Codi Craig (NPI# 1396289005, PAC ID# 0345523395) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1396289005 |
| PAC ID by PECOS | 0345523395 |
| Professional Enrollment ID | I20170216002636 |
| Full Name | Codi Craig |
| Organization Legal Name | PALM BEACH GENERAL SURGERY LLC |
| Address |
1713 Us Hwy 441 N Suite H Okeechobee FL 34972-1900 |
| Phone Number | 8633570540 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1456455021 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100252 | RAULERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1713 Us Hwy 441 N, Suite H, Okeechobee, FL 34972-1900 | 8633570540 | PALM BEACH GENERAL SURGERY LLC |
| 1796 Us Hwy 441 N, Okeechobee, FL 34972-1918 | 7723358446 | PALM BEACH GENERAL SURGERY LLC |
| 1924 Us Hwy 441 N, Okeechobee, FL 34972-1922 | 8633570540 | PALM BEACH GENERAL SURGERY LLC |
| Organization Legal Name | PALM BEACH GENERAL SURGERY LLC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane M Krutzler | General Surgery | Palm Beach General Surgery LLC | 1400 Se Goldtree Dr, Suite 102 104, Port St. Lucie, FL 34952-7582 |
| Vivian Rosa | Nurse Practitioner | Palm Beach General Surgery LLC | 160 John F Kennedy Dr, Suite 102, Atlantis, FL 33462-6604 |
| Heidi Bahna | Colorectal Surgery (proctology) | Palm Beach General Surgery LLC | 5511 S Congress Ave, Suite 105, Atlantis, FL 33462-1140 |
| Michelle R Barletta | Physician Assistant | Palm Beach General Surgery LLC | 4631 N Congress Ave, Suite 202, West Palm Beach, FL 33407-3234 |
| Melinda M Blom | Physician Assistant | Palm Beach General Surgery LLC | 12953 Palms W Dr, 201 Digestive Disease Center of The Pal, Loxahatchee, FL 33470-4992 |
| James J Goad | General Surgery | Palm Beach General Surgery LLC | 12955 Palms W Dr, Suite 201, Loxahatchee, FL 33470-9217 |
| Carlos Alejo | General Surgery | Palm Beach General Surgery LLC | 1713 Us Hwy 441 N, Suite H, Okeechobee, FL 34972-1900 |
| Julian K Berrocal | General Surgery | Palm Beach General Surgery LLC | 4631 N Congress Ave, Suite 202, West Palm Beach, FL 33407-3234 |
| Adam D Kurtin | General Surgery | Palm Beach General Surgery LLC | 1400 Se Goldtree Dr, Suite 102 104, Port St. Lucie, FL 34952-7582 |
| Aimee Elizabeth Farmer | Physician Assistant | Palm Beach General Surgery LLC | 1800 Se Tiffany Ave, St Lucie Medical Center, Port Saint Lucie, FL 34952-7521 |
| Street Address |
1713 US HWY 441 N SUITE H |
| City | OKEECHOBEE |
| State | FL |
| Zip | 34972-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Khamphou Manivanh Mosley | Nurse Practitioner | St Lucie Medical Specialists LLC | 1713 Us Hwy 441 N, Suite C, Okeechobee, FL 34972-1900 |
| Carlos Alejo | General Surgery | Palm Beach General Surgery LLC | 1713 Us Hwy 441 N, Suite H, Okeechobee, FL 34972-1900 |
| Christopher J Mavroides | Internal Medicine | 1713 Us Hwy 441 N, Suite A, Okeechobee, FL 34972-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay S Berger | Internal Medicine | Jay S Berger Md Pa | 1713 Hwy 441 N, Okeechobee, FL 34972 |
| Nancy Lynn Saunders | Nurse Practitioner | Jay S Berger Md Pa | 1713 Hwy 441 N, Suite D, Okeechobee, FL 34972 |
| Leland M Heller | Family Medicine | 1713 Hwy 441 N, Suite E, Okeechobee, FL 34972-1900 | |
| Denise Ricketts | Family Medicine | St Lucie Medical Specialists LLC | 1713 Hwy 441 N, Suite C, Okeechobee, FL 34972-1900 |
| James E Bradfield | Obstetrics/gynecology | Raulerson Gyn LLC | 1713 Hwy 441 N, Suite F, Okeechobee, FL 34972-1900 |
| Audreylyn Waldo | Nurse Practitioner | St Lucie Medical Specialists LLC | 1713 Hwy 441 N, Suite C, Okeechobee, FL 34972-1900 |
| Manuel G Garcia | General Surgery | Gateway Medical Group Lc | 306 Ne 19th Dr, Okeechobee, FL 34972-1911 |
| Miguel Atillo Espiritu | Ophthalmology | 304 Ne 19th Dr, Okeechobee, FL 34972-1911 | |
| A Susan Nelson | Nurse Practitioner | 1646 Us Hwy 441 N, Okeechobee, FL 34972-1916 | |
| Simeon Usifo Osemota | Family Medicine | Big Water Emergency Physicians, LLC | 1796 Hwy 441 N, Okeechobee, FL 34972-1918 |
| Find all physicians in zip 34972 | |||
| City | OKEECHOBEE |
| Zip Code | 34972 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OKEECHOBEE + PHYSICIAN ASSISTANT |
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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.