Lilla Gayle Martin (NPI# 1275516999, PAC ID# 1052597887) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
Nation Provider ID (NPI) | 1275516999 |
PAC ID by PECOS | 1052597887 |
Professional Enrollment ID | I20110512000394 |
Full Name | Lilla Gayle Martin |
Organization Legal Name | FIRST COAST HEART AND VASCULAR CENTER,PA |
Address |
3901 University S Blvd Suite 221 Jacksonville FL 32216-4392 |
Phone Number | 9044230010 |
Gender | F |
Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 1976 |
Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 0446404859 |
Number of Group Practice Members | 22 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
Address | Phone | Organization |
---|---|---|
3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 | 9044230010 | FIRST COAST HEART AND VASCULAR CENTER,PA |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
Organization Legal Name | FIRST COAST HEART AND VASCULAR CENTER,PA |
Physicians | 21 |
Name | Specialty | Organization | Address |
---|---|---|---|
Neil K Sanghvi | Cardiac Electrophysiology | First Coast Heart and Vascular Center,pa | 1000 Plantation Dr S, Suite 9, St Augustine, FL 32080 |
Michael J Koren | Cardiovascular Disease (cardiology) | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
Sunil P Singh | Interventional Cardiology | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
David R Grech | Cardiovascular Disease (cardiology) | First Coast Heart and Vascular Center,pa | 1689 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4817 |
Betsy L Geraci | Physician Assistant | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
Margaret Gannaway | Nurse Practitioner | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
Randall C Mathson | Physician Assistant | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
Marissa Lynch | Physician Assistant | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
Kevin M Hayes | Cardiovascular Disease (cardiology) | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
Punita Kaveti | Cardiovascular Disease (cardiology) | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
Street Address |
3901 UNIVERSITY S BLVD SUITE 221 |
City | JACKSONVILLE |
State | FL |
Zip | 32216-4392 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nancy C Crain | Physician Assistant | Physical Medicine Specialists, Inc. | 3901 University S Blvd, Suite 103, Jacksonville, FL 32216-4374 |
Geneva L Tonuzi | Physical Medicine and Rehabilitation | Physical Medicine Specialists, Inc. | 3901 University S Blvd, Suite 103, Jacksonville, FL 32216-4374 |
Vincent J Dobrovich | Nurse Practitioner | Physical Medicine Specialists, Inc. | 3901 University S Blvd, Suite 103, Jacksonville, FL 32216-4374 |
Michael J Koren | Cardiovascular Disease (cardiology) | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
Monica C Alexanderson | Physician Assistant | Physical Medicine Specialists, Inc. | 3901 University S Blvd, Suite 103, Jacksonville, FL 32216-4374 |
Sarala H Srinivasa | Physical Medicine and Rehabilitation | Physical Medicine Specialists, Inc. | 3901 University S Blvd, Suite 103, Jacksonville, FL 32216-4374 |
Celestine D Smith | Nurse Practitioner | Physical Medicine Specialists, Inc. | 3901 University S Blvd, Suite 103, Jacksonville, FL 32216-4374 |
Kathryn Colleen Prifti | Nurse Practitioner | Physical Medicine Specialists, Inc. | 3901 University S Blvd, Suite 103, Jacksonville, FL 32216-4374 |
Bayani M Bunal Jr. | Nurse Practitioner | Physical Medicine Specialists, Inc. | 3901 University S Blvd, Suite 103, Jacksonville, FL 32216-4374 |
Cindy Holston Glassick | Physician Assistant | Physical Medicine Specialists, Inc. | 3901 University S Blvd, Suite 103, Jacksonville, FL 32216-4374 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Eula B Kovacs | Clinical Social Worker | 7035 Phillips Hwy, Suite 38, Jacksonville, FL 32216 | |
Rebecca K Reza | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
Jessica Lynn Burkett | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
Diana C Maccario | Family Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
Vonda Marie Love | Nurse Practitioner | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
John Paul Guercio | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
Guilad Pribluda | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
Bhavesh S Patel | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
Arnel Larcia | Internal Medicine | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
Kelly Bingham Traylor | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
Find all physicians in zip 32216 |
City | JACKSONVILLE |
Zip Code | 32216 |
Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
City + Specialty | JACKSONVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Lilla Gayle Martin.
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.