| Synergy Medical Llc | |
|
6156 53rd Ave E Bradenton FL 34203-9707 | |
| (941) 755-9355 | |
| (941) 755-9313 |
| Full Name | Synergy Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 6156 53rd Ave E, Bradenton, Florida |
| Authorized Official Name and Position | Ann Marie Lewis (MGR) |
| Authorized Official Contact | 9417804730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Medical Llc 6610 37th St E Sarasota FL 34243-7957 Ph: (941) 780-4730 | Synergy Medical Llc 6156 53rd Ave E Bradenton FL 34203-9707 Ph: (941) 755-9355 |
| NPI Number | 1891166435 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 10/08/2015 |
| Medicare PECOS PAC ID | 3971896440 |
|---|---|
| Medicare Enrollment ID | O20160720002107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891166435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Iren J Pober |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366415499 PECOS PAC ID: 8123081783 Enrollment ID: I20041108000408 |
| Provider Name | Ann Marie Lewis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932101086 PECOS PAC ID: 1254376577 Enrollment ID: I20060123000944 |
| Provider Name | Mark C Lewis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255531828 PECOS PAC ID: 4688724636 Enrollment ID: I20090612000111 |
| Provider Name | Christopher J Gleis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770745556 PECOS PAC ID: 9133384530 Enrollment ID: I20120710000685 |
| Provider Name | Shelley Tressa Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033502513 PECOS PAC ID: 8022320589 Enrollment ID: I20150713000279 |
| Provider Name | Dawn M Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992803472 PECOS PAC ID: 4082707377 Enrollment ID: I20150812008795 |
| Provider Name | Pattanam D Srinivasan |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1225084155 PECOS PAC ID: 4183640345 Enrollment ID: I20170405000411 |
| Provider Name | Elizabeth Sirna |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790169530 PECOS PAC ID: 6204103898 Enrollment ID: I20170602000882 |
| Provider Name | Jason Thomas Faipler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477076545 PECOS PAC ID: 5698048049 Enrollment ID: I20170906002089 |
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