Mohamed Badr Sultan (NPI# 1154522175, PAC ID# 6305934696) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1154522175 |
| PAC ID by PECOS | 6305934696 |
| Professional Enrollment ID | I20110414000257 |
| Full Name | Mohamed Badr Sultan |
| Organization Legal Name | SANTA ROSA HMA PHYSICIAN MANAGEMENT, LLC |
| Address |
5992 Berryhill Rd Milton FL 32570-1014 |
| Gender | M |
| Graduation Year | 1993 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 1658478532 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100124 | SANTA ROSA MEDICAL CENTER |
| 100025 | SACRED HEART HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4225 Woodbine Rd, Suite F, Milton, FL 32571-8791 | 8509834497 | SANTA ROSA HMA PHYSICIAN MANAGEMENT, LLC |
| 5992 Berryhill Rd, Milton, FL 32570-1014 | SANTA ROSA HMA PHYSICIAN MANAGEMENT, LLC | |
| 6002 Berryhill Rd, Milton, FL 32570-5062 | 8506267762 | SANTA ROSA HMA PHYSICIAN MANAGEMENT, LLC |
| 4225 Woodbine Rd, Pace, FL 32571-8791 | 8509946575 | SANTA ROSA HMA PHYSICIAN MANAGEMENT, LLC |
| Organization Legal Name | SANTA ROSA HMA PHYSICIAN MANAGEMENT, LLC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam C Hargis | Nurse Practitioner | Santa Rosa Hma Physician Management, LLC | 1929 Ortega St, Navarre, FL 32566-4111 |
| Casey L. Schneider | Nurse Practitioner | Santa Rosa Hma Physician Management, LLC | 4944 Hwy 90, Pace, FL 32571-1413 |
| Edwin E Taylor | Family Medicine | Santa Rosa Hma Physician Management, LLC | 4264 Avalon Blvd, Milton, FL 32583-2808 |
| Sue George | Obstetrics/gynecology | Santa Rosa Hma Physician Management, LLC | 5978 Berryhill Medical Park Dr, Milton, FL 3257050ND |
| Peter M Szymoniak | Orthopedic Surgery | Santa Rosa Hma Physician Management, LLC | 6007 Berryhill Rd, Milton, FL 32570-4008 |
| Thomas V Messe | Family Medicine | Santa Rosa Hma Physician Management, LLC | 4225 Woodbine Rd, Suite F, Milton, FL 32571-8791 |
| Van Brandon Foles | General Surgery | Santa Rosa Hma Physician Management, LLC | 1929 Ortega St, Navarre, FL 32566-4111 |
| Jonathan Lyons Chadwick | Otolaryngology | Santa Rosa Hma Physician Management, LLC | 6002 Berryhill Rd, Milton, FL 32570-5062 |
| Ricardo Mohammed | General Surgery | Santa Rosa Hma Physician Management, LLC | 1929 Ortega St, Navarre, FL 32566-4111 |
| Robert Marshall Dimick | Orthopedic Surgery | Santa Rosa Hma Physician Management, LLC | 1929 Ortega St, Navarre, FL 32566-4111 |
| Street Address |
5992 BERRYHILL RD |
| City | MILTON |
| State | FL |
| Zip | 32570-1014 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracey Taylor | Nurse Practitioner | Santa Rosa Hma Physician Management, LLC | 5992 Berryhill Rd, Suite 206, Milton, FL 32570-4009 |
| Vishal Gujral | Cardiovascular Disease (cardiology) | Sacred Heart Hospital of Pensacola | 5992 Berryhill Rd, Suite 302, Milton, FL 32570-1017 |
| Bobby J Simpson | Pulmonary Disease | Santa Rosa Hma Physician Management, LLC | 5992 Berryhill Rd, Suite 206, Milton, FL 32570-4009 |
| Saad Sakkal | Endocrinology | 5992 Berryhill Rd, Suite 104, Milton, FL 32570-1018 | |
| David Young | Family Practice | Gulf Coast Physician Partners | 5992 Berryhill Rd, Milton, FL 32570-1013 |
| Darrell L Pugh | Family Practice | Gulf Coast Physician Partners | 5992 Berryhill Rd, Milton, FL 32570-1013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip E Asmar | Anesthesiology | Dynamic Pain and Wellness | 5950 Berryhill Medical Park, Suite B, Milton, FL 32570 |
| Flora Lorna Q Cabreros | Internal Medicine | 5386 Broad St, Milton, FL 32570-2235 | |
| Stephanie J Allan | Nurse Practitioner | Santa Rosa Counseling Center LLC | 5642 Jones St, Milton, FL 32570-2304 |
| Brandy L Ingram | Clinical Social Worker | 5642 Jones St, Milton, FL 32570-2304 | |
| Stephen A. Ziller Iii | Gastroenterology | Baptist Medical Group LLC | 5982 Berryhill Rd, Unit B, Milton, FL 32570-4001 |
| Peter M Szymoniak | Orthopedic Surgery | Santa Rosa Hma Physician Management, LLC | 6007 Berryhill Rd, Milton, FL 32570-4008 |
| Erwin Bennett | Orthopedic Surgery | Santa Rosa Hma Physician Management, LLC | 6007 Berryhill Rd, Milton, FL 32570-4008 |
| John M Lee | Obstetrics/gynecology | 5942 Berryhill Rd, Milton, FL 32570-4009 | |
| Thomas Riney | Pediatric Medicine | Florida Department of Health | 5527 Stewart St, Milton, FL 32570-4303 |
| Mary-jane Valbracht | Nurse Practitioner | West Florida Community Care Center | 5500 Stewart St, Milton, FL 32570-4304 |
| Find all physicians in zip 32570 | |||
| City | MILTON |
| Zip Code | 32570 |
| Specialty | NEUROLOGY |
| City + Specialty | MILTON + NEUROLOGY |
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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.