Ronald V Trout (NPI# 1194701607, PAC ID# 6608949383) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194701607 |
| PAC ID by PECOS | 6608949383 |
| Professional Enrollment ID | I20100322000690 |
| Full Name | Ronald V Trout |
| Organization Legal Name | OMNI HEALTHCARE PA |
| Address |
6100 Minton Road Nw Suite 102 and 104 Palm Bay FL 32907-1975 |
| Phone Number | 3217272990 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5496652380 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| 100316 | PALM BAY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6100 Minton Road Nw, Suite 102 and 104, Palm Bay, FL 32907-1975 | 3217272990 | OMNI HEALTHCARE PA |
| Organization Legal Name | OMNI HEALTHCARE PA |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Magaly Villafradez-diaz | Rheumatology | Omni Healthcare Pa | 1344 S Apollo Blvd, Melbourne, FL 32901-3185 |
| Olena Vlasii | Internal Medicine | Omni Healthcare Pa | 2181 S Patrick Dr, Indian Harbour Beach, FL 32937-4475 |
| Thomas F Scheer | Radiation Oncology | Omni Healthcare Pa | 845 Century Medical Dr, Titusville, FL 32796-2157 |
| Kimberly Neal Mcgrath | Internal Medicine | Omni Healthcare Pa | 95 Bulldog Blvd, Suite 101, Melbourne, FL 32901-3332 |
| Judy A Mayor Davies | Emergency Medicine | Omni Healthcare Pa | 2501 W New Haven Blvd, Melbourne, FL 32927-3747 |
| Richard Hernandez | Internal Medicine | Omni Healthcare Pa | 6100 Minton Rd Nw, Suite 103, Palm Bay, FL 32907-1975 |
| John G Olinde | General Surgery | Omni Healthcare Pa | 2501 W New Haven Blvd, Melbourne, FL 32927-3747 |
| Patricia C Deisler | Hematology/oncology | Omni Healthcare Pa | 845 Century Medical Dr, Titusville, FL 32796-2157 |
| Martiza Dotres-martinez | Internal Medicine | Omni Healthcare Pa | 6100 Minton Road Nw, Suite 102 and 104, Palm Bay, FL 32907-1975 |
| Erin T Mariano | Orthopedic Surgery | Omni Healthcare Pa | 2501 W New Haven Blvd, Melbourne, FL 32927-3747 |
| Street Address |
6100 MINTON ROAD NW SUITE 102 AND 104 |
| City | PALM BAY |
| State | FL |
| Zip | 32907-1975 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martiza Dotres-martinez | Internal Medicine | Omni Healthcare Pa | 6100 Minton Road Nw, Suite 102 and 104, Palm Bay, FL 32907-1975 |
| Andrea Leathers-murmer | Family Medicine | Omni Healthcare Pa | 6100 Minton Road Nw, Suite 102 and 104, Palm Bay, FL 32907-1975 |
| Peter Taraschi | Family Medicine | Omni Healthcare Pa | 6100 Minton Road Nw, Suite 102 and 104, Palm Bay, FL 32907-1975 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashish R Udeshi | Anesthesiology | Tampa Pain Relief Center Inc | 490 Centre Lake Nedr, 200b, Palm Bay, FL 32907-1113 |
| Carlos Martinez Solis | Internal Medicine | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Eric Vaughn Palmer | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Harry W Carroll | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Jennifer Dawn Logan | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| John W Rothwell Iii | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Victor Cisneros | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Howard Gershman | General Practice | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Radoslaw J Czajkowski | Family Practice | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Kerri L Connell | Physician Assistant | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Find all physicians in zip 32907 | |||
| City | PALM BAY |
| Zip Code | 32907 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PALM BAY + FAMILY MEDICINE |
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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.