Timothy J O Hare (NPI# 1154307676, PAC ID# 7810918596) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1154307676 |
| PAC ID by PECOS | 7810918596 |
| Professional Enrollment ID | I20051208000914 |
| Full Name | Timothy J O Hare |
| Organization Legal Name | SPACE COAST EAR NOSE AND THROAT ASSOCIATES |
| Address |
1344 S Apollo Blvd Melbourne FL 32901-3185 |
| Phone Number | 3216762353 |
| Gender | M |
| Credential | MD |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 0547301392 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1344 S Apollo Blvd, Melbourne, FL 32901-3185 | 3216762353 | SPACE COAST EAR NOSE AND THROAT ASSOCIATES |
| 1344 S Apollo Blvd, Suite 301, Melbourne, FL 32901-3185 | 3216762353 | SPACE COAST EAR NOSE AND THROAT ASSOCIATES |
| Organization Legal Name | SPACE COAST EAR NOSE AND THROAT ASSOCIATES |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Parker Fullen | Physician Assistant | Space Coast Ear Nose and Throat Associates | 1344 S Apollo Blvd, Suite 301, Melbourne, FL 32901-3185 |
| Street Address |
1344 S APOLLO BLVD |
| City | MELBOURNE |
| State | FL |
| Zip | 32901-3185 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Magaly Villafradez-diaz | Rheumatology | Omni Healthcare Pa | 1344 S Apollo Blvd, Melbourne, FL 32901-3185 |
| Steven Y Ho | Otolaryngology | 1344 S Apollo Blvd, Suite 301, Melbourne, FL 32901-3185 | |
| Maija Sweeney | Qualified Audiologist | 1344 S Apollo Blvd, Suite 301, Melbourne, FL 32901-3185 | |
| Michele Gray | Nurse Practitioner | Omni Healthcare Pa | 1344 S Apollo Blvd, Suite 2d, Melbourne, FL 32901-3185 |
| Megan Parker Fullen | Physician Assistant | Space Coast Ear Nose and Throat Associates | 1344 S Apollo Blvd, Suite 301, Melbourne, FL 32901-3185 |
| Fredericka L Clarke | Audiologist | Space Coast Hearing and Balance, Inc. | 1344 S Apollo Blvd, Suite 301, Melbourne, FL 32901-3185 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony R Else | Physical Therapy | 18 W Ave 'b' Unit, Suite 4, Melbourne, FL 32901-1219 | |
| Yanqing Gu | Internal Medicine | 551 S Apollo Blvd, Suite 103, Melbourne, FL 32901-1274 | |
| Richard J Wecker | Chiropractic | 551 S Apollo Blvd, Suite 105, Melbourne, FL 32901-1274 | |
| Ralph Zipper | Urology | Ralph Zipper Md Pa | 200 S Harbor City Blvd, Suite 401, Melbourne, FL 32901-1389 |
| James Loras Raders | Obstetrics/gynecology | Ralph Zipper Md Pa | 200 S Harbor City Blvd, Suite 401, Melbourne, FL 32901-1389 |
| Brian J Mallette | Podiatry | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1389 | |
| Claudia R Mallette | Podiatry | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1389 | |
| Ana Marisol Conde Rosa | Infectious Disease | Project Response Inc | 745 S Apollo Blvd, Melbourne, FL 32901-1457 |
| Monica L Wise | Nurse Practitioner | Quality Medical Care Pa | 675 S Babcock St, Melbourne, FL 32901-1459 |
| Heather M Weeks | Nurse Practitioner | Quality Medical Care Pa | 675 S Babcock St, Melbourne, FL 32901-1459 |
| Find all physicians in zip 32901 | |||
| City | MELBOURNE |
| Zip Code | 32901 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | MELBOURNE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Timothy J O Hare.
| 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.