Crystal Ann Wade
HUGHSTON CLINIC SOUTHEAST PC


Address: 1895 Kingsley Ave, Suite 300, Orange Park, FL 32073-4453
Phone: 9043758850

Crystal Ann Wade (NPI# 1073173142, PAC ID# 5395072847) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1073173142
PAC ID by PECOS 5395072847
Professional Enrollment ID I20190807001360
Full Name Crystal Ann Wade
Organization Legal Name HUGHSTON CLINIC SOUTHEAST PC
Address 1895 Kingsley Ave
Suite 300
Orange Park
FL 32073-4453
Phone Number 9043758850
Gender F
Graduation Year 2019
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 9234423971
Number of Group Practice Members 44
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100226 ORANGE PARK MEDICAL CENTER

Other Locations

Address Phone Organization
1895 Kingsley Ave, Suite 300, Orange Park, FL 32073-4453 9043758850 HUGHSTON CLINIC SOUTHEAST PC
2001 Kingsley Ave, Orange Park, FL 32073-5148 9046398500 HUGHSTON CLINIC SOUTHEAST PC

Organization Information

Organization Legal Name HUGHSTON CLINIC SOUTHEAST PC
Physicians 44

Physicians with the same organization

Name Specialty Organization Address
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
Nolan M. Renner Physician Assistant Hughston Clinic Southeast PC 1000 Mar Walt Dr, Fort Walton Beach Medical Center, Fort Walton Beach, FL 32547-6708

Office Location

Street Address 1895 KINGSLEY AVE
SUITE 300
City ORANGE PARK
State FL
Zip 32073-4453

Physicians in the same location

Name Specialty Organization Address
Kathleen M Ruhlin Physician Assistant Orange Park Acute Trauma LLC 1895 Kingsley Ave, Suite 300, Orange Park, FL 32073-4453
Thomas A Lupoli Allergy/immunology Allergy and Asthma Specialists of North Florida Pa 1895 Kingsley Ave, Suite 401, Orange Park, FL 32073-4453
Wendy L Chambers Physician Assistant Orange Park Acute Trauma LLC 1895 Kingsley Ave, Suite 300, Orange Park, FL 32073-4453
Angela L Karulak Nurse Practitioner Orange Park Acute Trauma LLC 1895 Kingsley Ave, Suite 300, Orange Park, FL 32073-4453
Dennis D Dewey Neurology 1895 Kingsley Ave, Suite 805, Orange Park, FL 32073-4410
Patrick J De Marco Allergy/immunology Allergy and Asthma Specialists of North Florida Pa 1895 Kingsley Ave, Suite 401, Orange Park, FL 32073-4453
Yvette L Sims Nurse Practitioner Orange Park Acute Trauma LLC 1895 Kingsley Ave, Suite 300, Orange Park, FL 32073-4453
Jon Robert Brown General Surgery Orange Park Acute Trauma LLC 1895 Kingsley Ave, Suite 300, Orange Park, FL 32073-4453
David Mosborg Otolaryngology 1895 Kingsley Ave, Suite 703, Orange Park, FL 32073-4410
Justin Charles Woods Orthopedic Surgery Hughston Clinic Southeast PC 1895 Kingsley Ave, Suite 300, Orange Park, FL 32073-4453
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Physicians in the same zip code

Name Specialty Organization Address
Rahman Karimi Internal Medicine Mcci Group Holdings LLC 8 Blanding Blvd, Suite 20, Orange Park, FL 32073-2202
Carlos R Villa Optometry Myeyedr Optometry of Florida, LLC 28 Blanding Blvd, Orange Park, FL 32073-2202
Robert Morris Chiropractic 1871 Wells Rd, Orange Park, FL 32073-2351
Ali Tabatabai Optometry Family First Vision Care Pllc 1911 Wells Rd, Suite 6, Orange Park, FL 32073-2372
Darren R Blom Optometry Family First Vision Care Pllc 1911 Wells Rd, Suite 6, Orange Park, FL 32073-2372
Shaila N Williston Family Practice 1700 Wells Rd, Suite 27, Orange Park, FL 32073-2374
Joseph N Salameh Chiropractic Jns Physicians Group LLC 1700 Wells Rd, Orange Park, FL 32073-2374
Marcus Decarvalho Psychiatry 1677 Wells Rd, Suite A, Orange Park, FL 32073-2383
Blake Bazel Psychologist, Clinical 1677 Wells Rd, Suite A, Orange Park, FL 32073-2383
Hewell B Eaves Optometry Mack Eye Care Pa 88 Blanding Blvd, Orange Park, FL 32073-2601
Find all physicians in zip 32073

Competitor

Search similar physicians

City ORANGE PARK
Zip Code 32073
Specialty NURSE PRACTITIONER
City + Specialty ORANGE PARK + NURSE PRACTITIONER

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Dataset Information

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.

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