Tammy Bagwell (NPI# 1821577230, PAC ID# 8527397173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1821577230 |
| PAC ID by PECOS | 8527397173 |
| Professional Enrollment ID | I20190909000478 |
| Full Name | Tammy Bagwell |
| Organization Legal Name | SHAHLA MEDICAL GROUP, PA |
| Address |
8800 Terrene Ct Suite 102 Bonita Springs FL 34135-9530 |
| Phone Number | 2399483444 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486738150 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8800 Terrene Ct, Suite 102, Bonita Springs, FL 34135-9530 | 2399483444 | SHAHLA MEDICAL GROUP, PA |
| Organization Legal Name | SHAHLA MEDICAL GROUP, PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ziad Shahla | Internal Medicine | Shahla Medical Group, Pa | 2350 Vanderbilt Beach Rd, Suite 101, Naples, FL 34109-2760 |
| Linda C Henriksen | Family Practice | Shahla Medical Group, Pa | 8800 Terrene Ct, Bonita Springs, FL 34135-9530 |
| Street Address |
8800 TERRENE CT SUITE 102 |
| City | BONITA SPRINGS |
| State | FL |
| Zip | 34135-9530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aref Wappi | Internal Medicine | 8800 Terrene Ct, Suite 103, Bonita Springs, FL 34135-9900 | |
| Linda C Henriksen | Family Practice | Shahla Medical Group, Pa | 8800 Terrene Ct, Bonita Springs, FL 34135-9530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy A Dzen | Internal Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Andre Anderson | Family Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Lori Williams | Internal Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Christopher R Myer | Hand Surgery | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Teri L Nies | Nurse Practitioner | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Anthony Pietroniro | Pediatric Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Cesar Cereijo | Orthopedic Surgery | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Daniel J Harmon | Orthopedic Surgery | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Kimberly A Litka | Nurse Practitioner | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Denise A Drago | Pediatric Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Find all physicians in zip 34135 | |||
| City | BONITA SPRINGS |
| Zip Code | 34135 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BONITA SPRINGS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tammy Bagwell.
| 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.