: 4789043340 Enrollment ID: I20230629003915 |
| Provider Name | Michael Daugherty |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467447938 PECOS PAC ID: 7719012145 Enrollment ID: I20230712001692 |
| Provider Name | Lakshmidevi Persaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629755772 PECOS PAC ID: 1254791700 Enrollment ID: I20230717001002 |
| Provider Name | Colby Lane Eisenbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982068045 PECOS PAC ID: 7911291356 Enrollment ID: I20230824000866 |
| Provider Name | Desiree Casasnovas-lopez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851596738 PECOS PAC ID: 1355480591 Enrollment ID: I20230919000010 |
| Provider Name | Donna Slattery Genzale |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659504702 PECOS PAC ID: 6507997202 Enrollment ID: I20231020001645 |
| Provider Name | Mahmoud Hazim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578149027 PECOS PAC ID: 4183070485 Enrollment ID: I20231023002381 |
| Provider Name | Tabitha Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003089129 PECOS PAC ID: 3577632199 Enrollment ID: I20231222001752 |
| Provider Name | Lela Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972505923 PECOS PAC ID: 9032109657 Enrollment ID: I20240108003207 |
| Provider Name | Isabel Denis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568905537 PECOS PAC ID: 5496006587 Enrollment ID: I20240301000145 |
| Provider Name | Andrea Leclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164145892 PECOS PAC ID: 8224405881 Enrollment ID: I20240326004246 |
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 | |
Premier Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1580 Santa Barbara Blvd, Suite C, The Villages, FL 32159 Phone: 352-259-2159 Fax: 352-259-5731 |