| Tmh Physician Partners, Cim - Archibald | |
|
1300 Medical Drive Tallahassee FL 32308 | |
| (850) 216-0100 | |
| (850) 216-0112 |
| Full Name | Tmh Physician Partners, Cim - Archibald |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 Medical Drive, 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 |
|---|---|
| Tmh Physician Partners, Cim - Archibald Archbold Specialty Clinic 100 Mimosa Drive Thomasville GA 31792 Ph: (229) 228-2445 | Tmh Physician Partners, Cim - Archibald 1300 Medical Drive Tallahassee FL 32308 Ph: (850) 216-0100 |
| NPI Number | 1366811077 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 05/15/2021 |
| Medicare PECOS PAC ID | 6103724778 |
|---|---|
| Medicare Enrollment ID | O20160510002584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366811077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 4080 (Florida) | Primary |
| Provider Name | Charles P Murrah |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1942253430 PECOS PAC ID: 5294635470 Enrollment ID: I20040916000375 |
| Provider Name | Julian E Hurt |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1871546366 PECOS PAC ID: 0648179507 Enrollment ID: I20040916000416 |
| Provider Name | David L Saint |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1801841861 PECOS PAC ID: 3173422037 Enrollment ID: I20040916000449 |
| Provider Name | Venkata Bavikati |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1538346796 PECOS PAC ID: 7618133547 Enrollment ID: I20120723000268 |
| Provider Name | Marilyn Cox |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265437412 PECOS PAC ID: 5890798169 Enrollment ID: I20160512001302 |
| Provider Name | Farhat Khairallah |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1982603965 PECOS PAC ID: 1557336328 Enrollment ID: I20160512002289 |
| Provider Name | Gad Silberman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1598752412 PECOS PAC ID: 4486686144 Enrollment ID: I20160512002462 |
| Provider Name | Edward R Ferguson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831156496 PECOS PAC ID: 5799718565 Enrollment ID: I20210119001180 |
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