COMMUNITY HOSPITAL FAMILY PRACTICE LLC (NPI# 1902094857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902094857 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| Other Organization Name | NORTHPOINTE PHYSICIANS GROUP |
| Practice Address |
44 Veterans Ave Brooksville FL 34601-3215 |
| Mailing Address |
2000 Health Park Dr Brentwood TN 37027-4525 |
| Practice Telephone | 3527973500 |
| Practice Fax Number | 3527973526 |
| Mailing Telephone | 6153737600 |
| Mailing Fax Number | 8663461426 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | WILLIAM TEDERICK JOHNSON (VICE PRESIDENT/AO) |
| Authorized Official Telephone | 6153723375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | FL | Allopathic & Osteopathic Physicians | |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000801600 | 05 | |
| FL | MEDICARE RAILROAD GROUP | DO9676 | 01 |
| FL | BCBS FL | 00264 | 01 |
| Other Name | Type Code |
|---|---|
| Northpointe Physicians Group | Doing Business As Name - Organization |
| Street Address |
44 VETERANS AVE |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34601-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578591095 | Michael Rhea King | Family Medicine | 44 Veterans Ave, Brooksville, FL 34601-3215 | 2006-06-30 |
| 1194128454 | Brent Rentfro | Physician Assistant | 44 Veterans Ave, Brooksville, FL 34601-3215 | 2014-10-01 |
| 1841567088 | Dennis Gonzalez, Md, Pa | Family Medicine | 44 Veterans Ave, Brooksville, FL 34601-3215 | 2011-11-16 |
| 1437287497 | Charles Anthony Ross | Family Medicine | 44 Veterans Ave, Brooksville, FL 34601-3215 | 2007-03-01 |
| 1952444648 | Jorge M. Rodriguez | Family Medicine | 44 Veterans Ave, Brooksville, FL 34601-3215 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526643 | Benzer Fl 39 LLC | Pharmacy | 80 Ponca De Leon Blvd, Brooksville, FL 34601 | 2020-04-03 |
| 1245868702 | Karon Elaine Stagg | Specialist/Technologist | 20158 Cortez Blvb, Brookesville, FL 34601 | 2020-03-31 |
| 1699253666 | Shedding Light Counseling 'llc' | Counselor | 24059 Cortez Blvd, Brooksville, FL 34601 | 2018-08-01 |
| 1265952162 | Tysheeca Deandrea Washington | Assistant Behavior Analyst | 1535 Greenbriar Villa Circle, Brooksville, FL 34601 | 2017-06-21 |
| 1386179836 | Andrew Bishay | Emergency Medical Technician, Intermediate | 7284 Broad St, Brooksville, FL 34601 | 2017-04-21 |
| 1265892152 | Ralph Vitola | Pharmacist | 218 S. Broad St., Brooksville, FL 34601 | 2016-03-04 |
| 1689018301 | Nic 4 The Grande Leasing LLC | Assisted Living Facility | 725 Desoto Avenue, Brooksville, FL 34601 | 2013-04-24 |
| 1023301496 | Gerald Warren Springstead | Dentist | 605 W. Jefferson St., Brooksville, FL 34601 | 2011-05-18 |
| 1417280330 | Growing Center Counseling | Counselor | 275 W. Jefferson St., Brooksville, FL 34601 | 2009-09-10 |
| 1073663118 | Jennifer Suiters | Social Worker | 706 Ponce De Leon Blvd, Brooksville, FL 34601 | 2007-01-11 |
| Find all providers in zip 34601 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861486177 | Malcolm R Fraser | Family Medicine | 605 Lamar Ave, Brooksville, FL 34601-3211 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620618 | Heather J Cappello LLC | Family Medicine | 2571 Dick Wilson Dr, Sarasota, FL 34240-8722 | 2020-02-10 |
| 1225682784 | Brevard Geriatrics, LLC | Family Medicine | 720 E New Haven Ave Suite 11, Melbourne, FL 32901-5474 | 2019-08-01 |
| 1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1184137929 | Saint George Medical Center Inc | Family Medicine | 1118 Hospital Rd, Fort Walton Beach, FL 32547-6742 | 2017-11-15 |
| 1750835211 | Gainesville Geriatric Rehabilitation Medicine LLC | Family Medicine | 5002 Nw 15th Pl, Gainesville, FL 32605-4555 | 2016-08-12 |
| 1033570171 | Reliance Med, LLC | Family Medicine | 8450 Reymont St, Orlando, FL 32827-7430 | 2016-03-17 |
| 1013375062 | Kravitz Physician Services, P.a. | Family Medicine | 5150 Nw 82nd Ter, Coral Springs, FL 33067-2811 | 2016-02-05 |
| 1972968089 | Wm R George II Md Pa | Family Medicine | 327 Plaza Real Ste 307, Boca Raton, FL 33432-3944 | 2015-12-17 |
| 1710369020 | Robert N. Baskin, Md, P.a. | Family Medicine | 2108 N Golfview Dr, Plant City, FL 33566-6768 | 2015-06-23 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSVILLE |
| Zip Code | 34601 |
Please comment or provide details below to improve the information on COMMUNITY HOSPITAL FAMILY PRACTICE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.