| Louis J Radnothy DO PA | |
|
390 S Central Ave Umatilla FL 32784-2325 | |
| (352) 669-3175 | |
| (352) 669-3640 |
| Full Name | Louis J Radnothy DO PA |
|---|---|
| Speciality | Clinic/Center |
| Location | 390 S Central Ave, Umatilla, Florida |
| Authorized Official Name and Position | Dharti Bisht (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3526693175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louis J Radnothy DO PA Po Box 2325 Umatilla FL 32784-2325 Ph: (352) 669-3175 | Louis J Radnothy DO PA 390 S Central Ave Umatilla FL 32784-2325 Ph: (352) 669-3175 |
| NPI Number | 1578639209 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 07/03/2023 |
| Certification Date | 07/03/2023 |
| Medicare PECOS PAC ID | 2769455369 |
|---|---|
| Medicare Enrollment ID | O20040812001276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578639209 | NPI | - | NPPES |
| Provider Name | Jeffrey Stephen Boyd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023194636 PECOS PAC ID: 7113990722 Enrollment ID: I20040812001360 |
| Provider Name | Birendra Bhattarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851592802 PECOS PAC ID: 9931295698 Enrollment ID: I20071011000403 |
| Provider Name | Barbara B Endsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548328602 PECOS PAC ID: 3476601030 Enrollment ID: I20090508000282 |
| Provider Name | Candy L Gott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316397458 PECOS PAC ID: 0244518975 Enrollment ID: I20161031001097 |
| Provider Name | Chaudhry S Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700226537 PECOS PAC ID: 3971824707 Enrollment ID: I20170918001275 |
| Provider Name | Jenniffer De La Rosa Ogando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891176038 PECOS PAC ID: 1052660560 Enrollment ID: I20180816001738 |
| Provider Name | Kyaw Z Minn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902289127 PECOS PAC ID: 7911298351 Enrollment ID: I20180821000608 |
| Provider Name | Neeta Harshavardhan Mauskar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609378728 PECOS PAC ID: 7719236884 Enrollment ID: I20180822002722 |
| Provider Name | Sharon Eileen Molok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073148672 PECOS PAC ID: 0143659425 Enrollment ID: I20200408000892 |
| Provider Name | Maria Fernanda Rosero Basurto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790190718 PECOS PAC ID: 5799116133 Enrollment ID: I20200519000838 |
| Provider Name | David S Levy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497360259 PECOS PAC ID: 8921419086 Enrollment ID: I20201120000301 |
| Provider Name | Essam Saad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750943106 PECOS PAC ID: 2668852690 Enrollment ID: I20220707002429 |
| Provider Name | Jordan Andrew Walker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750939831 PECOS PAC ID: 4284019597 Enrollment ID: I20220921003988 |
| Provider Name | James a Pinotti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477181956 PECOS PAC ID: 8921446691 Enrollment ID: I20240401003449 |
Premier Nursing Home Consultants, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Guerrant Street, Umatilla, FL 32784 Phone: 352-669-4159 |