PHYSICIAN PARTNERS NETWORK PA (NPI# 1447290952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447290952 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN PARTNERS NETWORK PA |
| Practice Address |
605 Lamar Ave Brooksville FL 34601-3211 |
| Practice Telephone | 3527969990 |
| Practice Fax Number | 3527962226 |
| Mailing Telephone | 3527969990 |
| Mailing Fax Number | 3527962226 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | LOUISE ELDRIDGE (OFFICE MANAGER) |
| Authorized Official Telephone | 3527969990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | FL | Allopathic & Osteopathic Physicians | |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 40952 | 01 |
| FL | 660024700 | 05 | |
| FL | 251473700 | 05 | |
| FL | RAILROAD MEDICARE | CD8188 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386715480 | Physician Partners Network Pa | Internal Medicine | 11373 Cortez Blvd, Suite 304, Brooksville, FL 34613-5414 | 2006-11-11 |
| Street Address |
605 LAMAR AVE |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34601-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869330 | Anna K Allen | Nurse Practitioner | 605 Lamar Ave, Brooksville, FL 34601-3211 | 2005-05-24 |
| 1336571355 | Verimed Health Group, Brooksville | Clinic/Center | 605 Lamar Ave, Brooksville, FL 34601 | 2013-08-01 |
| 1043331531 | Mukesh B Satodiya | Internal Medicine | 605 Lamar Ave, Brooksville, FL 34601-3211 | 2007-04-02 |
| 1659405173 | Monica Marie Malone | Nurse Practitioner | 605 Lamar Ave, Brooksville, FL 34601-3211 | 2007-03-15 |
| 1134133408 | Eddy Laroche | Family Medicine | 605 Lamar Ave, Brooksville, FL 34601-3211 | 2006-07-29 |
| 1144273889 | James R Cummings Md Pa | General Practice | 605 Lamar Ave, Brooksville, FL 34601-3211 | 2006-05-17 |
| 1205820511 | Monte Edwards | Physician Assistant | 605 Lamar Ave, Brooksville, FL 34601-3211 | 2005-09-01 |
| 1861486177 | Malcolm R Fraser | Family Medicine | 605 Lamar Ave, Brooksville, FL 34601-3211 | 2005-09-01 |
| 1114911328 | Gary L Clark | Physician Assistant | 605 Lamar Ave, Brooksville, FL 34601-3211 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526643 | Benzer Fl 39 LLC | Pharmacy | 80 Ponca De Leon Blvd, Brooksville, FL 34601 | 2020-04-03 |
| 1245868702 | Karon Elaine Stagg | Specialist/Technologist | 20158 Cortez Blvb, Brookesville, FL 34601 | 2020-03-31 |
| 1699253666 | Shedding Light Counseling 'llc' | Counselor | 24059 Cortez Blvd, Brooksville, FL 34601 | 2018-08-01 |
| 1265952162 | Tysheeca Deandrea Washington | Assistant Behavior Analyst | 1535 Greenbriar Villa Circle, Brooksville, FL 34601 | 2017-06-21 |
| 1386179836 | Andrew Bishay | Emergency Medical Technician, Intermediate | 7284 Broad St, Brooksville, FL 34601 | 2017-04-21 |
| 1265892152 | Ralph Vitola | Pharmacist | 218 S. Broad St., Brooksville, FL 34601 | 2016-03-04 |
| 1689018301 | Nic 4 The Grande Leasing LLC | Assisted Living Facility | 725 Desoto Avenue, Brooksville, FL 34601 | 2013-04-24 |
| 1023301496 | Gerald Warren Springstead | Dentist | 605 W. Jefferson St., Brooksville, FL 34601 | 2011-05-18 |
| 1417280330 | Growing Center Counseling | Counselor | 275 W. Jefferson St., Brooksville, FL 34601 | 2009-09-10 |
| 1073663118 | Jennifer Suiters | Social Worker | 706 Ponce De Leon Blvd, Brooksville, FL 34601 | 2007-01-11 |
| Find all providers in zip 34601 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568826873 | Healthvine Medical Group Inc | Clinic/Center | 725 Benton Ave, Brooksville, FL 34601-3213 | 2016-04-12 |
| 1669657565 | Noxubee General Critical Access Hospital | Clinic/Center | 139 North Oliver Street, Brooksville, MS 39739 | 2008-01-09 |
| 1922171826 | Brooksville Medical Clinic Inc | Clinic/Center | 139 N. Oliver St., Brooksville, MS 39739-0348 | 2006-11-16 |
| 1326390501 | Access Health Care Physicians LLC | Clinic/Center | 11373 Cortez Blvd, 304, Brooksville, FL 34613-5414 | 2012-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917015 | Bonifay Rural Health Cinic | Clinic/Center | 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 | 2020-09-23 |
| 1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
| 1023506532 | Sacred Heart Hospital On The Gulf | Clinic/Center | 805 Highway 22, Wewahitchka, FL 32465-3237 | 2018-04-30 |
| 1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
| 1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
| 1164808465 | Family and After Hours Care, LLC | Clinic/Center | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-08-10 |
| 1891171914 | High Springs Pediatrics LLC. | Clinic/Center | 14900 Nw 140th St, Alachua, FL 32615-6276 | 2015-07-31 |
| 1982963344 | Sacred Heart Hospital On The Gulf | Clinic/Center | 55 Avenue 'e', Apalachicola, FL 32320-1763 | 2012-05-04 |
| 1760776900 | Sonnis Pediatrics, Inc. | Clinic/Center | 1125 S 6th Ave, Wauchula, FL 33873-3350 | 2011-06-06 |
| 1336454339 | West Florida Medical Associates, P. A | Clinic/Center | 4363 South Suncoast Blvd, Homosassa Springs, FL 34446 | 2010-08-13 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSVILLE |
| Zip Code | 34601 |
Please comment or provide details below to improve the information on PHYSICIAN PARTNERS NETWORK PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.