Carey Dellock (NPI# 1003879131, PAC ID# 9931110285) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1003879131 |
| PAC ID by PECOS | 9931110285 |
| Professional Enrollment ID | I20110907001274 |
| Full Name | Carey Dellock |
| Organization Legal Name | CAPITAL REGIONAL HEART ASSOCIATES LLC |
| Address |
2631 Centennial Blvd Suite 200 Tallahassee FL 32308-0591 |
| Phone Number | 8506567265 |
| Gender | F |
| Credential | MD |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1850532292 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100254 | CAPITAL REGIONAL MEDICAL CENTER |
| 100135 | TALLAHASSEE MEMORIAL HEALTHCARE |
| 100242 | GULF COAST REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2626 Capital Medical Blvd, Tallahassee, FL 32308-4402 | 8503255000 | CAPITAL REGIONAL HEART ASSOCIATES LLC |
| 2631 Centennial Blvd, Suite 200, Tallahassee, FL 32308-0591 | 8506567265 | CAPITAL REGIONAL HEART ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CAPITAL REGIONAL HEART ASSOCIATES LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shayibu Harruna | Interventional Cardiology | Capital Regional Heart Associates LLC | 2626 Capital Medical Blvd, Tallahassee, FL 32308-4402 |
| Rajendra H Solanki | Cardiovascular Disease (cardiology) | Capital Regional Heart Associates LLC | 2770 Capital Medical Blvd, Suite 109c, Tallahassee, FL 32308-8417 |
| Jimmy A Wyatt | Physician Assistant | Capital Regional Heart Associates LLC | 2631 Centennial Blvd, Suite 200, Tallahassee, FL 32308-0591 |
| Niraj P Pandit | Cardiovascular Disease (cardiology) | Capital Regional Heart Associates LLC | 2631 Centennial Blvd, Suite 200, Tallahassee, FL 32308-0591 |
| Hari K Baddigam | Cardiac Electrophysiology | Capital Regional Heart Associates LLC | 2770 Capital Medical Blvd, Suite 109c, Tallahassee, FL 32308-8417 |
| Jeremy Russell Fritzsche | Nurse Practitioner | Capital Regional Heart Associates LLC | 2770 Capital Medical Blvd, Suite 109c, Tallahassee, FL 32308-8417 |
| Joseph C Baker | Interventional Cardiology | Capital Regional Heart Associates LLC | 2631 Centennial Blvd, Suite 200, Tallahassee, FL 32308-0591 |
| Street Address |
2631 CENTENNIAL BLVD SUITE 200 |
| City | TALLAHASSEE |
| State | FL |
| Zip | 32308-0591 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassie Davis | Nurse Practitioner | Vascular Surgery Associates, P.a. | 2631 Centennial Blvd, Suite 100, Tallahassee, FL 32308-0591 |
| Lawrence D Kaelin | Vascular Surgery | Vascular Surgery Associates, P.a. | 2631 Centennial Blvd, Suite 100, Tallahassee, FL 32308-0591 |
| Amy J Fraser | Nurse Practitioner | Vascular Surgery Associates, P.a. | 2631 Centennial Blvd, Suite 100, Tallahassee, FL 32308-0591 |
| Ashley Childs Fleming | Nurse Practitioner | Vascular Surgery Associates, P.a. | 2631 Centennial Blvd, Suite 100, Tallahassee, FL 32308-0591 |
| Cory H Collins | Nurse Practitioner | Vascular Surgery Associates, P.a. | 2631 Centennial Blvd, Suite 100, Tallahassee, FL 32308-0591 |
| Denise Anne Bush Smith | Vascular Surgery | Vascular Surgery Associates, P.a. | 2631 Centennial Blvd, Suite 100, Tallahassee, FL 32308-0591 |
| Robert S Brumberg | Vascular Surgery | Vascular Surgery Associates, P.a. | 2631 Centennial Blvd, Suite 100, Tallahassee, FL 32308-0591 |
| Jimmy A Wyatt | Physician Assistant | Capital Regional Heart Associates LLC | 2631 Centennial Blvd, Suite 200, Tallahassee, FL 32308-0591 |
| Niraj P Pandit | Cardiovascular Disease (cardiology) | Capital Regional Heart Associates LLC | 2631 Centennial Blvd, Suite 200, Tallahassee, FL 32308-0591 |
| Ashley Heath Matyjaszek | Nurse Practitioner | Vascular Surgery Associates, P.a. | 2631 Centennial Blvd, Suite 100, Tallahassee, FL 32308-0591 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Carlquist | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
| Vatsal Patel | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
| Eileen Venable | Psychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jeffrey T Ferraro | Neuropsychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Donna S Kitch | Psychologist, Clinical | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jessica D Shrum | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jonathan E Johnson | Physician Assistant | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jennifer Beaupied | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Cynthia S Whitaker | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Kelly E Sunshine | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Find all physicians in zip 32308 | |||
| City | TALLAHASSEE |
| Zip Code | 32308 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | TALLAHASSEE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Carey Dellock.
| 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.