Eric Marquez (NPI# 1881936342, PAC ID# 3779858345) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1881936342 |
| PAC ID by PECOS | 3779858345 |
| Professional Enrollment ID | I20171006002292 |
| Full Name | Eric Marquez |
| Organization Legal Name | LAKE SHORE HMA MEDICAL GROUP LLC |
| Address |
755 Sw State Rd Suite 47 Lake City FL 32025-0453 |
| Phone Number | 3867548000 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0941334841 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100102 | SHANDS LAKE SHORE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 348 Ne Methodist Ter, Suite 104, Lake City, FL 32055-3408 | 3867557799 | LAKE SHORE HMA MEDICAL GROUP LLC |
| 368 Ne Franklin St, Lake City, FL 32055-3088 | 3862928000 | LAKE SHORE HMA MEDICAL GROUP LLC |
| 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 | 3867548000 | LAKE SHORE HMA MEDICAL GROUP LLC |
| Organization Legal Name | LAKE SHORE HMA MEDICAL GROUP LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Salvucci | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Michael Ukaegbu | Internal Medicine | Lake Shore Hma Medical Group LLC | 221 Sw Stonegate Ter, Suite 101, Lake City, FL 32024-3463 |
| Chi Lai | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Ines Rodriguez | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 221 Sw Stonegate Ter, Suite 101, Lake City, FL 32024-3463 |
| Edwin Gonzalez Navedo | General Surgery | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Jennifer Scott | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Stephanie K Finnell | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Shelley Rose Perry | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Carlos Reyes | Internal Medicine | Lake Shore Hma Medical Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| David G Fanney | Family Practice | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Street Address |
755 SW STATE RD SUITE 47 |
| City | LAKE CITY |
| State | FL |
| Zip | 32025-0453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Salvucci | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Chi Lai | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Edwin Gonzalez Navedo | General Surgery | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Stephanie K Finnell | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Shelley Rose Perry | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| David G Fanney | Family Practice | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Jerzy T Polmerski | General Surgery | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Ann-marie S Fenn | Certified Nurse Midwife | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Lake City, FL 32025-0453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly C Herring | Clinical Social Worker | 871 Sw State Rd, Suite 47, Lake City, FL 32025-0433 | |
| Charles M Varghese | Cardiovascular Disease (cardiology) | 782 Sw Sisters Welcome Rd, Lake City, FL 32025-0442 | |
| Vijay M. Patel | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 495 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Donald Brent Hayden | General Practice | 733 Sw State Rd, Suite 47, Lake City, FL 32025-0453 | |
| Richard L Wright Jr. | Family Medicine | 1289 Sw Sr, Suite 47, Lake City, FL 32025-0484 | |
| Jerry W Register | Chiropractic | 1233 Sw State Rd, Suite 47, Lake City, FL 32025-0484 | |
| Richard A Weizenecker | Internal Medicine | 1297 Sw State Rd, Suite 47, Lake City, FL 32025-0484 | |
| Faisal Mukhtar | Pathology | Mohammad Ali Faisal, M.d., P.a. | 1283 Swstate Rd, Suite 47, Lake City, FL 32025-0489 |
| Tohmina Begum | Internal Medicine | 1283 Sw State Rd, 47 Suite 101, Lake City, FL 32025-0490 | |
| Ricardo J Rosado | Gastroenterology | Mohammad Ali Faisal, M.d., P.a. | 1283 Sw State Rd, 47 Suite 104, Lake City, FL 32025-0490 |
| Find all physicians in zip 32025 | |||
| City | LAKE CITY |
| Zip Code | 32025 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LAKE CITY + OBSTETRICS/GYNECOLOGY |
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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.