Ernest P De Leon (NPI# 1558454603, PAC ID# 1254525413) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1558454603 |
| PAC ID by PECOS | 1254525413 |
| Professional Enrollment ID | I20101102000300 |
| Full Name | Ernest P De Leon |
| Organization Legal Name | LAKE CITY REGIONAL MEDICAL GROUP LLC |
| Address |
4225 Nw American Lane Lake City FL 32055-8841 |
| Phone Number | 3867586141 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5294908901 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100156 | LAKE CITY MEDICAL CENTER |
| 100102 | SHANDS LAKE SHORE REGIONAL MEDICAL CENTER |
| 100204 | NORTH FLORIDA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4225 Nw American Lane, Lake City, FL 32055-8841 | 3867586141 | LAKE CITY REGIONAL MEDICAL GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | LAKE CITY REGIONAL MEDICAL GROUP LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd A Fife | Family Medicine | Lake City Regional Medical Group LLC | 4225 Nw American Lane, Lake City, FL 32055-8841 |
| Sharma Lyn Atkinson-staten | Nurse Practitioner | Lake City Regional Medical Group LLC | 4225 Nw American Lane, Lake City, FL 32055-8841 |
| Erica L Staudinger | Nurse Practitioner | Lake City Regional Medical Group LLC | 4225 Nw American Lane, Lake City, FL 32055-8841 |
| Jamie Lynn Parrish | Nurse Practitioner | Lake City Regional Medical Group LLC | 4225 Nw American Lane, Lake City, FL 32055-8841 |
| Street Address |
4225 NW AMERICAN LANE |
| City | LAKE CITY |
| State | FL |
| Zip | 32055-8841 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd A Fife | Family Medicine | Lake City Regional Medical Group LLC | 4225 Nw American Lane, Lake City, FL 32055-8841 |
| Sharma Lyn Atkinson-staten | Nurse Practitioner | Lake City Regional Medical Group LLC | 4225 Nw American Lane, Lake City, FL 32055-8841 |
| Erica L Staudinger | Nurse Practitioner | Lake City Regional Medical Group LLC | 4225 Nw American Lane, Lake City, FL 32055-8841 |
| Jamie Lynn Parrish | Nurse Practitioner | Lake City Regional Medical Group LLC | 4225 Nw American Lane, Lake City, FL 32055-8841 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Matthew Zaenglein | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Caleb A Awoniyi | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Myroslav Harasym | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Mark Alan Dobbertien | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Anthony B Chillura | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Laurence Evan Reitman | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Bryce R Tiller | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Christopher Johnson | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Stanley W Janasiewicz | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Cimaron E Holt | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Find all physicians in zip 32055 | |||
| City | LAKE CITY |
| Zip Code | 32055 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAKE CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ernest P De Leon.
| 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.