Diane Dodgen (NPI# 1134117385, PAC ID# 8426962176) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1134117385 |
| PAC ID by PECOS | 8426962176 |
| Professional Enrollment ID | I20071121000031 |
| Full Name | Diane Dodgen |
| Organization Legal Name | PREMIER MEDICAL CLINIC |
| Address |
315 E Ash St Perry FL 32347-2029 |
| Phone Number | 8505843278 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1985 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE, INTERNAL MEDICINE |
| Group Practice PAC ID | 9436116522 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100106 | DOCTOR'S MEMORIAL HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 315 E Ash St, Perry, FL 32347-2029 | 8505843278 | PREMIER MEDICAL CLINIC |
| Organization Legal Name | PREMIER MEDICAL CLINIC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abdul H Sofi | Internal Medicine | Premier Medical Clinic | 315 E Ash St, Perry, FL 32347-2029 |
| Street Address |
315 E ASH ST |
| City | PERRY |
| State | FL |
| Zip | 32347-2029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abdul H Sofi | Internal Medicine | Premier Medical Clinic | 315 E Ash St, Perry, FL 32347-2029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dannette I Turner | Nurse Practitioner | Florida Department of Health | 1215 N Peacock Ave, Perry, FL 32347-2117 |
| Mohammed H Rafi | Internal Medicine | Dmh Emergency Physician Group, LLC | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Joti Keshav | Family Medicine | Dmh Emergency Physician Group, LLC | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| William Marchio | Anesthesiology | Anesthesiology Associates of Tallahassee Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Amy S Kirby | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Associates of Tallahassee Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| John M Rutledge | Anesthesiology | Anesthesiology Associates of Tallahassee Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Gregory A Mclanahan | Anesthesiology | Anesthesiology Associates of Tallahassee Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Gregory Hartlage | Cardiovascular Disease (cardiology) | Doctors Memorial Hospital Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Michael William C Miller | Anesthesiology | Anesthesiology Associates of Tallahassee Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Kimberly Jackson | Nurse Practitioner | Doctors Memorial Hospital Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Find all physicians in zip 32347 | |||
| City | PERRY |
| Zip Code | 32347 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | PERRY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Diane Dodgen.
| 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.