Wayne C Anderson (NPI# 1912958414, PAC ID# 0648214262) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1912958414 |
| PAC ID by PECOS | 0648214262 |
| Professional Enrollment ID | I20050615000102 |
| Full Name | Wayne C Anderson |
| Organization Legal Name | BAYCARE MEDICAL GROUP, INC. |
| Address |
807 N Myrtle Ave Clearwater FL 33755-4254 |
| Phone Number | 7274672400 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6406753623 |
| Number of Group Practice Members | 610 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100127 | MORTON PLANT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2461 Enterprise Rd, Suite C, Clearwater, FL 33763-1726 | 7277255060 | BAYCARE MEDICAL GROUP, INC. |
| 807 N Myrtle Ave, Clearwater, FL 33755-4254 | 7274672400 | 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 |
807 N MYRTLE AVE |
| City | CLEARWATER |
| State | FL |
| Zip | 33755-4254 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fred H Brennan Jr. | Family Medicine | Baycare Medical Group, Inc. | 807 N Myrtle Ave, Clearwater, FL 33755-4254 |
| Elizabeth Ann Lawrence | Family Medicine | Baycare Medical Group, Inc. | 807 N Myrtle Ave, Clearwater, FL 33755-4254 |
| Ted A Farrar | Family Medicine | Baycare Medical Group, Inc. | 807 N Myrtle Ave, Clearwater, FL 33755-4254 |
| Manuel A Reyes | Family Medicine | Baycare Medical Group, Inc. | 807 N Myrtle Ave, Clearwater, FL 33755-4254 |
| Wanda E Cruz Knight | Family Medicine | Baycare Medical Group, Inc. | 807 N Myrtle Ave, Clearwater, FL 33755-4254 |
| Jeffrey J. Sourbeer | Family Medicine | Baycare Medical Group, Inc. | 807 N Myrtle Ave, Clearwater, FL 33755-4254 |
| Dani Mathew | Family Medicine | Baycare Medical Group, Inc. | 807 N Myrtle Ave, Clearwater, FL 33755-4254 |
| Latha Pandurangan | Family Medicine | Baycare Medical Group, Inc. | 807 N Myrtle Ave, Clearwater, FL 33755-4254 |
| Oliver N Oyama | Psychologist, Clinical | Baycare Medical Group, Inc. | 807 N Myrtle Ave, Clearwater, FL 33755-4254 |
| Charisse J. Huot | Family Medicine | Baycare Medical Group, Inc. | 807 N Myrtle Ave, Clearwater, FL 33755-4254 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce W Harms | Clinical Social Worker | Blue Moon Senior Counseling | 2057 Edgewater Dr, Clearwater, FL 33755-1028 |
| Claudia A Sullivan | Clinical Social Worker | Blue Moon Senior Counseling | 2057 Edgewater Dr, Clearwater, FL 33755-1028 |
| Jennifer Schaefer | Clinical Social Worker | Blue Moon Senior Counseling | 2057 Edgewater Dr, Clearwater, FL 33755-1028 |
| Veronica Mcknight | Clinical Social Worker | Blue Moon Senior Counseling | 2057 Edgewater Dr, Clearwater, FL 33755-1028 |
| Kimberly Moton | Clinical Social Worker | Blue Moon Senior Counseling | 2057 Edgewater Dr, Clearwater, FL 33755-1028 |
| Lindsey Sides | Clinical Social Worker | Blue Moon Senior Counseling | 2057 Edgewater Dr, Clearwater, FL 33755-1028 |
| Norman Urich | Family Medicine | 1762 N Ft Harrison Ave, Clearwater, FL 33755-1708 | |
| Maria C Pantaleon | Internal Medicine | Florida Med Center | 1840 N Highland Ave, Clearwater, FL 33755-2138 |
| Ali M. Saifi | Internal Medicine | Florida Med Center | 1840 N Highland Ave, Clearwater, FL 33755-2138 |
| Michael U Yu | Physical Medicine and Rehabilitation | Florida Med Center | 1840 N Highland Ave, Clearwater, FL 33755-2138 |
| Find all physicians in zip 33755 | |||
| City | CLEARWATER |
| Zip Code | 33755 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CLEARWATER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Wayne C Anderson.
| 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.