Timothy Michael Phelan (NPI# 1639131584, PAC ID# 6406928399) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1639131584 |
| PAC ID by PECOS | 6406928399 |
| Professional Enrollment ID | I20100616000625 |
| Full Name | Timothy Michael Phelan |
| Organization Legal Name | WOMENS CARE FLORIDA LLC |
| Address |
2525 Riverside Ave Jacksonville FL 32204-4710 |
| Phone Number | 9043880704 |
| Gender | M |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9234031444 |
| Number of Group Practice Members | 296 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 2525 Riverside Ave, Jacksonville, FL 32204-4710 | 9043880704 | WOMENS CARE FLORIDA LLC |
| 3 Shircliff Way, Suite 200, Jacksonville, FL 32204-4785 | 9043843699 | WOMENS CARE FLORIDA LLC |
| 5002 W Lemon St, Tampa, FL 33609-1104 | 8132860033 | WOMENS CARE FLORIDA LLC |
| Organization Legal Name | WOMENS CARE FLORIDA LLC |
| Physicians | 314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie A Daly | Certified Nurse Midwife (cnm) | Womens Care Florida LLC | 5002 W Lemon St, Tampa, FL 33609-1104 |
| Morgan Barr | Obstetrics/gynecology | Womens Care Florida LLC | 10 N Edinburgh Dr, 200 Tampa Bay Womens Care, Winter Park, FL 32792 |
| Nicole D Hoffman | Nurse Practitioner | Womens Care Florida LLC | 9650 Lake Nona Village Pl, Tampa Bay Womens Care, Orlando, FL 32827-7308 |
| Lex M Auguiste | Obstetrics/gynecology | Womens Care Florida LLC | 1116 Lucerne Ter, Orlando, FL 32806-1017 |
| Ashley Nicole Long | Obstetrics/gynecology | Womens Care Florida LLC | 1503 W Reynolds St, Tampa Bay Womens Care, Plant City, FL 33563-4733 |
| Karem Alvarez | Obstetrics/gynecology | Womens Care Florida LLC | 731 S Parsons Ave, Tampa Bay Womens Care, Brandon, FL 33511-6058 |
| Shelly Marie Seward | Obstetrics/gynecology | Womens Care Florida LLC | 3438 Lawton Rd, Orlando, FL 32803-2948 |
| Olga Kaliebe | Endocrinology | Womens Care Florida LLC | 5016 W Cypress St, Suite 200c, Tampa, FL 33607-3804 |
| Phyllis Kim Lindsey | Nurse Practitioner | Womens Care Florida LLC | 1503 W Reynolds St S, Plant City, FL 33563-4733 |
| Merse E Turnquest | Obstetrics/gynecology | Womens Care Florida LLC | 2400 Hook St, Clermont, FL 34711-3514 |
| Street Address |
2525 RIVERSIDE AVE |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32204-4710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula R Phelan | Certified Nurse Midwife (cnm) | Womens Care Florida LLC | 2525 Riverside Ave, Jacksonville, FL 32204-4710 |
| Marijane Q Boyd | Obstetrics/gynecology | North Florida Obstetrical and Gynecological Associates Pa | 2525 Riverside Ave, Jacksonville, FL 32204-4710 |
| Leslie Mcpartland | Nurse Practitioner | North Florida Obstetrical and Gynecological Associates Pa | 2525 Riverside Ave, Jacksonville, FL 32204-4710 |
| Patricia L Landry | Nurse Practitioner | North Florida Obstetrical and Gynecological Associates Pa | 2525 Riverside Ave, Jacksonville, FL 32204-4710 |
| Amy L Grant | Physician Assistant | North Florida Obstetrical and Gynecological Associates Pa | 2525 Riverside Ave, Jacksonville, FL 32204-4710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Walsh | Physician Assistant | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| William M Mentz | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Elizabeth Lee Gatch | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kayela Faye Moore | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Mitchell S Rothstein | Pulmonary Disease | 425 N Lee St, Suite 202, Jacksonville, FL 32204-1128 | |
| Eyad S Kawar | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Diana I Mercado | Infectious Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Jose M Soto Soto | Internal Medicine | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| Joseph P Orallo | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kasey E Treger | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Find all physicians in zip 32204 | |||
| City | JACKSONVILLE |
| Zip Code | 32204 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | JACKSONVILLE + OBSTETRICS/GYNECOLOGY |
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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.