Thomas E Mcmicken (NPI# 1225002397, PAC ID# 0143302646) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1225002397 |
| PAC ID by PECOS | 0143302646 |
| Professional Enrollment ID | I20100125000823 |
| Full Name | Thomas E Mcmicken |
| Organization Legal Name | WATSON CLINIC LLP |
| Address |
2200 Osprey Blvd Bartow FL 33830-3308 |
| Phone Number | 8635348436 |
| Gender | M |
| Graduation Year | 1963 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1456258979 |
| Number of Group Practice Members | 332 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100052 | WINTER HAVEN HOSPITAL |
| 100121 | BARTOW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2200 Osprey Blvd, Bartow, FL 33830-3308 | 8635348436 | WATSON CLINIC LLP |
| Organization Legal Name | WATSON CLINIC LLP |
| Physicians | 387 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Yount | Certified Registered Nurse Anesthetist (crna) | Watson Clinic LLP | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 |
| Stephen Lagor | Physical Therapy | Watson Clinic LLP | 2300 E County Rd, 540a, Lakeland, FL 33813-3825 |
| Neelam Kansara | Physical Therapy | Watson Clinic LLP | 2190 E County Rd, 540a, Lakeland, FL 33813-3740 |
| Sarah Almaguer | Qualified Speech Language Pathologist | Watson Clinic LLP | 1755 N Florida Ave, Lakeland, FL 33805-3109 |
| Mariam W Hanna | Diagnostic Radiology | Watson Clinic LLP | 1420 Lakeland Hills Blvd, Lakeland, FL 33805-3202 |
| Michelle Gordon Troyer | Nurse Practitioner | Watson Clinic LLP | 924 Cypress Village Blvd, Ruskin, FL 33573-6829 |
| D.j. Alleva Nelson | Nurse Practitioner | Watson Clinic LLP | 1400 Lakeland Hills Blvd, Lakeland, FL 33805-3202 |
| Lindsey N Wells | Physician Assistant | Watson Clinic LLP | 615 E Alexander St, Plant City, FL 33563-7126 |
| Robert H Bevis | Internal Medicine | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Galina Vugman | Hematology/oncology | Watson Clinic LLP | 1730 Lakeland Hills Blvd, Lakeland, FL 33805-3013 |
| Street Address |
2200 OSPREY BLVD |
| City | BARTOW |
| State | FL |
| Zip | 33830-3308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen Michael Fisher | Emergency Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Christopher C Whitney | Nurse Practitioner | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| James R Smith | Emergency Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Anid O Orbezo Phelps | Family Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Howard Nelson Chipman Iii | Emergency Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Gregory Baisden | Nurse Practitioner | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Ruslan Ivanov | Family Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Eric Conklin | Nurse Practitioner | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca C Duvall | Chiropractic | 1335 Hwy 17 S, Bartow, FL 33830 | |
| Adam C Parker | Family Medicine | Raypar Inc | 1064 N Broadway Ave, Bartow, FL 33830-3301 |
| Dane V Parker | Chiropractic | Raypar Inc | 1064 N Broadway Ave, Bartow, FL 33830-3301 |
| Barry P Nash | Internal Medicine | Raypar Inc | 1064 N Broadway Ave, Bartow, FL 33830-3301 |
| Joseph Howard | Physician Assistant | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Deborah Ann Vaccarello | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Stephanie Rebekah Moore | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Peter A Jacobson | Internal Medicine | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Larnel P Sultan | Family Medicine | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Tara M Calise | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Find all physicians in zip 33830 | |||
| City | BARTOW |
| Zip Code | 33830 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | BARTOW + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.