Yvette M Lopez Granberry (NPI# 1750384772, PAC ID# 3375504004) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1750384772 |
| PAC ID by PECOS | 3375504004 |
| Professional Enrollment ID | I20041216000725 |
| Full Name | Yvette M Lopez Granberry |
| Organization Legal Name | D BADOLATO PA |
| Address |
6300 N Wickham Rd Suite 101 Melbourne FL 32940-2023 |
| Phone Number | 3212532169 |
| Gender | F |
| Credential | MD |
| Medical School | PONCE SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1557322286 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| 100315 | VIERA HOSPITAL |
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| 100177 | CAPE CANAVERAL HOSPITAL |
| 100291 | STEWARD MELBOURNE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940-2023 | 3212532169 | D BADOLATO PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 68% |
| Organization Legal Name | D BADOLATO PA |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarajane Sengel | Physician Assistant | D Badolato Pa | 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940-2023 |
| Walter Hartle Joyner | Physician Assistant | D Badolato Pa | 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940-2023 |
| Megan K Maynard | Physician Assistant | D Badolato Pa | 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940-2023 |
| David W Badolato | Family Medicine | D Badolato Pa | 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940-2023 |
| Stephen W Badolato | Family Medicine | D Badolato Pa | 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940-2023 |
| Frank J Listello Jr. | Emergency Medicine | D Badolato Pa | 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940-2023 |
| Kenneth C Rice | Physician Assistant | D Badolato Pa | 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940-2023 |
| Street Address |
6300 N WICKHAM RD SUITE 101 |
| City | MELBOURNE |
| State | FL |
| Zip | 32940-2023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarajane Sengel | Physician Assistant | D Badolato Pa | 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940-2023 |
| Jeremy R Stewart | Physical Therapy | Peoples Physical Therapy Inc | 6300 N Wickham Rd, Suite 133b, Melbourne, FL 32940-2029 |
| Walter Hartle Joyner | Physician Assistant | D Badolato Pa | 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940-2023 |
| Megan K Maynard | Physician Assistant | D Badolato Pa | 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940-2023 |
| Joseph P Bloom | Pain Management | Pain Management of Brevard Plc | 6300 N Wickham Rd, Melbourne, FL 32940-2028 |
| David W Badolato | Family Medicine | D Badolato Pa | 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940-2023 |
| Stephen W Badolato | Family Medicine | D Badolato Pa | 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940-2023 |
| Brian L Ireland | Family Medicine | Dr Tanya Schrumpf Dc Inc | 6300 N Wickham Rd, Suite 116, Melbourne, FL 32940-2023 |
| Christopher M Wicker | Physical Therapy | Peoples Physical Therapy Inc | 6300 N Wickham Rd, Suite 133b, Melbourne, FL 32940-2029 |
| Frank J Listello Jr. | Emergency Medicine | D Badolato Pa | 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940-2023 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mackenzie A Lane | Physical Therapy | Aandm Therapy, Inc | 903 Jordan Blass Dr, Suite 104, Melbourne, FL 32940-1325 |
| Richard D Helton | Chiropractic | Carnol Health Services | 903 Jordan Blass Dr, Suite 102, Melbourne, FL 32940-1325 |
| David M Arteaga | Maxillofacial Surgery | 1371 Bedford Dr, Melbourne, FL 32940-1975 | |
| Krista Trefz | Psychologist, Clinical | Baytree Behavioral Health Pa | 1361 Bedford Dr, Melbourne, FL 32940-1984 |
| Neil Johnathon Frey | Nurse Practitioner | Stephen M Giorgianni Do Pllc | 1341 Bedford Dr, Suite B, Melbourne, FL 32940-1986 |
| Barbara A Buzzo | Nurse Practitioner | Stephen M Giorgianni Do Pllc | 1341 Bedford Dr, Suite B, Melbourne, FL 32940-1986 |
| Amelia L Lammers | Nurse Practitioner | Stephen M Giorgianni Do Pllc | 1341 Bedford Dr, Suite B, Melbourne, FL 32940-1986 |
| Stephen M Giorgianni | Family Medicine | Stephen M Giorgianni Do Pllc | 1341 Bedford Dr, Suite B, Melbourne, FL 32940-1986 |
| Tiffany Nicole Michaux | Nurse Practitioner | Stephen M Giorgianni Do Pllc | 1341 Bedford Dr, Suite B, Melbourne, FL 32940-1986 |
| Jennifer Lorraine Imperato | Nurse Practitioner | Stephen M Giorgianni Do Pllc | 1341 Bedford Dr, Suite B, Melbourne, FL 32940-1986 |
| Find all physicians in zip 32940 | |||
| City | MELBOURNE |
| Zip Code | 32940 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MELBOURNE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Yvette M Lopez Granberry.
| 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.