John Croyle (NPI# 1174753966, PAC ID# 8527112283) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1174753966 |
PAC ID by PECOS | 8527112283 |
Professional Enrollment ID | I20100312000658 |
Full Name | John Croyle |
Organization Legal Name | OASIS MEDICAL PROVIDERS, LLC |
Address |
316 Paseo Reyes Dr Unit 4 Saint Augustine FL 32095-8464 |
Phone Number | 9043420219 |
Gender | M |
Graduation Year | 2009 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 8921340456 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
316 Paseo Reyes Dr, Unit 4, Saint Augustine, FL 32095-8464 | 9043420219 | OASIS MEDICAL PROVIDERS, LLC |
Organization Legal Name | OASIS MEDICAL PROVIDERS, LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary E Ray | Family Medicine | Oasis Medical Providers, LLC | 316 Paseo Reyes Dr, Unit 4, Saint Augustine, FL 32095-8464 |
Street Address |
316 PASEO REYES DR UNIT 4 |
City | SAINT AUGUSTINE |
State | FL |
Zip | 32095-8464 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary E Ray | Family Medicine | Oasis Medical Providers, LLC | 316 Paseo Reyes Dr, Unit 4, Saint Augustine, FL 32095-8464 |
Name | Specialty | Organization | Address |
---|---|---|---|
Neil W Baron | Diagnostic Radiology | Kettering Network Radiologists Inc | 128 Corbata Ln, St Augustine, FL 32095-7097 |
Michael M Speisman | Nurse Practitioner | Stanley A Cohen Do Pa | 354 Paseo Reyes Dr, Saint Augustine, FL 32095-8464 |
Stanley A Cohen | Psychiatry | Stanley A Cohen Do Pa | 354 Paseo Reyes Dr, Saint Augustine, FL 32095-8464 |
Marla R Capes | Nurse Practitioner | Baptist Primary Care Inc | 559 W Twincourt Trl, Suite 601, St Augustine, FL 32095-8805 |
Heather D Nielsen | Family Medicine | Baptist Primary Care Inc | 559 W Twincourt Trl, Suite 601, St Augustine, FL 32095-8805 |
Iulia R Platte | Internal Medicine | Baptist Primary Care Inc | 559 W Twincourt Trl, Suite 601, St Augustine, FL 32095-8805 |
Benjamin D Ernst | Family Medicine | Baptist Primary Care Inc | 559 W Twincourt Trl, Suite 601, St Augustine, FL 32095-8805 |
Edward Wesley Bisher Iii | Interventional Cardiology | Baptist Cardiology, Inc. | 533 W Twincourt Trl, Suite 701and702, St Augustine, FL 32095-8884 |
City | SAINT AUGUSTINE |
Zip Code | 32095 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | SAINT AUGUSTINE + PHYSICIAN ASSISTANT |
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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.