Jacqueline Levy Kaiser (NPI# 1255511721, PAC ID# 1153515192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1255511721 |
| PAC ID by PECOS | 1153515192 |
| Professional Enrollment ID | I20101103000773 |
| Full Name | Jacqueline Levy Kaiser |
| Organization Legal Name | VITALMD GROUP HOLDING LLC |
| Address |
255 N Lakemont Ave 100 Winter Park Colon and Rectal Specialist Winter Park FL 32792-3210 |
| Phone Number | 4076281718 |
| Gender | F |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Group Practice PAC ID | 8921091786 |
| Number of Group Practice Members | 387 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100007 | FLORIDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3225 Aviation Ave, Suite 700, Miami, FL 33133-4741 | 3052734641 | VITALMD GROUP HOLDING LLC |
| 255 N Lakemont Ave, 100 Winter Park Colon and Rectal Specialist, Winter Park, FL 32792-3210 | 4076281718 | VITALMD GROUP HOLDING LLC |
| Organization Legal Name | VITALMD GROUP HOLDING LLC |
| Physicians | 416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tionnei A Knight | Nurse Practitioner | Vitalmd Group Holding LLC | 2964 N State Rd 7, 320 Fern Taisenchoy Bent Md LLC, Margate, FL 33063-5715 |
| Marcela J Torres | Obstetrics/gynecology | Vitalmd Group Holding LLC | 4100 Hollywood Blvd, Suite 2, Hollywood, FL 33021-6778 |
| Stacey L Mckinnon | Nurse Practitioner | Vitalmd Group Holding LLC | 769 N Clyde Morris Blvd, Ob Gyn Health Center of Volusia LLC, Daytona Beach, FL 32114-1493 |
| Timothy P Wu | Dermatology | Vitalmd Group Holding LLC | 4060 Sheridan St, Suite C, Hollywood, FL 33021-3559 |
| Victoria L Bedell | Obstetrics/gynecology | Vitalmd Group Holding LLC | 8900 Sw 117th Ave, 207b Janet Gersten Md LLC, Miami, FL 33186-2155 |
| Masha Sachenko | Obstetrics/gynecology | Vitalmd Group Holding LLC | 6853 Sw 18th St, Suite 301, Boca Raton, FL 33433-7056 |
| Sandra L Aponte | Pathology | Vitalmd Group Holding LLC | 2931 Coral Way, Medipath Pathology Services, Miami, FL 33145-3201 |
| Whitney E Shoemaker | Orthopedic Surgery | Vitalmd Group Holding LLC | 598 Sterthaus Dr, Ormond Beach, FL 32174-5128 |
| Ran Huo | Dermatology | Vitalmd Group Holding LLC | 14932 Pines Blvd, Pembroke Pines, FL 33027-1213 |
| Paola A Bordoni | Obstetrics/gynecology | Vitalmd Group Holding LLC | 9595 N Kendall Dr, 103 Ob and Gyn Associates of Kendall LLC, Miami, FL 33176-1990 |
| Street Address |
255 N LAKEMONT AVE 100 WINTER PARK COLON AND RECTAL SPECIALIST |
| City | WINTER PARK |
| State | FL |
| Zip | 32792-3210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis Mccommon | Internal Medicine | Family Physicians of Winterpark Inc | 255 N Lakemont Ave, Suite 101, Winter Park, FL 32792-3210 |
| Arnold W Fleischmann | Internal Medicine | Family Physicians of Winterpark Inc | 255 N Lakemont Ave, Suite 101, Winter Park, FL 32792-3210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan Barr | Obstetrics/gynecology | Womens Care Florida LLC | 10 N Edinburgh Dr, 200 Tampa Bay Womens Care, Winter Park, FL 32792 |
| Yelena A Atlanova | Obstetrics/gynecology | Womens Care Florida LLC | 10 N Edinburgh Dr, 200 Tampa Bay Womens Care, Winter Park, FL 32792 |
| Allison N Hioki | Physical Therapy | Physiotherapy Works, LLC | 1860 State Rd, 436 Suite 1000, Winter Park, FL 32792 |
| James N Hartland | Physical Therapy | Physiotherapy Works, LLC | 1860 State Rd, 436 Suite 1000, Winter Park, FL 32792 |
| Robyn L Zuromski | Physical Therapy | Physiotherapy Works, LLC | 1860 State Rd, Winter Park, FL 32792 |
| Mary Liebermann | Clinical Social Worker | 1908 Howell Branch Rd, Winter Park, FL 32792-1009 | |
| Sandra Harrington Barker | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Gary Barker | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Kaitlyn Kelley | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Alaina Michelle Medvetz | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Find all physicians in zip 32792 | |||
| City | WINTER PARK |
| Zip Code | 32792 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | WINTER PARK + COLORECTAL SURGERY (PROCTOLOGY) |
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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.