Nicole Rachelle Brenner (NPI# 1104212695, PAC ID# 8224361662) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104212695 |
| PAC ID by PECOS | 8224361662 |
| Professional Enrollment ID | I20190618000102 |
| Full Name | Nicole Rachelle Brenner |
| Organization Legal Name | OSCEOLA SURGICAL ASSOCIATES LLC |
| Address |
806 W Oak St Kissimmee FL 34741-6625 |
| Phone Number | 4073435451 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0840366126 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100110 | OSCEOLA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 700 W Oak St, Kissimmee, FL 34741-4924 | 4078462266 | MOUNT ELBERT INPATIENT SERVICES LLC |
| 806 W Oak St, Kissimmee, FL 34741-6625 | 4073435451 | OSCEOLA SURGICAL ASSOCIATES LLC |
| Organization Legal Name | OSCEOLA SURGICAL ASSOCIATES LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wade L Fischer | Thoracic Surgery | Osceola Surgical Associates LLC | 720 W Oak St, Suite 150, Kissimmee, FL 34741-4990 |
| Harold D Neyra | General Surgery | Osceola Surgical Associates LLC | 8400 Red Bug Lake Rd, Suite 1010, Oviedo, FL 32765-6835 |
| Omar Qazi | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Fuad H Shahin | General Surgery | Osceola Surgical Associates LLC | 320 W Bass St, Kissimmee, FL 34741-5001 |
| Antonio J Ramirez | General Surgery | Osceola Surgical Associates LLC | 720 W Oak St, Kissimmee, FL 34741-4910 |
| Luis A Jaramillo | Plastic and Reconstructive Surgery | Osceola Surgical Associates LLC | 320 W Bass St, Kissimmee, FL 34741-5001 |
| Joshua Shultz | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Christopher M Cooper | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Oral C James | Gastroenterology | Osceola Surgical Associates LLC | 339 Cypress Pkwy, Suite 210, Kissimmee, FL 34759-3315 |
| Robert M Turner Jr. | Physician Assistant | Osceola Surgical Associates LLC | 720 W Oak St, Kissimmee, FL 34741-4910 |
| Street Address |
806 W OAK ST |
| City | KISSIMMEE |
| State | FL |
| Zip | 34741-6625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Omar Qazi | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Joshua Shultz | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Christopher M Cooper | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Cherilyn P Hanna Mahase | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Roger L Crouse | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Allison Poimboeuf Ferrara | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Marcela E Perez Acosta | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juan G Escobar Quintero | Chiropractic | Integrative Physical Medicine of Kissimmee LLC | 1975 S John Young Pkwy, Kissimmee, FL 34741-0603 |
| Gloria M Rodriguez Rodriguez | Nurse Practitioner | Integrative Physical Medicine of Kissimmee LLC | 1975 S John Young Pkwy, Kissimmee, FL 34741-0603 |
| Norberto Enrique Gonzalez | Internal Medicine | 3284 N Greenwald Way, Kissimmee, FL 34741-0728 | |
| Sharon A Stokes | Dermatology | Sharon A. Stokes Md Pa | 3276 Greenwald N Way, Kissimmee, FL 34741-0728 |
| Diahann M Alleyne | Family Medicine | Florida Hospital Medical Group Inc | 3264 Greenwald Way N, Kissimmee, FL 34741-0728 |
| Yekatherine Rasmussen | Internal Medicine | Florida Hospital Medical Group Inc | 3264 Greenwald Way N, Kissimmee, FL 34741-0728 |
| Robert M Winstead | Physician Assistant | Sharon A. Stokes Md Pa | 3276 Greenwald N Way, Kissimmee, FL 34741-0728 |
| Beatrice Bencosme | Physician Assistant | Sharon A. Stokes Md Pa | 3276 Greenwald N Way, Kissimmee, FL 34741-0728 |
| Wade Michael Burkard | Emergency Medicine | Nosky Pa | 1157 Miranda Ln, Kissimmee, FL 34741-0763 |
| Miriam C Carnemolla | Nurse Practitioner | Adventist Health System Sunbelt Inc | 3293 Greenwald Way N, Kissimmee, FL 34741-0772 |
| Find all physicians in zip 34741 | |||
| City | KISSIMMEE |
| Zip Code | 34741 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KISSIMMEE + INTERNAL 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.