| Parrish Medical Group | |
|
250 Harrison St Titusville FL 32780 | |
| (321) 268-6868 | |
| (321) 267-2713 |
| Full Name | Parrish Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 250 Harrison St, Titusville, Florida |
| Authorized Official Name and Position | Christopher Mcalpine (SR VP-ADMINISTRATION) |
| Authorized Official Contact | 3212686111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parrish Medical Group 805 Century Medical Dr Ste C Titusville FL 32796-2100 Ph: (321) 268-6263 | Parrish Medical Group 250 Harrison St Titusville FL 32780 Ph: (321) 268-6868 |
| NPI Number | 1609834886 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 06/14/2022 |
| Certification Date | 06/14/2022 |
| Medicare PECOS PAC ID | 7618870296 |
|---|---|
| Medicare Enrollment ID | O20040130000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609834886 | NPI | - | NPPES |
| 265539009 | Medicaid | FL | |
| 265539000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 163WW0000X | Registered Nurse - Wound Care | (NU) | Secondary |
| Provider Name | Octavio Cosme-montalvo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255324000 PECOS PAC ID: 3173423852 Enrollment ID: I20040109000659 |
| Provider Name | Vidya N Hate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043312945 PECOS PAC ID: 1850384983 Enrollment ID: I20040405001880 |
| Provider Name | Melchor E Gonzalez |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902806151 PECOS PAC ID: 4486648672 Enrollment ID: I20040412000645 |
| Provider Name | Michael Sorbello |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730138793 PECOS PAC ID: 0941297501 Enrollment ID: I20040427000913 |
| Provider Name | Hugo J Montes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225084189 PECOS PAC ID: 7911987771 Enrollment ID: I20040722000388 |
| Provider Name | Paul Karlinsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750360723 PECOS PAC ID: 5294705851 Enrollment ID: I20040730000219 |
| Provider Name | Robert P Henry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619995628 PECOS PAC ID: 4981660800 Enrollment ID: I20041202000711 |
| Provider Name | Jayne E Derocher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720024698 PECOS PAC ID: 7214985522 Enrollment ID: I20050104000269 |
| Provider Name | Jana Sulzer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184685240 PECOS PAC ID: 3173573557 Enrollment ID: I20050124000649 |
| Provider Name | Adam Green |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649226804 PECOS PAC ID: 5890730899 Enrollment ID: I20050621000492 |
| Provider Name | Ajay Pancholy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144289539 PECOS PAC ID: 2062472384 Enrollment ID: I20050709000002 |
| Provider Name | Margo H Roca |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114973542 PECOS PAC ID: 1052204989 Enrollment ID: I20050709000011 |
| Provider Name | Tanya I Taival |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689787848 PECOS PAC ID: 4981634656 Enrollment ID: I20050813000015 |
| Provider Name | Christopher M Manion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104937390 PECOS PAC ID: 6103831573 Enrollment ID: I20060207000686 |
| Provider Name | Pamela S Tronetti |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649258864 PECOS PAC ID: 8224937701 Enrollment ID: I20060821000305 |
| Provider Name | David J Germain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881653269 PECOS PAC ID: 3274531694 Enrollment ID: I20061120000287 |
| Provider Name | Douglas Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124087515 PECOS PAC ID: 6709881907 Enrollment ID: I20070112000018 |
| Provider Name | Mark R Licht |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306841473 PECOS PAC ID: 6800999293 Enrollment ID: I20070305000499 |
| Provider Name | Lance H Knecht |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417937418 PECOS PAC ID: 7719913417 Enrollment ID: I20070627000488 |
| Provider Name | Ammar Hemaidan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033149752 PECOS PAC ID: 6709771470 Enrollment ID: I20070808000406 |
| Provider Name | Zarina Quintinita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386850964 PECOS PAC ID: 4880788793 Enrollment ID: I20070924000173 |
| Provider Name | Rajee Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336133156 PECOS PAC ID: 8123112034 Enrollment ID: I20070924000205 |
| Provider Name | Ryan Murtagh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548396997 PECOS PAC ID: 3678663127 Enrollment ID: I20071220000283 |
| Provider Name | Eugene Go |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528052065 PECOS PAC ID: 7618047440 Enrollment ID: I20080604000700 |
| Provider Name | Leelakrishna Nallamshetty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427197060 PECOS PAC ID: 3072613074 Enrollment ID: I20080724000767 |
| Provider Name | Cara Starkey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063685774 PECOS PAC ID: 3577637040 Enrollment ID: I20080731000505 |
| Provider Name | Bret Neiderman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396958872 PECOS PAC ID: 5799875670 Enrollment ID: I20081029000573 |
| Provider Name | Mark J Swierzewski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497705727 PECOS PAC ID: 7113940123 Enrollment ID: I20090106000771 |
| Provider Name | Anthony J Allotta |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1285831743 PECOS PAC ID: 4880759380 Enrollment ID: I20090217000557 |
| Provider Name | Arlene H Radcliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215172499 PECOS PAC ID: 5092872333 Enrollment ID: I20090331000565 |
| Provider Name | Lalit Kanaparthi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043222870 PECOS PAC ID: 1355347352 Enrollment ID: I20090701000317 |
| Provider Name | Lee E Friedman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992867360 PECOS PAC ID: 2163577107 Enrollment ID: I20090827000377 |
| Provider Name | Bryant Thorpe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295730877 PECOS PAC ID: 8921076225 Enrollment ID: I20091021000664 |
| Provider Name | Luc L Bouquet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831348333 PECOS PAC ID: 1850430539 Enrollment ID: I20091209000692 |
| Provider Name | Cindy R Parker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851506760 PECOS PAC ID: 8527108893 Enrollment ID: I20091217000070 |
| Provider Name | Aluino L Ochoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215939509 PECOS PAC ID: 5092860635 Enrollment ID: I20100208000641 |
| Provider Name | Aaron Hattaway |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689842643 PECOS PAC ID: 3274605696 Enrollment ID: I20100304000758 |
| Provider Name | Yash V Sachdev |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467481689 PECOS PAC ID: 0042355570 Enrollment ID: I20100308000700 |
| Provider Name | Jonathan J Lubitz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962406348 PECOS PAC ID: 8123158151 Enrollment ID: I20100617000353 |
| Provider Name | Alphonse Pecoraro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568485852 PECOS PAC ID: 4486786613 Enrollment ID: I20100722001008 |
| Provider Name | Daniela E Rusovici |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801964788 PECOS PAC ID: 0244422798 Enrollment ID: I20101004000231 |
| Provider Name | James C Vonthron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881680825 PECOS PAC ID: 1355300898 Enrollment ID: I20101020001184 |
| Provider Name | James D Glenn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235101056 PECOS PAC ID: 6709920390 Enrollment ID: I20101103000411 |
| Provider Name | Warren M Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285658252 PECOS PAC ID: 4082694286 Enrollment ID: I20110318000791 |
| Provider Name | Juan Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205836699 PECOS PAC ID: 3476547670 Enrollment ID: I20110502000759 |
| Provider Name | Robert K Oldham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548255334 PECOS PAC ID: 5890880876 Enrollment ID: I20110617000510 |
| Provider Name | Mara De La Vega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750335147 PECOS PAC ID: 1951589084 Enrollment ID: I20110621000037 |
| Provider Name | David Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336374305 PECOS PAC ID: 0547312647 Enrollment ID: I20110713000419 |
| Provider Name | Joshua Blackmon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750599742 PECOS PAC ID: 7113197484 Enrollment ID: I20110823000915 |
| Provider Name | Kimberly E Lundquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649564642 PECOS PAC ID: 8123294782 Enrollment ID: I20120103000239 |
| Provider Name | Todd M. Kaplan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245278589 PECOS PAC ID: 1254507775 Enrollment ID: I20120105000321 |
| Provider Name | Marinely Cruz -amy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740499532 PECOS PAC ID: 9638336639 Enrollment ID: I20120202000468 |
| Provider Name | Arvind a D'cruz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154324986 PECOS PAC ID: 2860446168 Enrollment ID: I20120301000665 |
| Provider Name | Bryan R Parry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548272529 PECOS PAC ID: 3476547332 Enrollment ID: I20120507000565 |
| Provider Name | Osman S Farooq |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013168723 PECOS PAC ID: 6901060961 Enrollment ID: I20120604000523 |
| Provider Name | Nagamani Kurusanganapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154551992 PECOS PAC ID: 5597911693 Enrollment ID: I20120806000368 |
| Provider Name | Nimish K Nemani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871514570 PECOS PAC ID: 8426013756 Enrollment ID: I20121018000651 |
| Provider Name | Guadalupe M Rodriguez Palacios |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326276304 PECOS PAC ID: 8820134075 Enrollment ID: I20130214000484 |
| Provider Name | Mark S Galfo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326041278 PECOS PAC ID: 8921244245 Enrollment ID: I20130411000153 |
| Provider Name | Christina Marie Caito |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821228008 PECOS PAC ID: 5496995086 Enrollment ID: I20130702000360 |
| Provider Name | Judith a Siron |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386621019 PECOS PAC ID: 8729222344 Enrollment ID: I20130923000391 |
| Provider Name | Julia K Haupt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952637464 PECOS PAC ID: 5395887285 Enrollment ID: I20140106001461 |
| Provider Name | Jill Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619228871 PECOS PAC ID: 3476785643 Enrollment ID: I20140423000104 |
| Provider Name | Cassandra Aboy Fernandez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093941700 PECOS PAC ID: 8224252499 Enrollment ID: I20140609000747 |
| Provider Name | Adrian Roznowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003081472 PECOS PAC ID: 2961639109 Enrollment ID: I20140703001715 |
| Provider Name | Dennis J Tishko |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1174591598 PECOS PAC ID: 9931186467 Enrollment ID: I20140715000706 |
| Provider Name | Gus Mitsopoulos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750669032 PECOS PAC ID: 4880810985 Enrollment ID: I20140725001819 |
| Provider Name | Ervin Szoke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467485946 PECOS PAC ID: 1658362124 Enrollment ID: I20141010001017 |
| Provider Name | Pedram Zendehrouh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679641708 PECOS PAC ID: 8527022359 Enrollment ID: I20150220001329 |
| Provider Name | Ajit Janardhan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1518172279 PECOS PAC ID: 2769617885 Enrollment ID: I20150305001731 |
| Provider Name | Leandro Perez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447467949 PECOS PAC ID: 0446420673 Enrollment ID: I20150429001021 |
| Provider Name | Denil N. Shekhat |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396989943 PECOS PAC ID: 2466679378 Enrollment ID: I20150810001241 |
| Provider Name | Shahabuddin Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174899546 PECOS PAC ID: 7214255819 Enrollment ID: I20150831000365 |
| Provider Name | Kenneth E Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457464786 PECOS PAC ID: 1052357639 Enrollment ID: I20151014001883 |
| Provider Name | Jennifer L Von Stroh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174864482 PECOS PAC ID: 6800039512 Enrollment ID: I20160106000518 |
| Provider Name | Bashar Obeidou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033297031 PECOS PAC ID: 4385558196 Enrollment ID: I20160211000022 |
| Provider Name | Linda K Armstrong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285841916 PECOS PAC ID: 4486816105 Enrollment ID: I20160405001243 |
| Provider Name | Earl Brewster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356513261 PECOS PAC ID: 8820269590 Enrollment ID: I20160516001848 |
| Provider Name | Rosanne Henry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508132085 PECOS PAC ID: 4183917891 Enrollment ID: I20160718002041 |
| Provider Name | Jorge Hurtado-cordovi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780993907 PECOS PAC ID: 7719265701 Enrollment ID: I20161026000625 |
| Provider Name | Lisa Rachel Rubenstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114250990 PECOS PAC ID: 1557589975 Enrollment ID: I20170406000691 |
| Provider Name | Travis C Foster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205128568 PECOS PAC ID: 3870743503 Enrollment ID: I20170623002079 |
| Provider Name | Jacklyn Xavier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396172409 PECOS PAC ID: 6204107055 Enrollment ID: I20170811003007 |
| Provider Name | Anton Lishmanov |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275763757 PECOS PAC ID: 4688825532 Enrollment ID: I20170817003039 |
| Provider Name | Sara Ahumada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992174536 PECOS PAC ID: 0547526501 Enrollment ID: I20171107001874 |
| Provider Name | Jibril Dixon Skaden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902281025 PECOS PAC ID: 2163782368 Enrollment ID: I20180208001230 |
| Provider Name | Wendy Phreud Edmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013458561 PECOS PAC ID: 8224398110 Enrollment ID: I20180214002910 |
| Provider Name | Hadi a Bazzi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457615221 PECOS PAC ID: 1951621549 Enrollment ID: I20180219000542 |
| Provider Name | William Wrigley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841740313 PECOS PAC ID: 2365721925 Enrollment ID: I20180515001669 |
| Provider Name | Beibei Oelrich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144519018 PECOS PAC ID: 2668602715 Enrollment ID: I20180620002710 |
| Provider Name | Jennifer Marie Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699277673 PECOS PAC ID: 9133475460 Enrollment ID: I20180628003108 |
| Provider Name | Jaclyn B Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891217154 PECOS PAC ID: 5698021319 Enrollment ID: I20180710002342 |
| Provider Name | David Bhola |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1881946630 PECOS PAC ID: 7810298387 Enrollment ID: I20180720002785 |
| Provider Name | Kristen Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841771524 PECOS PAC ID: 5991057143 Enrollment ID: I20181016002997 |
| Provider Name | Amit K Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114252475 PECOS PAC ID: 2365608429 Enrollment ID: I20181030002885 |
| Provider Name | Gabriel Mark Werder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336353978 PECOS PAC ID: 3375707797 Enrollment ID: I20181222000132 |
| Provider Name | Feguens Joseph Bataille |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1942478581 PECOS PAC ID: 5092984310 Enrollment ID: I20181231000642 |
| Provider Name | Stephen G Parven |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164483111 PECOS PAC ID: 9537115209 Enrollment ID: I20190104000877 |
| Provider Name | Felipe Albuquerque |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851605661 PECOS PAC ID: 6709123144 Enrollment ID: I20190123003799 |
| Provider Name | Nathan Stafford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457824732 PECOS PAC ID: 6305183294 Enrollment ID: I20190131000213 |
| Provider Name | Nacole Riccaboni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457827644 PECOS PAC ID: 5597099796 Enrollment ID: I20190621001194 |
| Provider Name | Andrei Yankovich |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811336084 PECOS PAC ID: 3375877384 Enrollment ID: I20190625003428 |
| Provider Name | Rahman Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780632380 PECOS PAC ID: 8022020833 Enrollment ID: I20190627002195 |
| Provider Name | Khalid George |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275965287 PECOS PAC ID: 5991937781 Enrollment ID: I20190710000298 |
| Provider Name | Raghav Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477872885 PECOS PAC ID: 6406170117 Enrollment ID: I20190813003586 |
| Provider Name | Carlos Rodrigo Franco-palacios |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497966600 PECOS PAC ID: 5890841316 Enrollment ID: I20190816000851 |
| Provider Name | Rocco J Santarelli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619997608 PECOS PAC ID: 9133173529 Enrollment ID: I20190822002189 |
| Provider Name | Joseph Rabinowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053548818 PECOS PAC ID: 4385890904 Enrollment ID: I20190905000722 |
| Provider Name | Rebecca L Kahrs Bolanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760034334 PECOS PAC ID: 0648501189 Enrollment ID: I20191014002786 |
| Provider Name | Billy Blackmon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215058110 PECOS PAC ID: 4284758061 Enrollment ID: I20200131001171 |
| Provider Name | Karol Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609281559 PECOS PAC ID: 8628404555 Enrollment ID: I20200212001030 |
| Provider Name | Kevan Michael Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164060547 PECOS PAC ID: 7315376316 Enrollment ID: I20200326000601 |
| Provider Name | Paul Bucolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871633719 PECOS PAC ID: 0042383671 Enrollment ID: I20200609000708 |
| Provider Name | Giselle R Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043832827 PECOS PAC ID: 6800217274 Enrollment ID: I20200611000581 |
| Provider Name | Jonathan J Kass |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316357601 PECOS PAC ID: 4486870284 Enrollment ID: I20200708003390 |
| Provider Name | Emily Joyce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194041996 PECOS PAC ID: 3971817396 Enrollment ID: I20200716002397 |
| Provider Name | Harpreet S Grewal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326491689 PECOS PAC ID: 0345667754 Enrollment ID: I20200831003168 |
| Provider Name | Kevat Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487181590 PECOS PAC ID: 7911279138 Enrollment ID: I20200903003636 |
| Provider Name | Sana Naeem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245526797 PECOS PAC ID: 8123322591 Enrollment ID: I20200909002032 |
| Provider Name | Timothy G Zelenak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376746461 PECOS PAC ID: 5698931244 Enrollment ID: I20200911000796 |
| Provider Name | Manuel Navas Micheo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790733426 PECOS PAC ID: 6709817455 Enrollment ID: I20200925000538 |
| Provider Name | Navin Bajaj |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558539924 PECOS PAC ID: 8022292846 Enrollment ID: I20201008001671 |
| Provider Name | Sonia Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740414531 PECOS PAC ID: 8123267424 Enrollment ID: I20201030002029 |
| Provider Name | Richard Shepler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376961904 PECOS PAC ID: 5294149670 Enrollment ID: I20210126001764 |
| Provider Name | Hristina N Natcheva |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184942286 PECOS PAC ID: 4284947219 Enrollment ID: I20210216002998 |
| Provider Name | Narayn Pillai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992752158 PECOS PAC ID: 2961650478 Enrollment ID: I20210219000650 |
| Provider Name | Steven C Portale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922269091 PECOS PAC ID: 1355567603 Enrollment ID: I20210222002779 |
| Provider Name | Richard G Lastrapes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821081803 PECOS PAC ID: 2668434887 Enrollment ID: I20210421002698 |
| Provider Name | John Charles Sandoz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447255047 PECOS PAC ID: 4880603158 Enrollment ID: I20210616001341 |
| Provider Name | Jennifer Tomich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194043901 PECOS PAC ID: 6406161850 Enrollment ID: I20210621000061 |
| Provider Name | Rebecca Carver Fagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124619846 PECOS PAC ID: 9739580606 Enrollment ID: I20210629002918 |
| Provider Name | Arnaldo Reyes Esteves |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881006948 PECOS PAC ID: 5496027443 Enrollment ID: I20210727002269 |
| Provider Name | Gordon L Hixson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700850567 PECOS PAC ID: 1254238934 Enrollment ID: I20210728002467 |
| Provider Name | Jessica Marie Gulch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821650474 PECOS PAC ID: 0042644114 Enrollment ID: I20210819002641 |
| Provider Name | David a Schafer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558415083 PECOS PAC ID: 2466425491 Enrollment ID: I20210910000908 |
| Provider Name | Steven Lance Holmes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194795872 PECOS PAC ID: 4082899182 Enrollment ID: I20211012000369 |
| Provider Name | Paul W Stevenson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386021970 PECOS PAC ID: 4981910528 Enrollment ID: I20220112001425 |
| Provider Name | Scott B Hankinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386610178 PECOS PAC ID: 5193700045 Enrollment ID: I20220412001457 |
| Provider Name | Johari Patrice Faison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386399095 PECOS PAC ID: 9133516826 Enrollment ID: I20220427002713 |
| Provider Name | German Restrepo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023332848 PECOS PAC ID: 7810252103 Enrollment ID: I20220505002635 |
| Provider Name | Haroon L Chughtai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467786046 PECOS PAC ID: 9638310295 Enrollment ID: I20220513000485 |
| Provider Name | Ryan Enders |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316330640 PECOS PAC ID: 6103105259 Enrollment ID: I20220708001156 |
| Provider Name | Alessa Leigh Craner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699412627 PECOS PAC ID: 9436532223 Enrollment ID: I20220811000371 |
| Provider Name | Peng Yu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124468277 PECOS PAC ID: 7810234887 Enrollment ID: I20221028000138 |
| Provider Name | Mark Edelstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669444352 PECOS PAC ID: 0244218055 Enrollment ID: I20221129000841 |
| Provider Name | Lisa Yamamoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134440035 PECOS PAC ID: 3577855352 Enrollment ID: I20230213000778 |
| Provider Name | Matthew Musto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366975732 PECOS PAC ID: 2264703826 Enrollment ID: I20230522000570 |
| Provider Name | Paul Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154946424 PECOS PAC ID: 2860810025 Enrollment ID: I20230808000477 |
| Provider Name | Kylie Woodhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093415903 PECOS PAC ID: 3476907494 Enrollment ID: I20230925003851 |
| Provider Name | Grant Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619755816 PECOS PAC ID: 3375990914 Enrollment ID: I20231103001614 |
| Provider Name | Andreana Leggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912770504 PECOS PAC ID: 7113379876 Enrollment ID: I20240118000248 |
| Provider Name | Gary Chee Seng Oh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952927998 PECOS PAC ID: 0244659258 Enrollment ID: I20240131001918 |
| Provider Name | Tera L Foust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346002615 PECOS PAC ID: 5597108076 Enrollment ID: I20240212003504 |
| Provider Name | Nalini P Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447259700 PECOS PAC ID: 0446243653 Enrollment ID: I20240311003596 |
| Provider Name | Angela Sue Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528520749 PECOS PAC ID: 7911344254 Enrollment ID: I20240322001808 |
| Provider Name | Katherine Lynn Pate |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275161358 PECOS PAC ID: 9436554193 Enrollment ID: I20240417003284 |
| Provider Name | Mahmoud Barbarawi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407378599 PECOS PAC ID: 8729353099 Enrollment ID: I20240529000150 |
| Provider Name | Andre K Gabriel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629506779 PECOS PAC ID: 7719250257 Enrollment ID: I20240603000022 |
| Provider Name | Jigisha Rahul Chaudhari |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790333888 PECOS PAC ID: 1557765112 Enrollment ID: I20240607002582 |
| Provider Name | Andrew Blake Buletko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316203813 PECOS PAC ID: 9537430525 Enrollment ID: I20240614000031 |
| Provider Name | Shumei Man |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780947655 PECOS PAC ID: 0648499194 Enrollment ID: I20240614002259 |
| Provider Name | Anitesh Jaswal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639753049 PECOS PAC ID: 3971901653 Enrollment ID: I20240709002316 |
| Provider Name | Rahul Babubhai Chaudhari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245725092 PECOS PAC ID: 7214331875 Enrollment ID: I20240712001190 |
| Provider Name | Lara Cesar Gabas Molina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831715010 PECOS PAC ID: 3072058130 Enrollment ID: I20240712001717 |
| Provider Name | Yousef M Mohammad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497839203 PECOS PAC ID: 3678590536 Enrollment ID: I20240731003003 |
| Provider Name | Ahmed Itrat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780991315 PECOS PAC ID: 9638481450 Enrollment ID: I20240802003461 |
| Provider Name | Ken Uchino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164498747 PECOS PAC ID: 9830187426 Enrollment ID: I20240808003287 |
| Provider Name | Rodica Di Lorenzo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598007957 PECOS PAC ID: 7012272982 Enrollment ID: I20240827000139 |
| Provider Name | Yanchun Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841363520 PECOS PAC ID: 8921279704 Enrollment ID: I20240903001152 |
| Provider Name | Jennifer L Neff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548092117 PECOS PAC ID: 8123559218 Enrollment ID: I20240930003642 |
| Provider Name | Rahul Lohana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124556642 PECOS PAC ID: 6608111729 Enrollment ID: I20241028003470 |
| Provider Name | Rebecca Fobes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093536344 PECOS PAC ID: 8921533076 Enrollment ID: I20241126001545 |
| Provider Name | Andrew N Russman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255340105 PECOS PAC ID: 2567441793 Enrollment ID: I20251208001615 |
| Provider Name | Jenny Peih-chir Tsai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356888044 PECOS PAC ID: 9234407768 Enrollment ID: I20251217000203 |
| Provider Name | Zeshaun Khawaja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578708244 PECOS PAC ID: 7810131679 Enrollment ID: I20260121003884 |
| Provider Name | Irene L Katzan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891738803 PECOS PAC ID: 3577568336 Enrollment ID: I20260203004507 |
| Provider Name | Ghulam Abbas Abbas Kharal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891129201 PECOS PAC ID: 8820362890 Enrollment ID: I20260204000353 |
| Provider Name | Shannon Gomes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427780956 PECOS PAC ID: 4385098292 Enrollment ID: I20260206001241 |
| Provider Name | Kaitlyn Allee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154270254 PECOS PAC ID: 9931679982 Enrollment ID: I20260530000372 |
| Provider Name | David Carter-plake |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811398597 PECOS PAC ID: 0941773733 Enrollment ID: I20260623004558 |
Trekking Chiropractic, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3250 Treetop Dr, Titusville, FL 32780 Phone: 844-587-3564 |
Radha Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1027 Garden St, Titusville, FL 32796 Phone: 321-383-3332 |
Total MD Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4340 S Hopkins Ave, Titusville, FL 32780 Phone: 321-222-3607 Fax: 888-849-6158 |
Miguel a Medina MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 S Park Ave, Titusville, FL 32796 Phone: 321-264-8644 Fax: 321-264-8933 |
Anita D Spitz M D P a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 North Washington Ave., Suite 103, Titusville, FL 32796 Phone: 321-383-0112 Fax: 321-383-0229 |
North Brevard Medical Support, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Harrison St Ste 100, Titusville, FL 32780 Phone: 321-268-6674 Fax: 321-268-6138 |