Edward Wesley Bisher Iii (NPI# 1215995386, PAC ID# 9133169394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
Nation Provider ID (NPI) | 1215995386 |
PAC ID by PECOS | 9133169394 |
Professional Enrollment ID | I20060725000377 |
Full Name | Edward Wesley Bisher Iii |
Organization Legal Name | BAPTIST CARDIOLOGY, INC. |
Address |
533 W Twincourt Trl Suite 701and702 St Augustine FL 32095-8884 |
Phone Number | 9049406057 |
Gender | M |
Credential | MD |
Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1998 |
Primary Specialty | INTERVENTIONAL CARDIOLOGY |
Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Group Practice PAC ID | 2466614581 |
Number of Group Practice Members | 64 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
Address | Phone | Organization |
---|---|---|
14550 Old Saint Augustine Rd, Jacksonville, FL 32258-2460 | 9042716000 | ECG ASSOCIATES OF JACKSONVILLE P A |
836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 | 9043980125 | BAPTIST CARDIOLOGY, INC. |
533 W Twincourt Trl, Suite 701and702, St Augustine, FL 32095-8884 | 9049406057 | BAPTIST CARDIOLOGY, INC. |
Organization Legal Name | BAPTIST CARDIOLOGY, INC. |
Physicians | 69 |
Name | Specialty | Organization | Address |
---|---|---|---|
Katie L Geyer | Nurse Practitioner | Baptist Cardiology, Inc. | 6930 Bonneval Rd, Suite 2, Jacksonville, FL 32216-6084 |
John Hartwell Houston Mooney | Cardiovascular Disease (cardiology) | Baptist Cardiology, Inc. | 1348 S 18th St, Suite 200, Fernandina Beach, FL 32034-4785 |
Andre D.c.p. Macedo Dias | Cardiovascular Disease (cardiology) | Baptist Cardiology, Inc. | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 |
Carlos Rafael Zamora | Internal Medicine | Baptist Cardiology, Inc. | 1747 Baptist Clay Rd, Suite 320, Fleming Island, FL 32003-8501 |
Ryan R Shrode | Nurse Practitioner | Baptist Cardiology, Inc. | 1361 13th St S, Suite 270, Jacksonville Beach, FL 32250-3258 |
Praveen Kumar Kanaparti | Cardiovascular Disease (cardiology) | Baptist Cardiology, Inc. | 3225 University Blvd S, Suite 104, Jacksonville, FL 32216-2757 |
Jenna D Effron | Physician Assistant | Baptist Cardiology, Inc. | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 |
Bharat K Gummadi | Interventional Cardiology | Baptist Cardiology, Inc. | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 |
George G Le-bert | Internal Medicine | Baptist Cardiology, Inc. | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 |
Salil Jitendra Patel | Cardiovascular Disease (cardiology) | Baptist Cardiology, Inc. | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 |
Street Address |
533 W TWINCOURT TRL SUITE 701AND702 |
City | ST AUGUSTINE |
State | FL |
Zip | 32095-8884 |
Name | Specialty | Organization | Address |
---|---|---|---|
Neil W Baron | Diagnostic Radiology | Kettering Network Radiologists Inc | 128 Corbata Ln, St Augustine, FL 32095-7097 |
John Croyle | Physician Assistant | Oasis Medical Providers, LLC | 316 Paseo Reyes Dr, Unit 4, Saint Augustine, FL 32095-8464 |
Michael M Speisman | Nurse Practitioner | Stanley A Cohen Do Pa | 354 Paseo Reyes Dr, Saint Augustine, FL 32095-8464 |
Mary E Ray | Family Medicine | Oasis Medical Providers, LLC | 316 Paseo Reyes Dr, Unit 4, 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 |
City | ST AUGUSTINE |
Zip Code | 32095 |
Specialty | INTERVENTIONAL CARDIOLOGY |
City + Specialty | ST AUGUSTINE + INTERVENTIONAL CARDIOLOGY |
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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.