Juan Martin Valdivia Valdivia (NPI# 1043413412, PAC ID# 0143415448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1043413412 |
| PAC ID by PECOS | 0143415448 |
| Professional Enrollment ID | I20150227000945 |
| Full Name | Juan Martin Valdivia Valdivia |
| Organization Legal Name | BAYCARE MEDICAL GROUP, INC. |
| Address |
4726 N Habana Ave Suite 103 Tampa FL 33614-7144 |
| Phone Number | 8138794328 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 6406753623 |
| Number of Group Practice Members | 610 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100075 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4726 N Habana Ave, Suite 103, Tampa, FL 33614-7144 | 8138794328 | BAYCARE MEDICAL GROUP, INC. |
| Organization Legal Name | BAYCARE MEDICAL GROUP, INC. |
| Physicians | 577 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Gannon | Family Medicine | Baycare Medical Group, Inc. | 2531 Landmark Dr, Suite 103, Clearwater, FL 33761-3928 |
| Okwudili Okpaleke | Family Medicine | Baycare Medical Group, Inc. | 10141 Big Bend Rd, Suite 206, Riverview, FL 33578-7419 |
| Brian P Mcdaniel | Family Medicine | Baycare Medical Group, Inc. | 400 Pinellas St, Clearwater, FL 33756-3312 |
| Nickole A Bacon | Nurse Practitioner | Baycare Medical Group, Inc. | 2525 Pasadena Ave S, Suite U, South Pasadena, FL 33707-4559 |
| Fred H Brennan Jr. | Family Medicine | Baycare Medical Group, Inc. | 807 N Myrtle Ave, Clearwater, FL 33755-4254 |
| Farshad Anvari | Thoracic Surgery | Baycare Medical Group, Inc. | 3003 W Dr Martin Luther King Jr Blvd, Mab 2nd Floor, Tampa, FL 33607-6307 |
| Thomas E Applegate | Hospitalist | Baycare Medical Group, Inc. | 6901 Simmons Loop, Suite 4, Riverview, FL 33578-9498 |
| Christopher N Nobo | Gastroenterology | Baycare Medical Group, Inc. | 2000 Osprey Blvd, Suite 110, Bartow, FL 33830-4347 |
| Jennifer Rebecca Chambers | Family Medicine | Baycare Medical Group, Inc. | 5405 Park N St, Saint Petersburg, FL 33709-1044 |
| Darryl B Bain | Nurse Practitioner | Baycare Medical Group, Inc. | 6633 Forest Ave, Suite 300, New Port Richey, FL 34653-2612 |
| Street Address |
4726 N HABANA AVE SUITE 103 |
| City | TAMPA |
| State | FL |
| Zip | 33614-7144 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ernesto Caridad Perez | Certified Registered Nurse Anesthetist (crna) | Physician Partners of America Crna Operations LLC | 4726 N Habana Ave, Suite 100, Tampa, FL 33614-7144 |
| Andrea L Miller | Certified Registered Nurse Anesthetist (crna) | Physician Partners of America Crna Operations LLC | 4726 N Habana Ave, Suite 100, Tampa, FL 33614-7144 |
| Henry J Schloegl | Certified Registered Nurse Anesthetist (crna) | Physician Partners of America Crna Operations LLC | 4726 N Habana Ave, Suite 100, Tampa, FL 33614-7144 |
| Jamie M Alvarodiaz | Certified Registered Nurse Anesthetist (crna) | Physician Partners of America Crna Operations LLC | 4726 N Habana Ave, Suite 100, Tampa, FL 33614-7144 |
| Jeffery J Powers Jr. | Certified Registered Nurse Anesthetist (crna) | Physician Partners of America Crna Operations LLC | 4726 N Habana Ave, Suite 100, Tampa, FL 33614-7144 |
| Rosemary Zara Ricci | Certified Registered Nurse Anesthetist (crna) | Physician Partners of America Crna Operations LLC | 4726 N Habana Ave, Suite 100, Tampa, FL 33614-7144 |
| Leigh A Vanhove | Certified Registered Nurse Anesthetist (crna) | Physician Partners of America Crna Operations LLC | 4726 N Habana Ave, Suite 100, Tampa, FL 33614-7144 |
| Vicente Garcia | Anesthesiology | Physician Partners of America Crna Operations LLC | 4726 N Habana Ave, Suite 100, Tampa, FL 33614-7144 |
| Gabriel A Gonzales Portillo | Undefined Physician Type (specify) | Baycare Medical Group, Inc. | 4726 N Habana Ave, Suite 103, Tampa, FL 33614-7144 |
| Patrick R. Robinson | Anesthesiology | Physician Partners of America Crna Operations LLC | 4726 N Habana Ave, Suite 100, Tampa, FL 33614-7144 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erick R Corps | Chiropractic | Emjn L.l.c | 8001 N Dale Mabry Hwy, Tampa, FL 33614 |
| Oscar Venzor Jr. | Internal Medicine | 8619 Leighton Dr, Tampa, FL 33614-1723 | |
| John Robert Walesby Jr. | Optometry | 2510 W Waters Ave, Tampa, FL 33614-1833 | |
| Michael C Goldbach | Vascular Surgery | Thomas Kerr Md Pa | 2809 W Waters Ave, Tampa, FL 33614-1852 |
| Avianne Bunnell | Vascular Surgery | Thomas Kerr Md Pa | 2809 W Waters Ave, Tampa, FL 33614-1852 |
| Adithya Suresh | Vascular Surgery | Thomas Kerr Md Pa | 2809 W Waters Ave, Tampa, FL 33614-1852 |
| Thomas M Kerr | Vascular Surgery | Thomas Kerr Md Pa | 2809 W Waters Ave, Tampa, FL 33614-1852 |
| Brandt D Jones | Vascular Surgery | Thomas Kerr Md Pa | 2809 W Waters Ave, Tampa, FL 33614-1852 |
| Kenneth James Wright | Vascular Surgery | Thomas Kerr Md Pa | 2809 W Waters Ave, Tampa, FL 33614-1852 |
| Ashok K Modh | Pulmonary Disease | Tampa Bay Pulmonary Associates,p.a. | 2810 W Waters Ave, Tampa, FL 33614-1853 |
| Find all physicians in zip 33614 | |||
| City | TAMPA |
| Zip Code | 33614 |
| Specialty | NEUROSURGERY |
| City + Specialty | TAMPA + NEUROSURGERY |
Please comment or provide details below to improve the information on Juan Martin Valdivia Valdivia.
| 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.