| Tallahassee Memorial Healthcare Inc | |
|
1607 Saint James Ct Ste 2 Tallahassee FL 32308-5352 | |
| (850) 878-8714 | |
| (850) 878-2464 |
| Full Name | Tallahassee Memorial Healthcare Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1607 Saint James Ct Ste 2, Tallahassee, Florida |
| Authorized Official Name and Position | Robin L Moss (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504316256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallahassee Memorial Healthcare Inc 1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 Ph: (850) 431-7021 | Tallahassee Memorial Healthcare Inc 1607 Saint James Ct Ste 2 Tallahassee FL 32308-5352 Ph: (850) 878-8714 |
| NPI Number | 1841701729 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 01/29/2019 |
| Medicare PECOS PAC ID | 6103724778 |
|---|---|
| Medicare Enrollment ID | O20180217000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841701729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
| Provider Name | Alberto L Fernandez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215959952 PECOS PAC ID: 9830284355 Enrollment ID: I20070928000300 |
| Provider Name | Joyce M Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356532303 PECOS PAC ID: 7810069416 Enrollment ID: I20080626000103 |
| Provider Name | Muhanad A Hasan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225219058 PECOS PAC ID: 2365507506 Enrollment ID: I20090223000167 |
| Provider Name | David E Phillips |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962487991 PECOS PAC ID: 5698899011 Enrollment ID: I20101007000778 |
| Provider Name | John S Thabes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164447231 PECOS PAC ID: 3476732637 Enrollment ID: I20110120000824 |
| Provider Name | Clifton J Bailey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679598833 PECOS PAC ID: 4789600149 Enrollment ID: I20110120000852 |
| Provider Name | Carlos E Campo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912922071 PECOS PAC ID: 2860672110 Enrollment ID: I20110203000965 |
| Provider Name | David Y Huang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568487759 PECOS PAC ID: 5496935744 Enrollment ID: I20110203000994 |
| Provider Name | Francine T Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538487079 PECOS PAC ID: 1052599651 Enrollment ID: I20110630000290 |
| Provider Name | Andrea A Venturini |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194919720 PECOS PAC ID: 3779748496 Enrollment ID: I20130910000080 |
| Provider Name | Gary S Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629467352 PECOS PAC ID: 8426376740 Enrollment ID: I20150417000722 |
| Provider Name | Shobha Rebala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457731663 PECOS PAC ID: 0840506499 Enrollment ID: I20150827002864 |
| Provider Name | Charmaine G Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861937021 PECOS PAC ID: 2365710167 Enrollment ID: I20170620002598 |
| Provider Name | Chien-yi R Williams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437474863 PECOS PAC ID: 2961630090 Enrollment ID: I20170630002448 |
| Provider Name | Meghan L Bassett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508388315 PECOS PAC ID: 6305111378 Enrollment ID: I20171002003351 |
| Provider Name | Anthony Otekeiwebia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689940165 PECOS PAC ID: 8628384179 Enrollment ID: I20180824000747 |
| Provider Name | Janine Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003394198 PECOS PAC ID: 9830442862 Enrollment ID: I20181022001359 |
| Provider Name | Cybelle T Pfeifer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841428554 PECOS PAC ID: 4880843697 Enrollment ID: I20181024000744 |
| Provider Name | Zachary Justus Stachura |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588920391 PECOS PAC ID: 9830332253 Enrollment ID: I20190814000860 |
| Provider Name | Jasmine Renay Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841847753 PECOS PAC ID: 6507196714 Enrollment ID: I20191001000481 |
| Provider Name | Rachel Christina Busby-drewek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164075131 PECOS PAC ID: 8224463468 Enrollment ID: I20200116002531 |
| Provider Name | Anna Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861032294 PECOS PAC ID: 4183046089 Enrollment ID: I20200623001668 |
| Provider Name | Kathryn Munday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770104630 PECOS PAC ID: 1456773290 Enrollment ID: I20200623003427 |
| Provider Name | Inga Forde |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235360140 PECOS PAC ID: 4486790896 Enrollment ID: I20200630001716 |
| Provider Name | Sarah Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386260487 PECOS PAC ID: 8123441409 Enrollment ID: I20200702002323 |
| Provider Name | Sarah Elaine Ouzts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366003352 PECOS PAC ID: 9436573185 Enrollment ID: I20200728001515 |
| Provider Name | Jensen Galetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902414246 PECOS PAC ID: 1951720754 Enrollment ID: I20200929000151 |
| Provider Name | Shelby E Olsson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417564576 PECOS PAC ID: 4082021167 Enrollment ID: I20210408001003 |
| Provider Name | Shannon Elizabeth Mccammon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578283701 PECOS PAC ID: 8123403417 Enrollment ID: I20220922003130 |
| Provider Name | Brandon Duval Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437870417 PECOS PAC ID: 2264817568 Enrollment ID: I20220922003809 |
| Provider Name | Whitley Jade Whyte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154009082 PECOS PAC ID: 3173986262 Enrollment ID: I20230822002529 |
| Provider Name | Marissa Hope Deusinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972364750 PECOS PAC ID: 1456894013 Enrollment ID: I20240624003575 |
Healing Hearts Music Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1862 Newman Ln, Tallahassee, FL 32312 Phone: 229-400-0722 | |
Titan Hospitalist Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 Capital Medical Blvd, Tallahassee, FL 32308 Phone: 904-332-4316 Fax: 904-332-4339 | |
Big Bend Hospice, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 Mahan Center Blvd, Tallahassee, FL 32308 Phone: 702-960-2272 | |
Guidewell Sanitas I, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Timberlane Rd, Tallahassee, FL 32312 Phone: 844-665-4827 | |
Guidewell Sanitas I, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Timberlane Rd, Tallahassee, FL 32312 Phone: 844-665-4827 | |
Tallahassee Memorial Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Esplanade Way, Tallahassee, FL 32311 Phone: 850-431-3867 Fax: 850-431-3879 | |
Tallahassee Memorial Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3333 Capital Oaks Dr, Tallahassee, FL 32308 Phone: 850-431-4470 Fax: 850-431-4471 |