Oral A Waldo (NPI# 1124313176, PAC ID# 5092952762) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1124313176 |
| PAC ID by PECOS | 5092952762 |
| Professional Enrollment ID | I20171023003010 |
| Full Name | Oral A Waldo |
| Organization Legal Name | ST LUCIE MEDICAL SPECIALISTS LLC |
| Address |
1700 S 23rd St Fort Pierce FL 34950-4803 |
| Phone Number | 7724614000 |
| Gender | M |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1456430487 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100260 | ST LUCIE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 7724614000 | ST LUCIE MEDICAL SPECIALISTS LLC |
| 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 7723354000 | ST LUCIE MEDICAL SPECIALISTS LLC |
| 293 Nw Peacock Blvd, Port Saint Lucie, FL 34986-2222 | ST LUCIE MEDICAL SPECIALISTS LLC | |
| 140 Sw Chamber Ct, Suite 100, Port St Lucie, FL 34986-3414 | 7723559600 | ST LUCIE MEDICAL SPECIALISTS LLC |
| 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 | 7723359000 | ST LUCIE MEDICAL SPECIALISTS LLC |
| Organization Legal Name | ST LUCIE MEDICAL SPECIALISTS LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Khamphou Manivanh Mosley | Nurse Practitioner | St Lucie Medical Specialists LLC | 1713 Us Hwy 441 N, Suite C, Okeechobee, FL 34972-1900 |
| Ahmet Bahadir Ergin | Internal Medicine | St Lucie Medical Specialists LLC | 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 |
| Anthony K Maharaj | Physician Assistant | St Lucie Medical Specialists LLC | 3425 S Highlands Ave, Sebring, FL 33870-5408 |
| Edward K Kankam | Family Medicine | St Lucie Medical Specialists LLC | 293 Nw Peacock Blvd, Suite 101 104, Port Saint Lucie, FL 34986-2222 |
| Kwabena K Pobi | Urology | St Lucie Medical Specialists LLC | 2341 Us Hwy 27 S, Sebring, FL 33870-4926 |
| Robert A Midence | Internal Medicine | St Lucie Medical Specialists LLC | 3700 Emergency Ln, Sebring, FL 33870-5536 |
| Tahir S Chaudhri | Orthopedic Surgery | St Lucie Medical Specialists LLC | 3427 S Highlands Ave, Sebring, FL 33870-5408 |
| Charles Azan | Pediatric Medicine | St Lucie Medical Specialists LLC | 140 Sw Chamber Ct, Suite 100, Port St Lucie, FL 34986-3414 |
| Pablo H Tirado | Family Medicine | St Lucie Medical Specialists LLC | 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 |
| Mariana Giron | Family Medicine | St Lucie Medical Specialists LLC | 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 |
| Street Address |
1700 S 23RD ST |
| City | FORT PIERCE |
| State | FL |
| Zip | 34950-4803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia M Wilson | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Eric T Stanley | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Sabrina M Seus | Internal Medicine | Glidden Park Inpatient Services, LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Brian L Fisher | Anesthesiology | Sheridan Healthcorp Inc | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Margaret E. Mgbemena | Internal Medicine | Glidden Park Inpatient Services, LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Hillary L Tipton | Physician Assistant | Lawnwood Healthcare Specialists LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Paul Njeru | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Melissa G Tucker | Nurse Practitioner | Fl-i Medical Services LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Jesus E Viloria | Pathology | Quality Pathology Group Inc | 1700 S 23rd St, Ft Pierce, FL 34950-4803 |
| Jerry K Wilson | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ziad Marjieh | Cardiovascular Disease (cardiology) | 1801 Se Hillmoor Dr, B109, Port Saint Lucie, FL 34950 | |
| Wilhelmina Lewis | Family Medicine | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Serge Volma Valme | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Sarang Hadaegh | General Practice | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Rene Leyva Quevedo | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Reinaldo Hernandez Silva | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Gladys Duarte | General Practice | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Anitra G Brown | Obstetrics/gynecology | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Arlene Morrison | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Lola B. Harrison | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Find all physicians in zip 34950 | |||
| City | FORT PIERCE |
| Zip Code | 34950 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | FORT PIERCE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Oral A Waldo.
| 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.