Kyle M Iketani (NPI# 1639550478, PAC ID# 9638484124) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1639550478 |
| PAC ID by PECOS | 9638484124 |
| Professional Enrollment ID | I20180412000162 |
| Full Name | Kyle M Iketani |
| Organization Legal Name | GAINESVILLE EMERGENCY MEDICAL ASSOCIATES PA |
| Address |
4388 Nw 53rd Ave Gainesville FL 32653-4332 |
| Phone Number | 4694012386 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6305988700 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100204 | NORTH FLORIDA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4388 Nw 53rd Ave, Gainesville, FL 32653-4332 | 4694012386 | GAINESVILLE EMERGENCY MEDICAL ASSOCIATES PA |
| Organization Legal Name | GAINESVILLE EMERGENCY MEDICAL ASSOCIATES PA |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dakota Lane | Emergency Medicine | Gainesville Emergency Medical Associates Pa | 6500 Newberry Rd, Gainesville, FL 32605-4309 |
| Constance A Young | Nurse Practitioner | Gainesville Emergency Medical Associates Pa | 12311 W Newberry Rd, Newberry, FL 32669-2703 |
| Debra J Adkins | Family Medicine | Gainesville Emergency Medical Associates Pa | 6500 Newberry Rd, Gainesville, FL 32605-4309 |
| Patrick Jean | Emergency Medicine | Gainesville Emergency Medical Associates Pa | 6500 Newberry Rd, Gainesville, FL 32605-4309 |
| Michael T Gibbons | Emergency Medicine | Gainesville Emergency Medical Associates Pa | 6500 Newberry Rd, Gainesville, FL 32605-4309 |
| Lee Ann R Alt | Nurse Practitioner | Gainesville Emergency Medical Associates Pa | 6500 Newberry Rd, Gainesville, FL 32605-4309 |
| Catherine Foran | Nurse Practitioner | Gainesville Emergency Medical Associates Pa | 12311 W Newberry Rd, Newberry, FL 32669-2703 |
| Michael John Currie | Emergency Medicine | Gainesville Emergency Medical Associates Pa | 12311 W Newberry Rd, Newberry, FL 32669-2703 |
| Amit R Rawal | Emergency Medicine | Gainesville Emergency Medical Associates Pa | 6500 Newberry Rd, Gainesville, FL 32605-4309 |
| Kerry D Henderson | Emergency Medicine | Gainesville Emergency Medical Associates Pa | 6500 Newberry Rd, Gainesville, FL 32605-4309 |
| Street Address |
4388 NW 53RD AVE |
| City | GAINESVILLE |
| State | FL |
| Zip | 32653-4332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles V Magee | Emergency Medicine | Gainesville Emergency Medical Associates Pa | 4388 Nw 53rd Ave, Gainesville, FL 32653-4332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James E. Johnson | Occupational Therapy | J and J United Rehabilitation, LLC | 5516 Nw27th Ter, Gainesville, FL 32653-2040 |
| Deborah K Pais | Clinical Social Worker | 4703 N W 53 Ave, Suite B2, Gainesville, FL 32653-3403 | |
| Gregory W Mcgann | Clinical Social Worker | 4703 Nw 53rd Ave, Gainesville, FL 32653-3403 | |
| Jing Liu | Psychiatry | 4635 Nw 53rd Ave, Suite 201, Gainesville, FL 32653-3418 | |
| Kim M Davidson | Family Practice | Rogers and Davidson Pa | 4739 Nw 53rd Ave, Gainesville, FL 32653-4802 |
| Bruce J Rogers | Endocrinology | Rogers and Davidson Pa | 4739 Nw 53rd Ave, Suite A, Gainesville, FL 32653-4802 |
| Natalia A Shiriaeva | General Practice | Starke Family Medicine Clinic 01 Inc | 4715 Nw 53rd Ave, Ste. A, Gainesville, FL 32653-4856 |
| Jere A Scola Iii | Podiatry | 4615 Nw 53rd Ave, Gainesville, FL 32653-4885 | |
| Bruce K Branin | Family Medicine | 4611 N W 53rd Ave, Suite A, Gainesville, FL 32653-4898 | |
| Autumn Leigh Wood | Physician Assistant | Alliance Family Physicians, Pa | 4611 N W 53rd Ave, Suite A, Gainesville, FL 32653-4898 |
| Find all physicians in zip 32653 | |||
| City | GAINESVILLE |
| Zip Code | 32653 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | GAINESVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Kyle M Iketani.
| 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.