Vivian C Faircloth (NPI# 1427009521, PAC ID# 1456443845) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1427009521 |
| PAC ID by PECOS | 1456443845 |
| Professional Enrollment ID | I20161005002493 |
| Full Name | Vivian C Faircloth |
| Organization Legal Name | MANATEE PHYSICIAN ALLIANCE LLC |
| Address |
200 3rd Ave W Suite 110 Bradenton FL 34205-8628 |
| Phone Number | 9417463115 |
| Gender | F |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 6901095231 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100035 | MANATEE MEMORIAL HOSPITAL |
| 100299 | LAKEWOOD RANCH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 3rd Ave W, Suite 110, Bradenton, FL 34205-8628 | 9417463115 | MANATEE PHYSICIAN ALLIANCE LLC |
| Organization Legal Name | MANATEE PHYSICIAN ALLIANCE LLC |
| Physicians | 62 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Indu S Menon | Internal Medicine | Manatee Physician Alliance LLC | 1854 Rye Rd E, Unit E, Bradenton, FL 34212-9038 |
| Marcie Kroska | Physician Assistant | Manatee Physician Alliance LLC | 206 2nd St E, Bradenton, FL 34208-1042 |
| Aisha Mohsin Malik | Neurology | Manatee Physician Alliance LLC | 200 3rd Ave W, Suite 110, Bradenton, FL 34205-8628 |
| Alfredo Cordova | General Surgery | Manatee Physician Alliance LLC | 5317 4th Ave Cir E, Manatee Surgical Alliance, Bradenton, FL 34208-5623 |
| Lisa Shannon | Family Medicine | Manatee Physician Alliance LLC | 5225 Manatee W Ave, Manatee Primary Care, Bradenton, FL 34209-3742 |
| Karen L Jacobs | Family Medicine | Manatee Physician Alliance LLC | 1720 Manatee Ave E, Bradenton, FL 34208-1452 |
| Mario E Litano | General Practice | Manatee Physician Alliance LLC | 9908 Sr 64, Bradenton, FL 34212-5303 |
| Rhonda A Thompson | Internal Medicine | Manatee Physician Alliance LLC | 6272 Lake Osprey Dr, Lakewood Ranch, FL 34240-8425 |
| Kathleen M Welch- Wilson | Family Medicine | Manatee Physician Alliance LLC | 4647 Manatee Ave W, Bradenton, FL 34209-3816 |
| James A Briles | Family Medicine | Manatee Physician Alliance LLC | 606 4th W Ave, Palmetto, FL 34221-5226 |
| Street Address |
200 3RD AVE W SUITE 110 |
| City | BRADENTON |
| State | FL |
| Zip | 34205-8628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aisha Mohsin Malik | Neurology | Manatee Physician Alliance LLC | 200 3rd Ave W, Suite 110, Bradenton, FL 34205-8628 |
| Amanda S Urzykowski | Certified Registered Nurse Anesthetist (crna) | Up Anesthesia Services LLC | 200 3rd Ave W, Suite 170, Bradenton, FL 34205-8632 |
| Theresa A Lovett | Certified Registered Nurse Anesthetist (crna) | Up Anesthesia Services LLC | 200 3rd Ave W, Suite 170, Bradenton, FL 34205-8632 |
| Daniel Wolfe | Anesthesiology | Up Anesthesia Services LLC | 200 3rd Ave W, Suite 170, Bradenton, FL 34205-8632 |
| Caroline A Mcdonald | Psychiatry | Refresh Canopy Cove, Inc | 200 3rd Ave W, 100 Comprehensive Medpsych, Bradenton, FL 34205-8628 |
| Peter E Da Rold | Anesthesiology | Up Anesthesia Services LLC | 200 3rd Ave W, Suite 170, Bradenton, FL 34205-8632 |
| Shannon Nicole Hall | Nurse Practitioner | Manatee Physician Alliance LLC | 200 3rd Ave W, Suite 110, Bradenton, FL 34205-8628 |
| John R Ayres | Orthopedic Surgery | Vigafra Pllc | 200 3rd Ave W, Suite 170, Brandenton, FL 34205-8626 |
| Nisha Pradeep | Neurology | Manatee Physician Alliance LLC | 200 3rd Ave W, Suite 110, Bradenton, FL 34205-8628 |
| Patricia K Walther | Certified Registered Nurse Anesthetist (crna) | Up Anesthesia Services LLC | 200 3rd Ave W, Suite 170, Bradenton, FL 34205-8632 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arleta A Kitlas | Internal Medicine | 3915 8th Ave W, Bradenton, FL 34205-1701 | |
| Pamela C Chapman | Osteopathic Manipulative Medicine | 3930 8th Ave W, Bradenton, FL 34205-1702 | |
| Daniel J Serpentelli | Chiropractic | 3806 Manatee Ave W, Suite 100, Bradenton, FL 34205-1714 | |
| Brian T Mckinley | Rheumatology | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Daniel H Ober | Physician Assistant | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Camilo L Cabrera | Internal Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| David P Divita | Family Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Carlos M Rodriguez-mendoza | Internal Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Cheung T Teav | Physical Therapy | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Andrew M Guzman | Family Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Find all physicians in zip 34205 | |||
| City | BRADENTON |
| Zip Code | 34205 |
| Specialty | NEUROLOGY |
| City + Specialty | BRADENTON + NEUROLOGY |
Please comment or provide details below to improve the information on Vivian C Faircloth.
| 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.