Jolene Diane Patterson (NPI# 1194234336, PAC ID# 8729352836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1194234336 |
PAC ID by PECOS | 8729352836 |
Professional Enrollment ID | I20190213000570 |
Full Name | Jolene Diane Patterson |
Organization Legal Name | CITRUS RIDGE MEDICAL CENTERS INC |
Address |
109 Lake Davenport Blvd Davenport FL 33897-9405 |
Phone Number | 8632565030 |
Gender | F |
Graduation Year | 2013 |
Primary Specialty | CHIROPRACTIC |
Group Practice PAC ID | 2365608452 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
109 Lake Davenport Blvd, Davenport, FL 33897-9405 | 8632565030 | CITRUS RIDGE MEDICAL CENTERS INC |
Organization Legal Name | CITRUS RIDGE MEDICAL CENTERS INC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelly Armstrong | Nurse Practitioner | Citrus Ridge Medical Centers Inc | 109 Lake Davenport Blvd, Davenport, FL 33897-9405 |
Kimberly Morales | Physical Therapy | Citrus Ridge Medical Centers Inc | 109 Lake Davenport Blvd, Davenport, FL 33897-9405 |
Scott David Barnhart | Chiropractic | Citrus Ridge Medical Centers Inc | 109 Lake Davenport Blvd, Davenport, FL 33897-9405 |
Gavril S Green-goodman | Nurse Practitioner | Citrus Ridge Medical Centers Inc | 109 Lake Davenport Blvd, Davenport, FL 33897-9405 |
Angela Marie Rosselot | Family Practice | Citrus Ridge Medical Centers Inc | 109 Lake Davenport Blvd, Davenport, FL 33897-9405 |
Ulysses D Singleton Iii | Physical Therapy | Citrus Ridge Medical Centers Inc | 109 Lake Davenport Blvd, Davenport, FL 33897-9405 |
Street Address |
109 LAKE DAVENPORT BLVD |
City | DAVENPORT |
State | FL |
Zip | 33897-9405 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelly Armstrong | Nurse Practitioner | Citrus Ridge Medical Centers Inc | 109 Lake Davenport Blvd, Davenport, FL 33897-9405 |
Kimberly Morales | Physical Therapy | Citrus Ridge Medical Centers Inc | 109 Lake Davenport Blvd, Davenport, FL 33897-9405 |
Scott David Barnhart | Chiropractic | Citrus Ridge Medical Centers Inc | 109 Lake Davenport Blvd, Davenport, FL 33897-9405 |
Gavril S Green-goodman | Nurse Practitioner | Citrus Ridge Medical Centers Inc | 109 Lake Davenport Blvd, Davenport, FL 33897-9405 |
Angela Marie Rosselot | Family Practice | Citrus Ridge Medical Centers Inc | 109 Lake Davenport Blvd, Davenport, FL 33897-9405 |
Ulysses D Singleton Iii | Physical Therapy | Citrus Ridge Medical Centers Inc | 109 Lake Davenport Blvd, Davenport, FL 33897-9405 |
Name | Specialty | Organization | Address |
---|---|---|---|
Vidyasaga R Vangala | Psychiatry | 2504 Sand Mine Rd, Davenport, FL 33897-3402 | |
Aftab A Khan | Internal Medicine | 2500 Berry Blvd, Davenport, FL 33897-3800 | |
Nelson A Nieves | Family Medicine | 45669 Hwy 27, Davenport, FL 33897-4546 | |
Srinath Reddy Kosanam | Internal Medicine | 106 Polo Park Blvd E, Davenport, FL 33897-9407 |
City | DAVENPORT |
Zip Code | 33897 |
Specialty | CHIROPRACTIC |
City + Specialty | DAVENPORT + CHIROPRACTIC |
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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.