Eileen C De Grandis (NPI# 1336379478, PAC ID# 4082809165) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1336379478 |
| PAC ID by PECOS | 4082809165 |
| Professional Enrollment ID | I20160711001074 |
| Full Name | Eileen C De Grandis |
| Organization Legal Name | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
| Address |
1641 Tamiami Trl Suite 2 Port Charlotte FL 33948-1018 |
| Phone Number | 9412553499 |
| Gender | F |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | VASCULAR SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 8729187901 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100077 | BAYFRONT HEALTH PORT CHARLOTTE |
| 100047 | BAYFRONT HEALTH PUNTA GORDA |
| 100236 | FAWCETT MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 | 9412553499 | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
| 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 9417660400 | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
| 2380 Harbor Blvd, Port Charlotte, FL 33952-5024 | 9412060325 | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
| 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 9412060325 | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
| 809 E Marion Ave, Punta Gorda, FL 33950-3819 | 9417660400 | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
| Organization Legal Name | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Frances Hollenbeck | Nurse Practitioner | Port Charlotte Hma Physician Management LLC | 2380 Harbor Blvd, Port Charlotte, FL 33952-5024 |
| Domenico Calcaterra | Thoracic Surgery | Port Charlotte Hma Physician Management LLC | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 |
| Kelly Anne Weaver | Nurse Practitioner | Port Charlotte Hma Physician Management LLC | 3067 Tamiami Trl, Port Charlotte, FL 33952-6619 |
| Hernan G Fuentes | Obstetrics/gynecology | Port Charlotte Hma Physician Management LLC | 15061 Tamiami Trl, Suite 1, North Port, FL 34287-2734 |
| Gonzalo J Carrizo | Cardiac Surgery | Port Charlotte Hma Physician Management LLC | 2525 Harbor Boulevard, Port Charlotte, FL 33952-5342 |
| Chungchieh D Chou | Anesthesiology | Port Charlotte Hma Physician Management LLC | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 |
| Marat V Grigorov | Neurosurgery | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Bridgett V Donalson | Nurse Practitioner | Port Charlotte Hma Physician Management LLC | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 |
| Jennifer D'abarno | Obstetrics/gynecology | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Ruben Guzman | Obstetrics/gynecology | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Street Address |
1641 TAMIAMI TRL SUITE 2 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip | 33948-1018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Michael Mlnarik | Orthopedic Surgery | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Steven Raymond Anthony | Orthopedic Surgery | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Marat V Grigorov | Neurosurgery | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Amanda S. Pumilia | Nurse Practitioner | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Jennifer D'abarno | Obstetrics/gynecology | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Nicholas J Connors | Orthopedic Surgery | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Robert P Stchur | Orthopedic Surgery | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Ruben Guzman | Obstetrics/gynecology | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Maryanna Piekarski | Physician Assistant | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Kendall Karen Marotti | Physician Assistant | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roxanne J Cropp | Certified Registered Nurse Anesthetist (crna) | Gulf Coast Anesthesia Associates Inc | 1400 Education Way, Port Charlotte, FL 33948-1000 |
| Amy Mellor | Neurology | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| David L Anthony | Physical Therapy | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Meredith Terese Taylor | Physician Assistant | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Gregory P Gebauer | Orthopedic Surgery | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Luis Dibos | Cardiac Surgery | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Renee M Schroeder | Nurse Practitioner | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Dale A Greenberg | Orthopedic Surgery | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Lee M James | Physical Medicine and Rehabilitation | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Jason E Reiss | Orthopedic Surgery | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Find all physicians in zip 33948 | |||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | PORT CHARLOTTE + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Eileen C De Grandis.
| 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.