Debra Forte (NPI# 1154387504, PAC ID# 3678528320) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1154387504 |
| PAC ID by PECOS | 3678528320 |
| Professional Enrollment ID | I20050316000311 |
| Full Name | Debra Forte |
| Organization Legal Name | JAX ANESTHESIA PROVIDERS LLC |
| Address |
4800 Belfort Rd Jacksonville FL 32256-6004 |
| Phone Number | 9044835850 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 2004 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 5698783702 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100134 | ED FRASER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4800 Belfort Rd, Jacksonville, FL 32256-6004 | 9044835850 | JAX ANESTHESIA PROVIDERS LLC |
| Organization Legal Name | JAX ANESTHESIA PROVIDERS LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce J Wallace | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Darrel A Kalinski | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| David A Smith | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Irene M Ratliff | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Nancy Powell | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Stephen T Lawrence | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Donna D Smith | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| John B Killinger | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 159 N 3rd St, Macclenny, FL 32063-2103 |
| Rebecca S Goldwasser | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Lisa M Nesbitt | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Street Address |
4800 BELFORT RD |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32256-6004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce J Wallace | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Grant T Whittaker | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Nassim Youssef El Hajj | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Jennifer F Marzoug | Nurse Practitioner | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Jeffrey S Hoffman | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Mark Fleisher | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Harvey G Phillips | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Jason Howard Ross | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Darrel A Kalinski | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| David A Smith | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manish Relan | Internal Medicine | American Arthritis and Rheumatology Associates LLC | 9191 Rg Skinner Pkwy, Suite 401, Jacksonville, FL 32256 |
| Tracy Riley | Clinical Social Worker | 10151 Deerwood Park Blvd, Suite 200 250, Jacksonville, FL 32256-0589 | |
| Stephanie Nicole Burkhalter | Nurse Practitioner | Md2u Florida LLC | 10151 Deerwood Park Blvd, Suite 200 250, Jacksonville, FL 32256-0589 |
| Brian Armitage | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Scott L Thiele | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Bradley Kirchner | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Michael L Hay | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Jon S Walker | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Ann-marie Connolly | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Jack Rubin | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Find all physicians in zip 32256 | |||
| City | JACKSONVILLE |
| Zip Code | 32256 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | JACKSONVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.