Andrea E Waterhouse (NPI# 1083831861, PAC ID# 4880785740) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083831861 |
| PAC ID by PECOS | 4880785740 |
| Professional Enrollment ID | I20070807000171 |
| Full Name | Andrea E Waterhouse |
| Organization Legal Name | BRADFORD EMERGENCY GROUP LLC |
| Address |
922 E Call St Starke FL 32091-3616 |
| Phone Number | 9043682300 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860776747 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 101303 | LAKE BUTLER HOSPITAL |
| 101310 | SHANDS STARKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 922 E Call St, Starke, FL 32091-3616 | 9043682300 | BRADFORD EMERGENCY GROUP LLC |
| Organization Legal Name | BRADFORD EMERGENCY GROUP LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wylene N Bhanji | Emergency Medicine | Bradford Emergency Group LLC | 922 E Call St, Starke, FL 32091-3616 |
| Gunther Groning | Family Medicine | Bradford Emergency Group LLC | 922 E Call St, Starke, FL 32091-3616 |
| Alberto I Alzate | Family Medicine | Bradford Emergency Group LLC | 922 E Call St, Starke, FL 32091-3616 |
| Christie Elaine Tison-dyal | Nurse Practitioner | Bradford Emergency Group LLC | 922 E Call St, Starke, FL 32091-3616 |
| David Eliot Kemp | Family Medicine | Bradford Emergency Group LLC | 922 E Call St, Starke, FL 32091-3616 |
| Street Address |
922 E CALL ST |
| City | STARKE |
| State | FL |
| Zip | 32091-3616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samer O Salhab | Diagnostic Radiology | Fands Radiology PC | 922 E Call St, Starke, FL 32091-3616 |
| Olutayo T Olabige | Nephrology | 922 E Call St, Starke, FL 32091-3616 | |
| James M Switzer | Diagnostic Radiology | Fands Radiology PC | 922 E Call St, Starke, FL 32091-3616 |
| Wylene N Bhanji | Emergency Medicine | Bradford Emergency Group LLC | 922 E Call St, Starke, FL 32091-3616 |
| Gunther Groning | Family Medicine | Bradford Emergency Group LLC | 922 E Call St, Starke, FL 32091-3616 |
| Tameka Burrell | Nurse Practitioner | Starke Hma Medical Group LLC | 922 E Call St, Starke, FL 32091-3616 |
| Robert C Anton | Diagnostic Radiology | Fands Radiology PC | 922 E Call St, Starke, FL 32091-3616 |
| Alberto I Alzate | Family Medicine | Bradford Emergency Group LLC | 922 E Call St, Starke, FL 32091-3616 |
| Glenn Steven Kaplan | Diagnostic Radiology | Fands Radiology PC | 922 E Call St, Starke, FL 32091-3616 |
| Christie Elaine Tison-dyal | Nurse Practitioner | Bradford Emergency Group LLC | 922 E Call St, Starke, FL 32091-3616 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith E Lynch | Physician Assistant | Trenton Medical Center, Inc | 550 W Georgia St, Starke, FL 32091-1816 |
| Tiffany N Rogers | Nurse Practitioner | Trenton Medical Center, Inc | 550 W Georgia St, Starke, FL 32091-1816 |
| Andrew Owen | Physician Assistant | Trenton Medical Center, Inc | 550 W Georgia St, Starke, FL 32091-1816 |
| Lynne M Webster | Nurse Practitioner | Florida Department of Health | 1801 N Temple Ave, Starke, FL 32091-1960 |
| Deron Ck Ottey | Orthopedic Surgery | 417 W Call St, Starke, FL 32091-3115 | |
| Virgil A Berry Jr. | Chiropractic | 601 E Call St, Starke, FL 32091-3405 | |
| David Eliot Kemp | Family Medicine | Bradford Emergency Group LLC | 922 E Call St, Starke, FL 32091-3616 |
| Rick Landon | Anesthesiology | Ams National LLC | 922 E Call St, Starke, FL 32091-3616 |
| Martin Eugene Slaughter | Chiropractic | 225 S Orange St, Starke, FL 32091-3833 | |
| Arthur Leonard Schlofman | Optometry | Michael Schlofman O.d P.l.l.c. | 292 Lafayette St, Starke, FL 32091-3913 |
| Find all physicians in zip 32091 | |||
| City | STARKE |
| Zip Code | 32091 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | STARKE + NURSE PRACTITIONER |
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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.