Stacy Landon Centeno (NPI# 1508215450, PAC ID# 8224321443) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1508215450 |
| PAC ID by PECOS | 8224321443 |
| Professional Enrollment ID | I20180801003534 |
| Full Name | Stacy Landon Centeno |
| Organization Legal Name | INTERCOASTAL MEDICAL GROUP INC |
| Address |
943 S Beneva Rd Suite 210 Sarasota FL 34232-2472 |
| Phone Number | 9413791777 |
| Gender | F |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6305730912 |
| Number of Group Practice Members | 147 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100087 | SARASOTA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 943 S Beneva Rd, Suite 210, Sarasota, FL 34232-2472 | 9413791777 | INTERCOASTAL MEDICAL GROUP INC |
| Organization Legal Name | INTERCOASTAL MEDICAL GROUP INC |
| Physicians | 128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Stark Suplee | Vascular Surgery | Intercoastal Medical Group Inc | 3333 Cattlemen Rd, Suite 206, Sarasota, FL 34232-6058 |
| Amber D Swartz | Nurse Practitioner | Intercoastal Medical Group Inc | 11715 Rangeland Pkwy, Bradenton, FL 34211-9529 |
| Juan Carlos Vigil | Hospitalist | Intercoastal Medical Group Inc | 943 S Beneva Rd, Suite 204, Sarasota, FL 34232-2472 |
| Suzanne Rodkey Lutton | Cardiovascular Disease (cardiology) | Intercoastal Medical Group Inc | 965 S Beneva Rd, Sarasota, FL 34232-2401 |
| Stacey S Goodale | Physical Therapy | Intercoastal Medical Group Inc | 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 |
| Ricardo H Gonzales | Neurology | Intercoastal Medical Group Inc | 2881 Hyde Park St, First Floor Neurology, Sarasota, FL 34239-3228 |
| Sy Rabins | Family Medicine | Intercoastal Medical Group Inc | 921 S Beneva Rd, Sarasota, FL 34232-2401 |
| Vicki Rose Mccarren | Internal Medicine | Intercoastal Medical Group Inc | 8592 Potter Park Dr, Sarasota, FL 34238-5467 |
| Hakim Morsli | Cardiovascular Disease (cardiology) | Intercoastal Medical Group Inc | 965 S Beneva Rd, Sarasota, FL 34232-2401 |
| Philip Patrick Murphy | Hospitalist | Intercoastal Medical Group Inc | 943 S Beneva Rd, Suite 204, Sarasota, FL 34232-2472 |
| Street Address |
943 S BENEVA RD SUITE 210 |
| City | SARASOTA |
| State | FL |
| Zip | 34232-2472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juan Carlos Vigil | Hospitalist | Intercoastal Medical Group Inc | 943 S Beneva Rd, Suite 204, Sarasota, FL 34232-2472 |
| Philip Patrick Murphy | Hospitalist | Intercoastal Medical Group Inc | 943 S Beneva Rd, Suite 204, Sarasota, FL 34232-2472 |
| Arthur S Dinenberg | Orthopedic Surgery | Intercoastal Medical Group Inc | 943 S Beneva Rd, Suite 106, Sarasota, FL 34232-2471 |
| Alexander M Ream | Physical Therapy | Intercoastal Medical Group Inc | 943 S Beneva Rd, Suite 204, Sarasota, FL 34232-2472 |
| Jessica Thomas | Family Medicine | Intercoastal Medical Group Inc | 943 S Beneva Rd, Suite 204, Sarasota, FL 34232-2472 |
| Michael J Gordon | Hand Surgery | Intercoastal Medical Group Inc | 943 S Beneva Rd, Suite 106, Sarasota, FL 34232-2471 |
| Joseph M Mets | General Surgery | Intercoastal Medical Group Inc | 943 S Beneva Rd, Suite 204, Sarasota, FL 34232-2472 |
| Krista A Toomre | Family Medicine | Intercoastal Medical Group Inc | 943 S Beneva Rd, Suite 204, Sarasota, FL 34232-2472 |
| Jeffrey Marc Oettinger | Orthopedic Surgery | Intercoastal Medical Group Inc | 943 S Beneva Rd, Suite 106, Sarasota, FL 34232-2471 |
| Jesus Perez | Endocrinology | Intercoastal Medical Group Inc | 943 S Beneva Rd, Suite 210, Sarasota, FL 34232-2472 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A. Peterson | Clinical Social Worker | 3393 Magic Oak Lane, Sarasota, FL 34232 | |
| Angela Marie Jones | Physician Assistant | Florida Specialty Medical Services LLC | 4 Maggie Ln, Sarasota, FL 34232-1504 |
| Jeanna Hepler | Nurse Practitioner | Delta Medical Associates LLC | 4450 8th St, Sarasota, FL 34232-1702 |
| Debra A Demaria | Nurse Practitioner | Delta Medical Associates LLC | 4450 8th St, Sarasota, FL 34232-1702 |
| Stephen Edwin Ducker | General Practice | Delta Medical Associates LLC | 4450 8th St, Sarasota, FL 34232-1702 |
| Moira Lynell Powell | Clinical Social Worker | Philip Solomon and Associates Pa | 4450 8th St, Sarasota, FL 34232-1702 |
| Mary G Hart | Physical Therapy | 3385 Magic Oak Ln, Sarasota, FL 34232-1821 | |
| Stuart P Horance | Psychologist, Clinical | 3393 Magic Oak Ln, Sarasota, FL 34232-1821 | |
| Roxane H Dinkin | Psychologist, Clinical | 3393 Magic Oak Ln, Sarasota, FL 34232-1821 | |
| Carin A Friedman | Clinical Social Worker | 3393 Magic Oak Ln, Sarasota, FL 34232-1821 | |
| Find all physicians in zip 34232 | |||
| City | SARASOTA |
| Zip Code | 34232 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SARASOTA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stacy Landon Centeno.
| 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.