Kendra Denise Deangelis (NPI# 1043506595, PAC ID# 9133347842) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
Nation Provider ID (NPI) | 1043506595 |
PAC ID by PECOS | 9133347842 |
Professional Enrollment ID | I20181114000961 |
Full Name | Kendra Denise Deangelis |
Organization Legal Name | NEWSOM EYE AND LASER CENTER INC |
Address |
13904 N Dale Mabry Hwy Suite 200 Tampa FL 33618-2446 |
Phone Number | 8139082020 |
Gender | F |
Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 2011 |
Primary Specialty | OPHTHALMOLOGY |
Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
Group Practice PAC ID | 0648241190 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100109 | FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4211 Us Hwy 27 N, Sebring, FL 33870-1917 | 8633851544 | NEWSOM EYE AND LASER CENTER INC |
13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 | 8139082020 | NEWSOM EYE AND LASER CENTER INC |
Organization Legal Name | NEWSOM EYE AND LASER CENTER INC |
Physicians | 10 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mitchell R Petit | Optometry | Newsom Eye and Laser Center Inc | 3115 W Swann Ave, Tampa, FL 33609-4617 |
Eric A Fazio | Optometry | Newsom Eye and Laser Center Inc | 3115 W Swann Ave, Tampa, FL 33609-4617 |
Daniel Anthony Ochs | Optometry | Newsom Eye and Laser Center Inc | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 |
Shamim A Haji | Ophthalmology | Newsom Eye and Laser Center Inc | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 |
Jessica Ann Mark | Optometry | Newsom Eye and Laser Center Inc | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 |
Aimee Ann Grimm | Optometry | Newsom Eye and Laser Center Inc | 3115 W Swann Ave, Tampa, FL 33609-4617 |
Bryan D Garruto | Ophthalmology | Newsom Eye and Laser Center Inc | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 |
Vinita Srivastava | Ophthalmology | Newsom Eye and Laser Center Inc | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 |
Thomas H Newsom | Ophthalmology | Newsom Eye and Laser Center Inc | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 |
Street Address |
13904 N DALE MABRY HWY SUITE 200 |
City | TAMPA |
State | FL |
Zip | 33618-2446 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Anthony Ochs | Optometry | Newsom Eye and Laser Center Inc | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 |
Shamim A Haji | Ophthalmology | Newsom Eye and Laser Center Inc | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 |
Jessica Ann Mark | Optometry | Newsom Eye and Laser Center Inc | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 |
Bryan D Garruto | Ophthalmology | Newsom Eye and Laser Center Inc | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 |
Vinita Srivastava | Ophthalmology | Newsom Eye and Laser Center Inc | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 |
Thomas H Newsom | Ophthalmology | Newsom Eye and Laser Center Inc | 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618-2446 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cassandra K Gonzalez | Clinical Social Worker | 16702 N Dale Mabry Hwy, Tampa, FL 33618-1055 | |
Helen Y Choi | Psychiatry | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | |
Mohammed A Ali | Rheumatology | American Arthritis and Rheumatology Associates LLC | 16594 N Dale Mabry Hwy, Tampa, FL 33618-1325 |
Dario A Grisales | Interventional Pain Management | 16542 N Dale Mabry Hwy, Tampa, FL 33618-1325 | |
Bruce Edson | Psychiatry | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | |
Julie K Linton | Clinical Social Worker | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | |
Elizabeth H Zable | Rheumatology | Elizabeth H. Zable, M.d., P.a. | 16594 N Dale Mabry Hwy, Tampa, FL 33618-1325 |
Sarah Drapela | Certified Nurse Midwife (cnm) | Florida Medical Clinic, LLC | 16650 N Dale Mabry Hwy, Tampa, FL 33618-1400 |
Marty Odom | Internal Medicine | Florida Medical Clinic, LLC | 16646 N Dale Mabry Hwy, Tampa, FL 33618-1400 |
Kristin Parchmon | Nurse Practitioner | Florida Hospital Physician Group Inc | 15602 N Dale Mabry Hwy, Tampa, FL 33618-1606 |
Find all physicians in zip 33618 |
City | TAMPA |
Zip Code | 33618 |
Specialty | OPHTHALMOLOGY |
City + Specialty | TAMPA + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Kendra Denise Deangelis.
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.