| Buchanan Physical Medicine, Inc | |
|
9836 Us Highway 441 Leesburg FL 34788-7273 | |
| (352) 787-8531 | |
| (352) 787-3041 |
| Full Name | Buchanan Physical Medicine, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9836 Us Highway 441, Leesburg, Florida |
| Authorized Official Name and Position | Tige R Buchanan (OWNER) |
| Authorized Official Contact | 3527878531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buchanan Physical Medicine, Inc 9836 Us Highway 441 Leesburg FL 34788-7273 Ph: (352) 787-8531 | Buchanan Physical Medicine, Inc 9836 Us Highway 441 Leesburg FL 34788-7273 Ph: (352) 787-8531 |
| NPI Number | 1407212087 |
|---|---|
| Provider Enumeration Date | 01/12/2016 |
| Last Update Date | 07/18/2016 |
| Medicare PECOS PAC ID | 1153609441 |
|---|---|
| Medicare Enrollment ID | O20161020000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407212087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Frank Paiano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588616353 PECOS PAC ID: 1153307418 Enrollment ID: I20040628000173 |
| Provider Name | Tige R Buchanan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417989658 PECOS PAC ID: 4082624895 Enrollment ID: I20060424000595 |
| Provider Name | William J Garofolo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225105463 PECOS PAC ID: 7416101845 Enrollment ID: I20130211000568 |
| Provider Name | Karlton Jiang Teim Kwan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841680956 PECOS PAC ID: 0345560462 Enrollment ID: I20150513001009 |
| Provider Name | Dana Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649636945 PECOS PAC ID: 0941588644 Enrollment ID: I20161101000847 |
| Provider Name | Katie Leigh Thomas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538621313 PECOS PAC ID: 0840533519 Enrollment ID: I20190521000839 |
| Provider Name | Amberly R Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780145086 PECOS PAC ID: 4981939162 Enrollment ID: I20190710001654 |
| Provider Name | Pamala S Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770164113 PECOS PAC ID: 0042618142 Enrollment ID: I20211004002065 |
| Provider Name | Jennifer Aldamuy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508441890 PECOS PAC ID: 4688068448 Enrollment ID: I20220222001125 |
| Provider Name | Peter Sidhom |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225747264 PECOS PAC ID: 7719429166 Enrollment ID: I20240612004522 |
| Provider Name | Shazia A Sadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255180022 PECOS PAC ID: 1355888504 Enrollment ID: I20240806000081 |
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