Richard M Wacksman (NPI# 1538128137, PAC ID# 3274594908) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1538128137 |
PAC ID by PECOS | 3274594908 |
Professional Enrollment ID | I20041025001147 |
Full Name | Richard M Wacksman |
Organization Legal Name | MOBILE PHYSICIAN SERVICES INC. |
Address |
300 Lake Ne Ave Suite 100 Largo FL 33771-1691 |
Phone Number | 7272320644 |
Gender | M |
Credential | MD |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 4688685654 |
Number of Group Practice Members | 33 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100127 | MORTON PLANT HOSPITAL |
100032 | BAYFRONT HEALTH - ST PETERSBURG |
100075 | ST JOSEPHS HOSPITAL |
100244 | CAPE CORAL HOSPITAL - 100244 |
Address | Phone | Organization |
---|---|---|
4031 Colonel Glenn Hwy, Suite 133, Beavercreek Township, OH 45431-2774 | 8552320644302 | MOBILE PHYSICIAN SERVICES INC. |
300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 | 7272320644 | MOBILE PHYSICIAN SERVICES INC. |
6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 7272320644 | MOBILE PHYSICIAN SERVICES INC. |
Organization Legal Name | MOBILE PHYSICIAN SERVICES INC. |
Physicians | 33 |
Name | Specialty | Organization | Address |
---|---|---|---|
Aaron R Block | Family Medicine | Mobile Physician Services Inc. | 4031 Colonel Glenn Hwy, Suite 133, Beavercreek Township, OH 45431-2774 |
Douglas P Nagle | Physician Assistant | Mobile Physician Services Inc. | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
Angelia E Crozier | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
James K Condon | Internal Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Largo, FL 33771-1691 |
Cheryl Izzo | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Robert Kleid | Physician Assistant | Mobile Physician Services Inc. | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
Christi G Gagliano | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Eileen Claire Callaway | Family Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Jonathan Thomas Dismuke | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Peter Arthur Radice | Internal Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Street Address |
300 LAKE NE AVE SUITE 100 |
City | LARGO |
State | FL |
Zip | 33771-1691 |
Name | Specialty | Organization | Address |
---|---|---|---|
Angelia E Crozier | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
James K Condon | Internal Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Largo, FL 33771-1691 |
Cheryl Izzo | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Christi G Gagliano | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Eileen Claire Callaway | Family Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Jonathan Thomas Dismuke | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Peter Arthur Radice | Internal Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Melanie F Makar | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Anthony S Casinger | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Melissa Gail Cole | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Angela Sims Tisdale | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Adriana Smith | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Kenneth Phillip Additon | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
William T Trabulsi | Podiatry | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Jennifer Danielle Quinn | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Shirley Freckleton-williams | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Scott Edward Wilson | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Samuel A Pettina | Family Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Sherry A Marsden | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Fernando Barja Iii | Optometry | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
Find all physicians in zip 33771 |
City | LARGO |
Zip Code | 33771 |
Specialty | INTERNAL MEDICINE |
City + Specialty | LARGO + INTERNAL MEDICINE |
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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.