Christopher S Dibello (NPI# 1487875977, PAC ID# 3678616174) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1487875977 |
| PAC ID by PECOS | 3678616174 |
| Professional Enrollment ID | I20111205000706 |
| Full Name | Christopher S Dibello |
| Organization Legal Name | PCCC OF VOLUSIA LLC |
| Address |
1055 N Dixie Fwy Suite 1 New Smyrna Beach FL 32168-6201 |
| Phone Number | 3864230505 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2004 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 7911910237 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100045 | FLORIDA HOSPITAL DELAND |
| 100014 | FLORIDA HOSPITAL NEW SMYRNA |
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| 100072 | FLORIDA HOSPITAL FISH MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 638 W Plymouth Ave, Deland, FL 32720-2521 | 3862790006 | PCCC OF VOLUSIA LLC |
| 1055 N Dixie Fwy, Suite 1, New Smyrna Beach, FL 32168-6201 | 3864230505 | PCCC OF VOLUSIA LLC |
| Organization Legal Name | PCCC OF VOLUSIA LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika N Morrison | Nurse Practitioner | Pccc of Volusia LLC | 638 W Plymouth Ave, Deland, FL 32720-2521 |
| Theodossis Zacharis | Pulmonary Disease | Pccc of Volusia LLC | 780 Dunlawton Ave, Suite 1, Port Orange, FL 32127-4901 |
| Rajesh K Ailani | Pulmonary Disease | Pccc of Volusia LLC | 780 Dunlawton Ave, Suite 1, Port Orange, FL 32127-4901 |
| Heaven J Turner | Nurse Practitioner | Pccc of Volusia LLC | 1055 N Dixie Fwy, Suite 1, New Smyrna Beach, FL 32168-6201 |
| Ashley Pascucci | Nurse Practitioner | Pccc of Volusia LLC | 1055 N Dixie Fwy, Suite 1, New Smyrna Beach, FL 32168-6201 |
| Street Address |
1055 N DIXIE FWY SUITE 1 |
| City | NEW SMYRNA BEACH |
| State | FL |
| Zip | 32168-6201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dina Marie Doolin | Family Medicine | Beachside Medical Center | 1055 N Dixie Fwy, Suite 6, New Smyrna Beach, FL 32168-6200 |
| Beth Patel | Nurse Practitioner | Beachside Medical Center | 1055 N Dixie Fwy, Suite 6, New Smyrna Beach, FL 32168-6200 |
| Heaven J Turner | Nurse Practitioner | Pccc of Volusia LLC | 1055 N Dixie Fwy, Suite 1, New Smyrna Beach, FL 32168-6201 |
| Ashley Pascucci | Nurse Practitioner | Pccc of Volusia LLC | 1055 N Dixie Fwy, Suite 1, New Smyrna Beach, FL 32168-6201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cloressa Marie Dizney | Nurse Practitioner | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Rebecca H Mangali | Physician Assistant | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Marc B Hull | Physician Assistant | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Jeremy M Wright | Physician Assistant | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| John S Bohannon | Emergency Medicine | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Cynthia S Mohney | Physician Assistant | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Samuel M. Rosati | Family Medicine | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Angela L Ricci | Physician Assistant | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Tracy A Ruth | Nurse Practitioner | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Erin C Sloan | Physician Assistant | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Find all physicians in zip 32168 | |||
| City | NEW SMYRNA BEACH |
| Zip Code | 32168 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | NEW SMYRNA BEACH + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Christopher S Dibello.
| 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.