Demetria L Walker-rutledge
BAYCARE MEDICAL GROUP, INC.


Address: 10141 Big Bend Rd, Suite 206, Riverview, FL 33578-7419
Phone: 8133971274

Demetria L Walker-rutledge (NPI# 1821503111, PAC ID# 3577801059) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1821503111
PAC ID by PECOS 3577801059
Professional Enrollment ID I20190207001302
Full Name Demetria L Walker-rutledge
Organization Legal Name BAYCARE MEDICAL GROUP, INC.
Address 10141 Big Bend Rd
Suite 206
Riverview
FL 33578-7419
Phone Number 8133971274
Gender F
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 6406753623
Number of Group Practice Members 610
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100075 ST JOSEPHS HOSPITAL

Other Locations

Address Phone Organization
2461 Enterprise Rd, Suite C, Clearwater, FL 33763-1726 7277255060 BAYCARE MEDICAL GROUP, INC.
10141 Big Bend Rd, Suite 206, Riverview, FL 33578-7419 8133971274 BAYCARE MEDICAL GROUP, INC.

Organization Information

Organization Legal Name BAYCARE MEDICAL GROUP, INC.
Physicians 577

Physicians with the same organization

Name Specialty Organization Address
Michael Gannon Family Medicine Baycare Medical Group, Inc. 2531 Landmark Dr, Suite 103, Clearwater, FL 33761-3928
Okwudili Okpaleke Family Medicine Baycare Medical Group, Inc. 10141 Big Bend Rd, Suite 206, Riverview, FL 33578-7419
Brian P Mcdaniel Family Medicine Baycare Medical Group, Inc. 400 Pinellas St, Clearwater, FL 33756-3312
Nickole A Bacon Nurse Practitioner Baycare Medical Group, Inc. 2525 Pasadena Ave S, Suite U, South Pasadena, FL 33707-4559
Fred H Brennan Jr. Family Medicine Baycare Medical Group, Inc. 807 N Myrtle Ave, Clearwater, FL 33755-4254
Farshad Anvari Thoracic Surgery Baycare Medical Group, Inc. 3003 W Dr Martin Luther King Jr Blvd, Mab 2nd Floor, Tampa, FL 33607-6307
Thomas E Applegate Hospitalist Baycare Medical Group, Inc. 6901 Simmons Loop, Suite 4, Riverview, FL 33578-9498
Christopher N Nobo Gastroenterology Baycare Medical Group, Inc. 2000 Osprey Blvd, Suite 110, Bartow, FL 33830-4347
Jennifer Rebecca Chambers Family Medicine Baycare Medical Group, Inc. 5405 Park N St, Saint Petersburg, FL 33709-1044
Darryl B Bain Nurse Practitioner Baycare Medical Group, Inc. 6633 Forest Ave, Suite 300, New Port Richey, FL 34653-2612

Office Location

Street Address 10141 BIG BEND RD
SUITE 206
City RIVERVIEW
State FL
Zip 33578-7419

Physicians in the same location

Name Specialty Organization Address
Okwudili Okpaleke Family Medicine Baycare Medical Group, Inc. 10141 Big Bend Rd, Suite 206, Riverview, FL 33578-7419
David J Hormozdi Gastroenterology Baycare Medical Group, Inc. 10141 Big Bend Rd, Suite 206, Riverview, FL 33578-7419
Vincent A Laganella Family Medicine Baycare Medical Group, Inc. 10141 Big Bend Rd, Suite 206, Riverview, FL 33578-7419
Michael T Sailers Family Medicine Baycare Medical Group, Inc. 10141 Big Bend Rd, Suite 206, Riverview, FL 33578-7419
Julie Corinne Bucciarelli Nurse Practitioner Palm Harbor Dermatology Pa 10141 Big Bend Rd, Suite 209, Riverview, FL 33578-7422
Sarnia C Singh Family Medicine Baycare Medical Group, Inc. 10141 Big Bend Rd, Suite 206, Riverview, FL 33578-7419
Ocynth S Hansel Physician Assistant Palm Harbor Dermatology Pa 10141 Big Bend Rd, Suite 201, Riverview, FL 33578-7421
Jose P Pizarro-otero Neurology Baycare Medical Group, Inc. 10141 Big Bend Rd, Suite 206, Riverview, FL 33578-7419
Kyle Bruce Bartlett Dermatology Palm Harbor Dermatology Pa 10141 Big Bend Rd, Suite 201, Riverview, FL 33578-7421

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Kelly J Grabbe Emergency Medicine Valencia Emergency Physicians LLC 12530 S Us Hwy 301, Riverview, FL 33578
Jeanette E Dilan-koetje Emergency Medicine Valencia Emergency Physicians LLC 12530 S Us Hwy 301, Riverview, FL 33578
Heriberto Elizarraras Emergency Medicine Valencia Emergency Physicians LLC 12530 S Us Hwy 301, Riverview, FL 33578
Mayer N Fishman Hematology/oncology Tampa General Medical Group Inc 3140 S Falkenburg Rd, Riverview, FL 33578-2574
Firas M Abed Nephrology Florida Kidney Physicians LLC 3140 S Falkenburg Rd, Suite 201, Riverview, FL 33578-2594
Sisa K Jose Nurse Practitioner Florida Kidney Physicians LLC 3140 S Falkenburg Rd, Suite 201, Riverview, FL 33578-2594
Azhar Malik Nephrology Florida Kidney Physicians LLC 3140 S Falkenburg Rd, Suite 201, Riverview, FL 33578-2594
Viraj V Bhalani Nephrology Florida Kidney Physicians LLC 3140 S Falkenburg Rd, Suite 201, Riverview, FL 33578-2594
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Competitor

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City RIVERVIEW
Zip Code 33578
Specialty NURSE PRACTITIONER
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Dataset Information

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.

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