Jillian A Stuper (NPI# 1043718521, PAC ID# 3375804297) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043718521 |
| PAC ID by PECOS | 3375804297 |
| Professional Enrollment ID | I20180309000434 |
| Full Name | Jillian A Stuper |
| Organization Legal Name | BANGUS SURGICAL SPECIALISTS LLC |
| Address |
14100 Fivay Rd Suite 280 Hudson FL 34667-7150 |
| Phone Number | 3178054640 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1456628296 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100256 | REGIONAL MEDICAL CENTER BAYONET POINT |
| Address | Phone | Organization |
|---|---|---|
| 14100 Fivay Rd, Suite 280, Hudson, FL 34667-7150 | 3178054640 | BANGUS SURGICAL SPECIALISTS LLC |
| Organization Legal Name | BANGUS SURGICAL SPECIALISTS LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Sims Logan | General Surgery | Bangus Surgical Specialists LLC | 1400 Fivay Rd, Hudson, FL 34667 |
| Bogdana Trop | General Surgery | Bangus Surgical Specialists LLC | 14100 Fivay Rd, Suite 280, Hudson, FL 34667-7150 |
| Ashley Greenfield | Physician Assistant | Bangus Surgical Specialists LLC | 5800 49th St N, Suite 201, Saint Petersburg, FL 33709-2100 |
| Ainsley B Freshour | General Surgery | Bangus Surgical Specialists LLC | 14100 Fivay Rd, Suite 280, Hudson, FL 34667-7150 |
| Thomas R Knobl | Nurse Practitioner | Bangus Surgical Specialists LLC | 5800 49th St N, Suite 201, Saint Petersburg, FL 33709-2100 |
| Thomas R Mcauley | Physician Assistant | Bangus Surgical Specialists LLC | 5800 49th St N, Suite 201, Saint Petersburg, FL 33709-2100 |
| Skyler M Johnson | Physician Assistant | Bangus Surgical Specialists LLC | 5800 49th St N, Suite 201, Saint Petersburg, FL 33709-2100 |
| James A Wilson | General Surgery | Bangus Surgical Specialists LLC | 449 W 23 St, Panama City, FL 32405-4507 |
| Ornelia Puente | Nurse Practitioner | Bangus Surgical Specialists LLC | 1400 Fivay Rd, Hudson, FL 34667 |
| Stacy B Sprehe | Physician Assistant | Bangus Surgical Specialists LLC | 5800 49th St N, Suite 201, Saint Petersburg, FL 33709-2100 |
| Street Address |
14100 FIVAY RD SUITE 280 |
| City | HUDSON |
| State | FL |
| Zip | 34667-7150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica Plazarte | Internal Medicine | Diabetes Care Center, Inc | 14100 Fivay Rd, Suite 250, Hudson, FL 34667-7151 |
| Jogi Nareddy | Cardiovascular Disease (cardiology) | Bayonet Point/hudson Cardiology Associates | 14100 Fivay Rd, Suite 160, Hudson, FL 34667-7194 |
| Irene Kardashian | Internal Medicine | 14100 Fivay Rd, Suite 100, Hudson, FL 34667-7159 | |
| Bogdana Trop | General Surgery | Bangus Surgical Specialists LLC | 14100 Fivay Rd, Suite 280, Hudson, FL 34667-7150 |
| Ainsley B Freshour | General Surgery | Bangus Surgical Specialists LLC | 14100 Fivay Rd, Suite 280, Hudson, FL 34667-7150 |
| Donald R Fridley Ii | General Surgery | Greater Tampa Bay Physician Specialists LLC | 14100 Fivay Rd, Suite 340, Hudson, FL 34667-7181 |
| Stephen A Goldman | Cardiovascular Disease (cardiology) | S Goldman Md C Pitarys Md Pl | 14100 Fivay Rd, Suite 110, Hudson, FL 34667-7159 |
| Sambasiva Rao Musunuru | Cardiovascular Disease (cardiology) | Bayonet Point/hudson Cardiology Associates | 14100 Fivay Rd, Suite 160, Hudson, FL 34667-7194 |
| Khaja M.s. Zaki | Cardiovascular Disease (cardiology) | Bayonet Point/hudson Cardiology Associates | 14100 Fivay Rd, Suite 160, Hudson, FL 34667-7194 |
| Ronald S Gilberg | Internal Medicine | 14100 Fivay Rd, Suite 200, Hudson, FL 34667-7150 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Sims Logan | General Surgery | Bangus Surgical Specialists LLC | 1400 Fivay Rd, Hudson, FL 34667 |
| Ercelin V Phillips | Chiropractic | 13740 Old Dixie Hwy, Hudson, FL 34667 | |
| Stephen A Ballistrea | Chiropractic | 7236 State Rd 52, Suite 3, Bayonet Point, FL 34667 | |
| Ornelia Puente | Nurse Practitioner | Bangus Surgical Specialists LLC | 1400 Fivay Rd, Hudson, FL 34667 |
| Robert R Winer | Nurse Practitioner | Bangus Surgical Specialists LLC | 1400 Fivay Rd, Hudson, FL 34667 |
| Martin R Canillas | Sports Medicine | Access Health Care Physicians LLC | 13944 Lakeshore Blvd, Suite B, Hudson, FL 34667-1431 |
| Mukeshkumar I Patel | Internal Medicine | Hernando Pasco Primary Care LLC | 13906 Lakeshore Blvd, Suite 330, Hudson, FL 34667-1487 |
| Raghu V Devabhaktuni | Psychiatry | 13908 Lakeshore Blvd, Suite 210, Hudson, FL 34667-1492 | |
| Robert A Young | Internal Medicine | 13910 Lakeshore Blvd, Suite 130, Hudson, FL 34667-1770 | |
| Gaither G Davis | Otolaryngology | 13910 Lakeshore Blvd, Suite 120, Hudson, FL 34667-1770 | |
| Find all physicians in zip 34667 | |||
| City | HUDSON |
| Zip Code | 34667 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HUDSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jillian A Stuper.
| 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.