Kelly L Pietan (NPI# 1336388982, PAC ID# 5698832723) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1336388982 |
| PAC ID by PECOS | 5698832723 |
| Professional Enrollment ID | I20090317000491 |
| Full Name | Kelly L Pietan |
| Organization Legal Name | EXCEL ANESTHESIA CONSULTANTS LLC |
| Address |
10475 Centurion N Pkwy Suite 101 Jacksonville FL 32256-5004 |
| Phone Number | 9046522328 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0648366526 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1 Shircliff Way, St. Vincent's Medical Center Rivers, Jacksonville, FL 32204-4748 | 9043087300 | NORTH FLORIDA ANESTHESIA CONSULTANTS INC |
| 10475 Centurion N Pkwy, Suite 101, Jacksonville, FL 32256-5004 | 9046522328 | EXCEL ANESTHESIA CONSULTANTS LLC |
| Organization Legal Name | EXCEL ANESTHESIA CONSULTANTS LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Racheal R Davis | Certified Registered Nurse Anesthetist (crna) | Excel Anesthesia Consultants LLC | 10475 Centurion N Pkwy, Suite 101, Jacksonville, FL 32256-5004 |
| Kelly S Eubanks | Certified Registered Nurse Anesthetist (crna) | Excel Anesthesia Consultants LLC | 10475 Centurion N Pkwy, Suite 101, Jacksonville, FL 32256-5004 |
| Brian G Lynch | Certified Registered Nurse Anesthetist (crna) | Excel Anesthesia Consultants LLC | 10475 Centurion N Pkwy, Suite 101, Jacksonville, FL 32256-5004 |
| Street Address |
10475 CENTURION N PKWY SUITE 101 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32256-5004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Racheal R Davis | Certified Registered Nurse Anesthetist (crna) | Excel Anesthesia Consultants LLC | 10475 Centurion N Pkwy, Suite 101, Jacksonville, FL 32256-5004 |
| Kelly S Eubanks | Certified Registered Nurse Anesthetist (crna) | Excel Anesthesia Consultants LLC | 10475 Centurion N Pkwy, Suite 101, Jacksonville, FL 32256-5004 |
| Brian G Lynch | Certified Registered Nurse Anesthetist (crna) | Excel Anesthesia Consultants LLC | 10475 Centurion N Pkwy, Suite 101, Jacksonville, FL 32256-5004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manish Relan | Internal Medicine | American Arthritis and Rheumatology Associates LLC | 9191 Rg Skinner Pkwy, Suite 401, Jacksonville, FL 32256 |
| Tracy Riley | Clinical Social Worker | 10151 Deerwood Park Blvd, Suite 200 250, Jacksonville, FL 32256-0589 | |
| Stephanie Nicole Burkhalter | Nurse Practitioner | Md2u Florida LLC | 10151 Deerwood Park Blvd, Suite 200 250, Jacksonville, FL 32256-0589 |
| Brian Armitage | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Scott L Thiele | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Bradley Kirchner | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Michael L Hay | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Jon S Walker | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Ann-marie Connolly | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Jack Rubin | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Find all physicians in zip 32256 | |||
| City | JACKSONVILLE |
| Zip Code | 32256 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | JACKSONVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.