Kimberly A Anselmo (NPI# 1336484385, PAC ID# 4688829195) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1336484385 |
| PAC ID by PECOS | 4688829195 |
| Professional Enrollment ID | I20130308000026 |
| Full Name | Kimberly A Anselmo |
| Organization Legal Name | CENTRAL BREVARD ANESTHESIOLOGISTS PA |
| Address |
250 N Wickham Rd Melbourne FL 32935-8625 |
| Phone Number | 3217521200 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3577477314 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100291 | STEWARD MELBOURNE HOSPITAL |
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| Address | Phone | Organization |
|---|---|---|
| 250 N Wickham Rd, Melbourne, FL 32935-8625 | 3217521200 | CENTRAL BREVARD ANESTHESIOLOGISTS PA |
| 110 Longwood Ave, Rockledge, FL 32955-2828 | 3216362211 | CENTRAL BREVARD ANESTHESIOLOGISTS PA |
| Organization Legal Name | CENTRAL BREVARD ANESTHESIOLOGISTS PA |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph S Babb | Certified Registered Nurse Anesthetist (crna) | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Nathaniel M Bolli | Anesthesiology | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Peter O Haughie | Anesthesiology | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Rickey D King | Certified Registered Nurse Anesthetist (crna) | Central Brevard Anesthesiologists Pa | 110 Longwood Ave, Rockledge, FL 32955-2828 |
| Scott J Newman | Certified Registered Nurse Anesthetist (crna) | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Tyler G Haskell | Anesthesiology | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Holly L Russo | Certified Registered Nurse Anesthetist (crna) | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Joshua R Reynolds | Anesthesiology | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Noah A Haner | Certified Registered Nurse Anesthetist (crna) | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Katrina S Vantassel | Certified Registered Nurse Anesthetist (crna) | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Street Address |
250 N WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip | 32935-8625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph S Babb | Certified Registered Nurse Anesthetist (crna) | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Nathaniel M Bolli | Anesthesiology | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Marcos A Santiano | Emergency Medicine | Melbourne Emergency Group, LLC | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Peter O Haughie | Anesthesiology | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Kathleen L Hannan | Diagnostic Radiology | Steward Medical Group Inc | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Gustavo A Espinosa | Diagnostic Radiology | Steward Medical Group Inc | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Scott J Newman | Certified Registered Nurse Anesthetist (crna) | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Tyler G Haskell | Anesthesiology | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Holly L Russo | Certified Registered Nurse Anesthetist (crna) | Central Brevard Anesthesiologists Pa | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Joseph Wasselle | General Surgery | Steward Medical Group Inc | 250 N Wickham Rd, Melbourne, FL 32935-8625 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Srinivas R Dontineni | Internal Medicine | 2800 Aurora Rd, Suite F, Melbourne, FL 32935-2015 | |
| Madhavi T Chary | Internal Medicine | 2800 Aurora Rd, Suite F, Melbourne, FL 32935-2015 | |
| Robert Dunne | Podiatry | 2717 N Wickham Rd, Suite 4, Melbourne, FL 32935-2200 | |
| Sharon Sinangote Haner | Physical Therapy | Central Florida Spine and Injury LLC | 2755 N Wickham Rd, Suite 102, Melbourne, FL 32935-2226 |
| Gregory C Priest | Chiropractic | 2755 N Wickham Rd, Suite 104, Melbourne, FL 32935-2226 | |
| Kathy D Rohaley | Physical Therapy | Central Florida Spine and Injury LLC | 2755 N Wickham Rd, Suite 102, Melbourne, FL 32935-2226 |
| Evan Michael Rush | Chiropractic | 2755 N Wickham Rd, Suite 104, Melbourne, FL 32935-2226 | |
| Anne M Gregas | Optometry | 3200 N Wickham Rd, Suite 1, Melbourne, FL 32935-2321 | |
| Mark Dillon | Gastroenterology | 3150 N Wickham Rd, Suite 6, Melbourne, FL 32935-2322 | |
| Thomas K Velleff | Pain Management | 3150 N Wickham Rd, Suite 9, Melbourne, FL 32935-2322 | |
| Find all physicians in zip 32935 | |||
| City | MELBOURNE |
| Zip Code | 32935 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MELBOURNE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Kimberly A Anselmo.
| 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.