Thomas H. Harbin (NPI# 1245747997, PAC ID# 6608122122) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1245747997 |
| PAC ID by PECOS | 6608122122 |
| Professional Enrollment ID | I20180712002923 |
| Full Name | Thomas H. Harbin |
| Organization Legal Name | RAYPAR INC |
| Address |
3240 S Florida Ave Lakeland FL 33803-4574 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5092817551 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100242 | GULF COAST REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3240 S Florida Ave, Lakeland, FL 33803-4574 | RAYPAR INC | |
| 3242 S Florida Ave, Lakeland, FL 33803-4574 | 8636440880 | RAYPAR INC |
| 742 Harrison Ave, Panama City, FL 32401-2524 | 8506287679 | IVY SPINE AND ORTHOPEDICS LLC |
| 550 Pope Ave Nw, Winter Haven, FL 33881-4679 | RAYPAR INC |
| Organization Legal Name | RAYPAR INC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jared Christian Goodwin | Physician Assistant | Raypar Inc | 550 Pope Ave Nw, Winter Haven, FL 33881-4679 |
| Holly N Jones | Physician Assistant | Raypar Inc | 3240 S Florida Ave, Lakeland, FL 33803-4574 |
| Darrell R Braham | Family Medicine | Raypar Inc | 3242 S Florida Ave, Lakeland, FL 33803-4574 |
| Adam C Parker | Family Medicine | Raypar Inc | 1064 N Broadway Ave, Bartow, FL 33830-3301 |
| Patricia A Keefe | Physician Assistant | Raypar Inc | 3240 S Florida Ave, Lakeland, FL 33803-4574 |
| Lindsay Heather Brasington | Nurse Practitioner | Raypar Inc | 3240 S Florida Ave, Suite 101, Lakeland, FL 33803-4574 |
| Ersan Erol | Physician Assistant | Raypar Inc | 3240 S Florida Ave, Lakeland, FL 33803-4574 |
| Evellar M Mcallister | Nurse Practitioner | Raypar Inc | 3240 S Florida Ave, Suite 105, Lakeland, FL 33803-4574 |
| Robert P Williams | Nurse Practitioner | Raypar Inc | 550 Pope Ave Nw, Suite 200, Winter Haven, FL 33881-4679 |
| Bincy Tijo | Nurse Practitioner | Raypar Inc | 550 Pope Ave Nw, Suite 200, Winter Haven, FL 33881-4679 |
| Street Address |
3240 S FLORIDA AVE |
| City | LAKELAND |
| State | FL |
| Zip | 33803-4574 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly N Jones | Physician Assistant | Raypar Inc | 3240 S Florida Ave, Lakeland, FL 33803-4574 |
| Patricia A Keefe | Physician Assistant | Raypar Inc | 3240 S Florida Ave, Lakeland, FL 33803-4574 |
| Lindsay Heather Brasington | Nurse Practitioner | Raypar Inc | 3240 S Florida Ave, Suite 101, Lakeland, FL 33803-4574 |
| Ersan Erol | Physician Assistant | Raypar Inc | 3240 S Florida Ave, Lakeland, FL 33803-4574 |
| Evellar M Mcallister | Nurse Practitioner | Raypar Inc | 3240 S Florida Ave, Suite 105, Lakeland, FL 33803-4574 |
| Casi Leigh Bell | Nurse Practitioner | Raypar Inc | 3240 S Florida Ave, Suite 101, Lakeland, FL 33803-4574 |
| Vlad V Adler | Pediatric Medicine | Raypar Inc | 3240 S Florida Ave, Suite 101, Lakeland, FL 33803-4574 |
| Reinaldo Serrano | Chiropractic | Raypar Inc | 3240 S Florida Ave, Lakeland, FL 33803-4574 |
| Sandy Weir | Nurse Practitioner | Raypar Inc | 3240 S Florida Ave, Suite 105, Lakeland, FL 33803-4574 |
| Darryl S Giliam | Chiropractic | Raypar Inc | 3240 S Florida Ave, Lakeland, FL 33803-4574 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy G. Hunter | Urology | 1350 E Main St, Suite B 8, Bartow, FL 33803 | |
| Robert H Bevis | Internal Medicine | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Guillermo O Vasquez | Internal Medicine | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Zully A Calvo | Podiatry | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Dona C Stone | Internal Medicine | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Georgette D Farmer | Nurse Practitioner | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Patricia Ann Schmaedeke | Family Medicine | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Catherine B Marcum | Dermatology | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Edward Garcia | Pathology | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Brett J Widick | Family Medicine | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Find all physicians in zip 33803 | |||
| City | LAKELAND |
| Zip Code | 33803 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAKELAND + PHYSICIAN ASSISTANT |
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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.