Callie A Smith (NPI# 1710356282, PAC ID# 8325150626) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1710356282 |
| PAC ID by PECOS | 8325150626 |
| Professional Enrollment ID | I20160111000841 |
| Full Name | Callie A Smith |
| Organization Legal Name | LIVE OAK HMA MEDICAL GROUP, LLC |
| Address |
1100 Sw 11th St Live Oak FL 32064-3608 |
| Phone Number | 3863620820 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2567594161 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 101301 | SHANDS LIVE OAK REGIONAL MEDICAL CENTER |
| 100102 | SHANDS LAKE SHORE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6500 Newberry Rd, Gainesville, FL 32605-4309 | 3523334900 | GAINESVILLE EMERGENCY MEDICAL ASSOCIATES PA |
| 1100 Sw 11th St, Live Oak, FL 32064-3608 | 3863620820 | LIVE OAK HMA MEDICAL GROUP, LLC |
| 1116 Sw 11th St, Live Oak, FL 32064-3608 | 3863620820 | LIVE OAK HMA MEDICAL GROUP, LLC |
| Organization Legal Name | LIVE OAK HMA MEDICAL GROUP, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle D Morris | Nurse Practitioner | Live Oak Hma Medical Group, LLC | 1116 Sw 11th St, Live Oak, FL 32064-3608 |
| Daniel J Messcher | Family Medicine | Live Oak Hma Medical Group, LLC | 1100 Sw 11th St, Live Oak, FL 32064-3608 |
| Dennis M Lewis | General Surgery | Live Oak Hma Medical Group, LLC | 1100 Sw 11th St, Live Oak, FL 32064-3608 |
| James L Hurm | Family Practice | Live Oak Hma Medical Group, LLC | 1116 Sw 11th St, Live Oak, FL 32064-3608 |
| Street Address |
1100 SW 11TH ST |
| City | LIVE OAK |
| State | FL |
| Zip | 32064-3608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Messcher | Family Medicine | Live Oak Hma Medical Group, LLC | 1100 Sw 11th St, Live Oak, FL 32064-3608 |
| Dennis M Lewis | General Surgery | Live Oak Hma Medical Group, LLC | 1100 Sw 11th St, Live Oak, FL 32064-3608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Workman | Chiropractic | 216 Duval St Nw, Live Oak, FL 32064-1723 | |
| Andrew Clyde Bass | General Practice | 315 Scriven Ave Sw, Live Oak, FL 32064-2222 | |
| Bruce C Ornstein | Podiatry | 609 5th St Sw, Suite 4, Live Oak, FL 32064-2239 | |
| Michael W Wood | Chiropractic | 328 Howard St W, Live Oak, FL 32064-2306 | |
| Michelle D Morris | Nurse Practitioner | Live Oak Hma Medical Group, LLC | 1116 Sw 11th St, Live Oak, FL 32064-3608 |
| David G Riehn | Anesthesiology | Ams National LLC | 1100 11th St Sw, Live Oak, FL 32064-3608 |
| Gabriel B Mufuka | Internal Medicine | 1116 11th St Sw, Live Oak, FL 32064-3608 | |
| Margaret M Grissinger | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 1100 11th St Sw, Live Oak, FL 32064-3608 |
| William C Chisholm | Emergency Medicine | Suwannee Emergency Group LLC | 1100 11th St Sw, Live Oak, FL 32064-3608 |
| Babak Saadatmand | Emergency Medicine | Suwannee Emergency Group LLC | 1100 11th St Sw, Live Oak, FL 32064-3608 |
| Find all physicians in zip 32064 | |||
| City | LIVE OAK |
| Zip Code | 32064 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LIVE OAK + NURSE PRACTITIONER |
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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.