Eduardo H Martinez (NPI# 1417955337, PAC ID# 5597867697) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1417955337 |
| PAC ID by PECOS | 5597867697 |
| Professional Enrollment ID | I20070220000567 |
| Full Name | Eduardo H Martinez |
| Organization Legal Name | WEST COAST PRIMARY CARE, LLC |
| Address |
12450 Roosevelt Blvd St. Petersburg FL 33716-1902 |
| Phone Number | 7275711688 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6709041585 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100127 | MORTON PLANT HOSPITAL |
| 100075 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8250 Bryan Dairy Rd, Suite 305, Largo, FL 33777-1360 | 7273915008 | WEST COAST PRIMARY CARE, LLC |
| 12450 Roosevelt Blvd, St. Petersburg, FL 33716-1902 | 7275711688 | WEST COAST PRIMARY CARE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_046_65+ | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_046_65+ | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_046_overall | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_046_overall | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 75% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 75% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 97% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 97% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 99% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 99% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | WEST COAST PRIMARY CARE, LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Anderson | Nurse Practitioner | West Coast Primary Care, LLC | 12450 Roosevelt Blvd, Suite 305, St. Petersburg, FL 33716-1902 |
| Enos Perez | Family Medicine | West Coast Primary Care, LLC | 603 7th S St, Saint Petersburg, FL 33701-4719 |
| Sarah D Martin | Physician Assistant | West Coast Primary Care, LLC | 12450 Roosevelt Blvd, St. Petersburg, FL 33716-1902 |
| Colin Chan | Family Medicine | West Coast Primary Care, LLC | 12450 Roosevelt Blvd, Suite 305, St. Petersburg, FL 33716-1902 |
| Ligia Perez | Family Medicine | West Coast Primary Care, LLC | 603 7th S St, Saint Petersburg, FL 33701-4719 |
| Maritza T Day | Family Medicine | West Coast Primary Care, LLC | 603 7th S St, Saint Petersburg, FL 33701-4719 |
| Natalie Restrepo | Physician Assistant | West Coast Primary Care, LLC | 12450 Roosevelt Blvd, St. Petersburg, FL 33716-1902 |
| Gregory W Nestor | Internal Medicine | West Coast Primary Care, LLC | 7655 38th Ave N, Suite 202, St. Petersburg, FL 33710-1263 |
| Street Address |
12450 ROOSEVELT BLVD |
| City | ST. PETERSBURG |
| State | FL |
| Zip | 33716-1902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Anderson | Nurse Practitioner | West Coast Primary Care, LLC | 12450 Roosevelt Blvd, Suite 305, St. Petersburg, FL 33716-1902 |
| Sarah D Martin | Physician Assistant | West Coast Primary Care, LLC | 12450 Roosevelt Blvd, St. Petersburg, FL 33716-1902 |
| Colin Chan | Family Medicine | West Coast Primary Care, LLC | 12450 Roosevelt Blvd, Suite 305, St. Petersburg, FL 33716-1902 |
| Natalie Restrepo | Physician Assistant | West Coast Primary Care, LLC | 12450 Roosevelt Blvd, St. Petersburg, FL 33716-1902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren J Suttell | Nurse Practitioner | Baycare Medical Group, Inc. | 900 Carillon Pkwy, St Petersburg, FL 33716-1119 |
| Georgette J. Mccance | Obstetrics/gynecology | Womens Care Florida LLC | 900 Carillon Pkwy, Suite 302, St Petersburg, FL 33716-1119 |
| Karen Saravanos | Obstetrics/gynecology | Womens Care Florida LLC | 900 Carillon Pkwy, Suite 302, St Petersburg, FL 33716-1119 |
| Jacqueline S Fernandes | Obstetrics/gynecology | Womens Care Florida LLC | 900 Carillon Pkwy, Suite 302, St Petersburg, FL 33716-1119 |
| Susan L Marcelli | Obstetrics/gynecology | Womens Care Florida LLC | 900 Carillon Pkwy, Suite 302, St Petersburg, FL 33716-1119 |
| Saul R Lerner | Obstetrics/gynecology | Womens Care Florida LLC | 900 Carillon Pkwy, Suite 302, St Petersburg, FL 33716-1119 |
| Daniel R Shiffman | Physician Assistant | Eaton Orthopaedics LLC | 900 Carillon Pkwy, Suite 311, Saint Petersburg, FL 33716-1120 |
| Sally L Rosendale | Clinical Social Worker | Baycare Behavioral Health Inc | 900 Carillon Pkwy, Suite 308, St Petersburg, FL 33716-1120 |
| Heather L Hornstein | Physician Assistant | Eaton Orthopaedics LLC | 900 Carillon Pkwy, Suite 311, Saint Petersburg, FL 33716-1120 |
| Katulle K Eaton | Orthopedic Surgery | Eaton Orthopaedics LLC | 900 Carillon Pkwy, Suite 311, Saint Petersburg, FL 33716-1120 |
| Find all physicians in zip 33716 | |||
| City | ST. PETERSBURG |
| Zip Code | 33716 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ST. PETERSBURG + INTERNAL MEDICINE |
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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.