Tara James (NPI# 1518433804, PAC ID# 9032446430) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518433804 |
| PAC ID by PECOS | 9032446430 |
| Professional Enrollment ID | I20190807004113 |
| Full Name | Tara James |
| Organization Legal Name | GERALD R WOODARD DO PA |
| Address |
3512 S Atlantic Ave Daytona Beach Shores FL 32118-7639 |
| Phone Number | 3867679544 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9436115052 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| 100017 | HALIFAX HEALTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639 | 3867679544 | GERALD R WOODARD DO PA |
| 169 E Granada Blvd, Ormond Beach, FL 32176-6663 | 3866738617 | GERALD R WOODARD DO PA |
| Organization Legal Name | GERALD R WOODARD DO PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren A Girard | Family Medicine | Gerald R Woodard Do Pa | 3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639 |
| Meagan Burgess | Nurse Practitioner | Gerald R Woodard Do Pa | 3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639 |
| Diane Marie Gellermann | Nurse Practitioner | Gerald R Woodard Do Pa | 3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639 |
| Street Address |
3512 S ATLANTIC AVE |
| City | DAYTONA BEACH SHORES |
| State | FL |
| Zip | 32118-7639 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren A Girard | Family Medicine | Gerald R Woodard Do Pa | 3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639 |
| Meagan Burgess | Nurse Practitioner | Gerald R Woodard Do Pa | 3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639 |
| Diane Marie Gellermann | Nurse Practitioner | Gerald R Woodard Do Pa | 3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman B Seltzer | Orthopedic Surgery | Halifax Healthcare Systems Inc | 614 N Peninsula Dr, Daytona Beach, FL 32118-3829 |
| Amanda R Nixon | Clinical Social Worker | 444 Seabreeze Blvd, Suite 730, Daytona Beach, FL 32118-3952 | |
| Tony Tocco | Podiatry | 425 N Peninsula Dr, Suite A, Daytona Beach, FL 32118-4082 | |
| Eugene Marion Crouch | Family Medicine | Florida Health Care Plan Inc | 155 S Halifax Ave, Daytona Beach, FL 32118-4481 |
| Desiree Ihilani Deginder | Psychologist, Clinical | 2407 S Peninsula Dr, Daytona Beach, FL 32118-5412 | |
| Jeffrey M Cullers | Chiropractic | 433 Silver Beach Ave, Suite 101, Daytona Beach, FL 32118-7104 | |
| Sandra M Huggard | Physical Therapy | Blue Water Therapy Inc | 3704 Cardinal Blvd, Daytona Beach Shores, FL 32118-7301 |
| City | DAYTONA BEACH SHORES |
| Zip Code | 32118 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DAYTONA BEACH SHORES + 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.