Elisa Icaza (NPI# 1194770271, PAC ID# 6406804673) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194770271 |
| PAC ID by PECOS | 6406804673 |
| Professional Enrollment ID | I20050105000390 |
| Full Name | Elisa Icaza |
| Organization Legal Name | ADVANCED BAY AREA MEDICAL ASSOCIATES |
| Address |
1700 66th St N Suite 510 St Petersburg FL 33710-5512 |
| Phone Number | 7273842479 |
| Gender | F |
| Credential | NP |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901708205 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100238 | NORTHSIDE HOSPITAL |
| 100180 | ST PETERSBURG GENERAL HOSPITAL |
| 100248 | LARGO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8207 113th St N, Seminole, FL 33772-4128 | 7273973991 | ADVANCED BAY AREA MEDICAL ASSOCIATES |
| 1700 66th St N, Suite 510, St Petersburg, FL 33710-5512 | 7273842479 | ADVANCED BAY AREA MEDICAL ASSOCIATES |
| Organization Legal Name | ADVANCED BAY AREA MEDICAL ASSOCIATES |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret L Lalor | Nurse Practitioner | Advanced Bay Area Medical Associates | 8207 113th St N, Seminole, FL 33772-4128 |
| Jesmarie Correa-lasanta | Internal Medicine | Advanced Bay Area Medical Associates | 1700 66th St N, Suite 510, St Petersburg, FL 33710-5512 |
| Nery D Balcacer-estevez | Internal Medicine | Advanced Bay Area Medical Associates | 1700 66th St N, Suite 510, St Petersburg, FL 33710-5512 |
| Jeffrey R Levenson | Internal Medicine | Advanced Bay Area Medical Associates | 1700 66th St N, Suite 510, St Petersburg, FL 33710-5512 |
| Street Address |
1700 66TH ST N SUITE 510 |
| City | ST PETERSBURG |
| State | FL |
| Zip | 33710-5512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Elizabeth Srnka | Physical Therapy | 1700 66th St N, Suite 102, St Petersburg, FL 33710-5510 | |
| Jesmarie Correa-lasanta | Internal Medicine | Advanced Bay Area Medical Associates | 1700 66th St N, Suite 510, St Petersburg, FL 33710-5512 |
| Nery D Balcacer-estevez | Internal Medicine | Advanced Bay Area Medical Associates | 1700 66th St N, Suite 510, St Petersburg, FL 33710-5512 |
| Jeffrey R Levenson | Internal Medicine | Advanced Bay Area Medical Associates | 1700 66th St N, Suite 510, St Petersburg, FL 33710-5512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren S Hendrix | Internal Medicine | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Khine Swe Zin Min | Hospitalist | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Marie-france Scherer | Internal Medicine | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| My N Myers | Hospitalist | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Jacek M Kucharewicz | Internal Medicine | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Timothy N Brundage | Internal Medicine | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Douglas B Moss | Podiatry | 7855 38th Ave N, Suite 200, St Petersburg, FL 33710-1134 | |
| John J Obrien Jr. | Plastic and Reconstructive Surgery | 7855 38th Ave N, St Petersburg, FL 33710-1152 | |
| Christopher Newman | Plastic and Reconstructive Surgery | 7855 38th Ave N, Saint Petersburg, FL 33710-1152 | |
| Louis Mazzella | Family Medicine | Nautilus Health Care Group LLC | 7501 38th Ave N, St Petersburg, FL 33710-1230 |
| Find all physicians in zip 33710 | |||
| City | ST PETERSBURG |
| Zip Code | 33710 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ST PETERSBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Elisa Icaza.
| 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.