Keron A Ferguson (NPI# 1215007125, PAC ID# 4284725565) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1215007125 |
PAC ID by PECOS | 4284725565 |
Professional Enrollment ID | I20070801000657 |
Full Name | Keron A Ferguson |
Organization Legal Name | NAUTILUS HEALTH CARE GROUP LLC |
Address |
715 W State Rd Suite 434 Longwood FL 32750-4937 |
Phone Number | 4077675843 |
Gender | F |
Medical School | UMDNJ NEW JERSEY SCHOOL OF OSTEO MEDICINE |
Graduation Year | 2003 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | GERIATRIC MEDICINE |
Group Practice PAC ID | 5991604852 |
Number of Group Practice Members | 42 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100006 | ORLANDO HEALTH |
100030 | HEALTH CENTRAL |
100007 | FLORIDA HOSPITAL |
Address | Phone | Organization |
---|---|---|
715 W State Rd, Suite 434, Longwood, FL 32750-4937 | 4077675843 | NAUTILUS HEALTH CARE GROUP LLC |
7339 Stonerock Cir, Orlando, FL 32819-8002 | 3218427308 | NAUTILUS HEALTH CARE GROUP LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 83% | |
MIPS_EC_131_overall | Pain Assessment and Follow-Up | 20% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 95% |
Organization Legal Name | NAUTILUS HEALTH CARE GROUP LLC |
Physicians | 43 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ellen L Larusso | Nurse Practitioner | Nautilus Health Care Group LLC | 3001 W Dr Mlk Jr Blvd, Tampa, FL 33607-6387 |
Heather Amanda Dunn | Nurse Practitioner | Nautilus Health Care Group LLC | 250 2nd St E, Suite 4e, Bradenton, FL 34208-1028 |
Louis Mazzella | Family Medicine | Nautilus Health Care Group LLC | 7501 38th Ave N, St Petersburg, FL 33710-1230 |
Gary Anthony Gallo | Orthopedic Surgery | Nautilus Health Care Group LLC | 8340 Collier Blvd, Suite 302, Naples, FL 34114-3626 |
Adelor Zamora | Internal Medicine | Nautilus Health Care Group LLC | 10300 4th St N, St Petersburg, FL 33716-3810 |
Robyn M Ache | General Surgery | Nautilus Health Care Group LLC | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 |
Kristin L Eversole | Nurse Practitioner | Nautilus Health Care Group LLC | 210 21st Ave W, Bradenton, FL 34205-8336 |
Petra Elke Townsend | Family Medicine | Nautilus Health Care Group LLC | 3951 Nw 48th Ter, Suite 211, Gainesville, FL 32606-7230 |
Jennifer L Misechok | Physician Assistant | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
Charleen L Ise | Family Medicine | Nautilus Health Care Group LLC | 7000 4th St N, Bayfront Wound Care and Hyperbaric, St Petersburg, FL 33702-5903 |
Street Address |
715 W STATE RD SUITE 434 |
City | LONGWOOD |
State | FL |
Zip | 32750-4937 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lenka Zachar | General Surgery | Nautilus Health Care Group LLC | 715 W State Rd, Suite 434, Longwood, FL 32750-4937 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marc H Sherman | Optometry | 1495 W St Rd, 434 Suite 109, Longwood, FL 32750-3861 | |
Marcial Serrano | Psychiatry | Orlando Health Physician Group Inc | 455 W Warren Ave, Longwood, FL 32750-4002 |
Julie A Harper | Clinical Social Worker | Orlando Health Physician Group Inc | 455 W Warren Ave, Longwood, FL 32750-4002 |
Gilbert Tetteh Tamakloe | Psychiatry | Orlando Health Physician Group Inc | 455 W Warren Ave, Longwood, FL 32750-4002 |
Dennis E Platt | Psychiatry | Orlando Health Physician Group Inc | 455 W Warren Ave, Longwood, FL 32750-4002 |
Lorraine J Rouse | Nurse Practitioner | Orlando Health Physician Group Inc | 455 W Warren Ave, Longwood, FL 32750-4002 |
Debra Ann Dube | Internal Medicine | 901 W Warren Ave, Longwood, FL 32750-4003 | |
Sherrine Faye Richmond | Nurse Practitioner | Lpmg Inc | 212 W Bay Ave, Longwood, FL 32750-4126 |
Jacqueline Azelvandre | Family Medicine | 301 S Milwee St, Longwood, FL 32750-4127 | |
Jessie A Cirolia | Nurse Practitioner | Azelvandre Do and Associates LLC | 301 S Milwee St, Longwood, FL 32750-4127 |
Find all physicians in zip 32750 |
City | LONGWOOD |
Zip Code | 32750 |
Specialty | FAMILY MEDICINE |
City + Specialty | LONGWOOD + FAMILY MEDICINE |
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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.