Meshach P Heenatigala (NPI# 1245529551, PAC ID# 2264653963) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1245529551 |
| PAC ID by PECOS | 2264653963 |
| Professional Enrollment ID | I20180730002233 |
| Full Name | Meshach P Heenatigala |
| Organization Legal Name | PALM BEACH GENERAL SURGERY LLC |
| Address |
2401 Frist Blvd Suite 4 Fort Pierce FL 34950-4800 |
| Phone Number | 7725955302 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 2011 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1456455021 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100246 | LAWNWOOD REGIONAL MEDICAL CENTER & HEART INSTITUTE |
| 100260 | ST LUCIE MEDICAL CENTER |
| 100252 | RAULERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2401 Frist Blvd, Suite 4, Fort Pierce, FL 34950-4800 | 7725955302 | PALM BEACH GENERAL SURGERY LLC |
| 293 Nw Peacock Blvd, Suite 202, Port Saint Lucie, FL 34986-2222 | 7723358446 | PALM BEACH GENERAL SURGERY LLC |
| Organization Legal Name | PALM BEACH GENERAL SURGERY LLC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane M Krutzler | General Surgery | Palm Beach General Surgery LLC | 1400 Se Goldtree Dr, Suite 102 104, Port St. Lucie, FL 34952-7582 |
| Vivian Rosa | Nurse Practitioner | Palm Beach General Surgery LLC | 160 John F Kennedy Dr, Suite 102, Atlantis, FL 33462-6604 |
| Heidi Bahna | Colorectal Surgery (proctology) | Palm Beach General Surgery LLC | 5511 S Congress Ave, Suite 105, Atlantis, FL 33462-1140 |
| Michelle R Barletta | Physician Assistant | Palm Beach General Surgery LLC | 4631 N Congress Ave, Suite 202, West Palm Beach, FL 33407-3234 |
| Melinda M Blom | Physician Assistant | Palm Beach General Surgery LLC | 12953 Palms W Dr, 201 Digestive Disease Center of The Pal, Loxahatchee, FL 33470-4992 |
| James J Goad | General Surgery | Palm Beach General Surgery LLC | 12955 Palms W Dr, Suite 201, Loxahatchee, FL 33470-9217 |
| Carlos Alejo | General Surgery | Palm Beach General Surgery LLC | 1713 Us Hwy 441 N, Suite H, Okeechobee, FL 34972-1900 |
| Julian K Berrocal | General Surgery | Palm Beach General Surgery LLC | 4631 N Congress Ave, Suite 202, West Palm Beach, FL 33407-3234 |
| Adam D Kurtin | General Surgery | Palm Beach General Surgery LLC | 1400 Se Goldtree Dr, Suite 102 104, Port St. Lucie, FL 34952-7582 |
| Aimee Elizabeth Farmer | Physician Assistant | Palm Beach General Surgery LLC | 1800 Se Tiffany Ave, St Lucie Medical Center, Port Saint Lucie, FL 34952-7521 |
| Street Address |
2401 FRIST BLVD SUITE 4 |
| City | FORT PIERCE |
| State | FL |
| Zip | 34950-4800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelli Kraaz | Nurse Practitioner | Humayun Shareef Md Pa | 2401 Frist Blvd, Suite 1, Fort Pierce, FL 34950-4800 |
| Kenneth L Gibbs | Interventional Cardiology | Lawnwood Cardiovascular Surgery LLC | 2401 Frist Blvd, Suite 5, Fort Pierce, FL 34950-4800 |
| William H Heitman | Thoracic Surgery | Lawnwood Cardiovascular Surgery LLC | 2401 Frist Blvd, Suite 5, Fort Pierce, FL 34950-4800 |
| John S Anastasi | Cardiac Surgery | Lawnwood Cardiovascular Surgery LLC | 2401 Frist Blvd, Suite 5, Fort Pierce, FL 34950-4800 |
| Pei C Chung | General Surgery | Palm Beach General Surgery LLC | 2401 Frist Blvd, Suite 4, Fort Pierce, FL 34950-4800 |
| Susan May Thyme | Nurse Practitioner | Internal Medicine Consultants of Saint Lucie County LLC | 2401 Frist Blvd, Suite 1, Fort Pierce, FL 34950-4800 |
| Humayun Shareef | Family Medicine | Humayun Shareef Md Pa | 2401 Frist Blvd, Suite 1, Fort Pierce, FL 34950-4800 |
| Melonie L Durkin | Nurse Practitioner | Palm Beach General Surgery LLC | 2401 Frist Blvd, Suite 4, Fort Pierce, FL 34950-4800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ziad Marjieh | Cardiovascular Disease (cardiology) | 1801 Se Hillmoor Dr, B109, Port Saint Lucie, FL 34950 | |
| Wilhelmina Lewis | Family Medicine | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Serge Volma Valme | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Sarang Hadaegh | General Practice | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Rene Leyva Quevedo | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Reinaldo Hernandez Silva | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Gladys Duarte | General Practice | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Anitra G Brown | Obstetrics/gynecology | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Arlene Morrison | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Lola B. Harrison | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Find all physicians in zip 34950 | |||
| City | FORT PIERCE |
| Zip Code | 34950 |
| Specialty | GENERAL SURGERY |
| City + Specialty | FORT PIERCE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Meshach P Heenatigala.
| 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.