Lilla Gayle Martin
FIRST COAST HEART AND VASCULAR CENTER,PA


Address: 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392
Phone: 9044230010

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).

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100040 ST VINCENT'S MEDICAL CENTER RIVERSIDE

Other Locations

Address Phone Organization
3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 9044230010 FIRST COAST HEART AND VASCULAR CENTER,PA

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Organization Legal Name FIRST COAST HEART AND VASCULAR CENTER,PA
Physicians 21

Physicians with the same organization

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

Office Location

Street Address 3901 UNIVERSITY S BLVD
SUITE 221
City JACKSONVILLE
State FL
Zip 32216-4392

Physicians in the same location

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
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Physicians in the same zip code

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
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Competitor

Search similar physicians

City JACKSONVILLE
Zip Code 32216
Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
City + Specialty JACKSONVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY)

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Dataset Information

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.

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