Dawn S Haley (NPI# 1720019466, PAC ID# 2567558091) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1720019466 |
| PAC ID by PECOS | 2567558091 |
| Professional Enrollment ID | I20120723000716 |
| Full Name | Dawn S Haley |
| Organization Legal Name | AMERICAN PHYSICIANS FOUNDATION CORPORATION |
| Address |
2151 Riverside Ave Jacksonville FL 32204-4416 |
| Phone Number | 9043888686 |
| Gender | F |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0941113294 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 2151 Riverside Ave, Jacksonville, FL 32204-4416 | 9043888686 | AMERICAN PHYSICIANS FOUNDATION CORPORATION |
| Organization Legal Name | AMERICAN PHYSICIANS FOUNDATION CORPORATION |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samir L Habashi | Gastroenterology | American Physicians Foundation Corporation | 2151 Riverside Ave, Jacksonville, FL 32204-4416 |
| Ajmal Hameed | Gastroenterology | American Physicians Foundation Corporation | 2151 Riverside Ave, Jacksonville, FL 32204-4416 |
| Maria Martha Olmeda | Gastroenterology | American Physicians Foundation Corporation | 2151 Riverside Ave, Jacksonville, FL 32204-4416 |
| Brent S Stottman | Gastroenterology | American Physicians Foundation Corporation | 2151 Riverside Ave, Jacksonville, FL 32204-4416 |
| Abdi Abbassi | Gastroenterology | American Physicians Foundation Corporation | 2151 Riverside Ave, Jacksonville, FL 32204-4416 |
| Street Address |
2151 RIVERSIDE AVE |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32204-4416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samir L Habashi | Gastroenterology | American Physicians Foundation Corporation | 2151 Riverside Ave, Jacksonville, FL 32204-4416 |
| Ajmal Hameed | Gastroenterology | American Physicians Foundation Corporation | 2151 Riverside Ave, Jacksonville, FL 32204-4416 |
| Maria Martha Olmeda | Gastroenterology | American Physicians Foundation Corporation | 2151 Riverside Ave, Jacksonville, FL 32204-4416 |
| Brent S Stottman | Gastroenterology | American Physicians Foundation Corporation | 2151 Riverside Ave, Jacksonville, FL 32204-4416 |
| Abdi Abbassi | Gastroenterology | American Physicians Foundation Corporation | 2151 Riverside Ave, Jacksonville, FL 32204-4416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Walsh | Physician Assistant | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| William M Mentz | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Elizabeth Lee Gatch | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kayela Faye Moore | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Mitchell S Rothstein | Pulmonary Disease | 425 N Lee St, Suite 202, Jacksonville, FL 32204-1128 | |
| Eyad S Kawar | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Diana I Mercado | Infectious Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Jose M Soto Soto | Internal Medicine | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| Joseph P Orallo | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kasey E Treger | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Find all physicians in zip 32204 | |||
| City | JACKSONVILLE |
| Zip Code | 32204 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | JACKSONVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Dawn S Haley.
| 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.