Thomas Joseph Mezzanotte (NPI# 1609841931, PAC ID# 4486728995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
Nation Provider ID (NPI) | 1609841931 |
PAC ID by PECOS | 4486728995 |
Professional Enrollment ID | I20190430001469 |
Full Name | Thomas Joseph Mezzanotte |
Organization Legal Name | HUGHSTON CLINIC SOUTHEAST PC |
Address |
2202 State Ave Suite 303 Panama City FL 32405-4590 |
Phone Number | 8507672455 |
Gender | M |
Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
Graduation Year | 1996 |
Primary Specialty | ORTHOPEDIC SURGERY |
Group Practice PAC ID | 9234423971 |
Number of Group Practice Members | 44 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100110 | OSCEOLA REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
700 W Oak St, Osceola Regional Medical Center, Kissimmee, FL 34741-4924 | 4078462266 | HUGHSTON CLINIC SOUTHEAST PC |
2202 State Ave, Suite 303, Panama City, FL 32405-4590 | 8507672455 | HUGHSTON CLINIC SOUTHEAST PC |
Organization Legal Name | HUGHSTON CLINIC SOUTHEAST PC |
Physicians | 44 |
Name | Specialty | Organization | Address |
---|---|---|---|
Crystal Ann Wade | Nurse Practitioner | Hughston Clinic Southeast PC | 1895 Kingsley Ave, Suite 300, Orange Park, FL 32073-4453 |
Lindsey Allison Baroch | Physician Assistant | Hughston Clinic Southeast PC | 3625 University Blvd S, Memorial Hospital, Jacksonville, FL 32216-4207 |
Rebecca Catherine Hanna | Physician Assistant | Hughston Clinic Southeast PC | 1401 W Seminole Blvd, Central Florida Regional Hospital, Sanford, FL 32771-6743 |
John Simonson IIi | Physician Assistant | Hughston Clinic Southeast PC | 309 N Mangoustine Ave, Unit G Triple County Medical Condominium, Sanford, FL 32771-1098 |
Quentin K Tanko | Orthopedic Surgery | Hughston Clinic Southeast PC | 3736 S 4th St, Terre Haute, IN 47802-5507 |
Paul Richard Bretton | Physician Assistant | Hughston Clinic Southeast PC | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
Robert M Harris | Orthopedic Surgery | Hughston Clinic Southeast PC | 631 Professional Dr, Suite 170, Lawrenceville, GA 30046-3392 |
Matthew Wahrendorff Deweese | Nurse Practitioner | Hughston Clinic Southeast PC | 3443 Dickerson Pike, Suite 190, Nashville, TN 37207-2533 |
Mark H Epps | Physician Assistant | Hughston Clinic Southeast PC | 631 Professional Dr, Suite 170, Lawrenceville, GA 30046-3392 |
Matthew Combes | Physician Assistant | Hughston Clinic Southeast PC | 309 N Mangoustine Ave, Unit G Triple County Medical Condominium, Sanford, FL 32771-1098 |
Street Address |
2202 STATE AVE SUITE 303 |
City | PANAMA CITY |
State | FL |
Zip | 32405-4590 |
Name | Specialty | Organization | Address |
---|---|---|---|
Colton Kyle Johnston | Nurse Practitioner | Gulf Coast Multispeciality Services, LLC | 2202 State Ave, Suite 207, Panama City, FL 32405-4582 |
Rizwana Fareeduddin | Obstetrics/gynecology | North Florida Perinatal Associates, Inc | 2202 State Ave, Suite 103, Panama City, FL 32405-4590 |
Rush E Akin | Internal Medicine | Gulf Coast Medical Center Primary Care LLC | 2202 State Ave, Suite 207, Panama City, FL 32405-4582 |
Aaron William Redmond | Nurse Practitioner | Gulf Coast Multispeciality Services, LLC | 2202 State Ave, Suite 207, Panama City, FL 32405-4582 |
Delia Wilkins | Physician Assistant | Gulf Coast Medical Center Primary Care LLC | 2202 State Ave, Suite 207, Panama City, FL 32405-4582 |
Julie A German | Nurse Practitioner | Gulf Coast Multispeciality Services, LLC | 2202 State Ave, Suite 207, Panama City, FL 32405-4582 |
Thomas J Derbes | Neurology | 2202 State Ave, Suite 101, Panama City, FL 32405-4539 | |
Cameron Bass | Physician Assistant | Forefront Dermatology Sc | 2202 State Ave, Suite 102, Panama City, FL 32405-4539 |
Rahman Shah | Internal Medicine | Gulf Coast Multispeciality Services, LLC | 2202 State Ave, Suite 207, Panama City, FL 32405-4582 |
Fernando C Malamud | Hematology/oncology | 2202 State Ave, Suite 111, Panama City, FL 32405-4539 | |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Celestino Palomino | Nephrology | Manatee Kidney Diseases Consultants | 3701 Manatee Ave W, Bradenton, FL 32405-1711 |
Arys Daniel Celaya | Nephrology | Manatee Kidney Diseases Consultants | 3701 Manatee Ave W, Bradenton, FL 32405-1711 |
Hakan Recep Toka | Nephrology | Manatee Kidney Diseases Consultants | 3701 Manatee Ave W, Bradenton, FL 32405-1711 |
Jennifer C Bala | Nephrology | Manatee Kidney Diseases Consultants | 3701 Manatee Ave W, Bradenton, FL 32405-1711 |
Ramin Tolouian | Nephrology | Manatee Kidney Diseases Consultants | 3701 Manatee Ave W, Bradenton, FL 32405-1711 |
Sherry Lee Brown | Chiropractic | 2410 Saint Andrews Blvd A, Panama City, FL 32405-2135 | |
Randall Humphreys | Allergy/immunology | 2401 Saint Andrews Blvd, Panama City, FL 32405-2170 | |
Dinesh K Bhatt | Cardiovascular Disease (cardiology) | Nkbh LLC | 2232 W 24th St, Panama City, FL 32405-2226 |
Nayan Kumar Bhatt | Cardiovascular Disease (cardiology) | Nkbh LLC | 2232 W 24th St, Panama City, FL 32405-2226 |
Daniel Eugene Feitz | Podiatry | 2424 Frankford Ave, Panama City, FL 32405-2239 | |
Find all physicians in zip 32405 |
City | PANAMA CITY |
Zip Code | 32405 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | PANAMA CITY + ORTHOPEDIC SURGERY |
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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.