DOCTORS AT HOME LLC (NPI# 1790737922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790737922 |
| Entity Type | Organization |
| Organization Name | DOCTORS AT HOME LLC |
| Practice Address |
11479 Cortez Blvd Brooksville FL 34613-7367 |
| Mailing Address |
15215 Cortez Blvd Brooksville FL 34613-6072 |
| Practice Telephone | 3525927777 |
| Practice Fax Number | 3525921155 |
| Mailing Telephone | 3527990046 |
| Mailing Fax Number | 3527990115 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2012-07-25 |
| Authorized Official Name | DR. DALTON M BENSON (OWNER) |
| Authorized Official Telephone | 3525973511 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
2005-00475004 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE ATTACHED TO GRP# DR6927 | P01046782 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235796020 | Doctors At Home LLC | Clinic/Center | 7370 N Lincoln Ave Ste D, Lincolnwood, IL 60712-1705 | 2019-05-28 |
| Street Address |
11479 CORTEZ BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34613-7367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497153316 | Susan Schickley | Nurse Practitioner | 11479 Cortez Blvd, Brooksville, FL 34613-7367 | 2014-12-09 |
| 1154414449 | Robert L Hartzell Jr. | Family Medicine | 11479 Cortez Blvd, Brooksville, FL 34613-7367 | 2006-10-01 |
| 1558391888 | Anil Bhatia | Internal Medicine | 11479 Cortez Blvd, Brooksville, FL 34613-7367 | 2006-07-03 |
| 1093759524 | Lorelle J Smith | Nurse Practitioner | 11479 Cortez Blvd, Brooksville, FL 34613-7367 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1922450022 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 13217 Cortez Rd, Brooksville, FL 34613 | 2016-07-13 |
| 1992157408 | Arushi Goel | Internal Medicine | 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 | 2016-07-08 |
| 1366823122 | Monicka Stella Felix | Internal Medicine | 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 | 2015-06-17 |
| 1790171700 | April Greer | Hearing Instrument Specialist | 13013 Cortez Blvd., Brooksville, FL 34613 | 2015-04-07 |
| Find all providers in zip 34613 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689195521 | Daniel Dstteffano, Md & Associates | Clinic/Center | 719 Benton Ave, Brooksville, FL 34601-3213 | 2017-06-30 |
| 1568911550 | Careatc Hernando County-14249-067 | Clinic/Center | 20186 Cortez Blvd, Brooksville, FL 34601-3832 | 2016-10-02 |
| 1740572825 | Care One Primary Care Inc. | Clinic/Center | 12224 Cortez Blvd, Brooksville, FL 34613-2631 | 2011-05-09 |
| 1629629027 | Careatc | Clinic/Center | 20186 Cortez Blvd, Brooksville, FL 34601-3832 | 2019-09-26 |
| 1336571355 | Verimed Health Group, Brooksville | Clinic/Center | 605 Lamar Ave, Brooksville, FL 34601 | 2013-08-01 |
| 1720359045 | Family Care Center of Brooksville, Pa | Clinic/Center | 14540 Cortez Blvd, Suite 118, Brooksville, FL 34613-6056 | 2012-01-18 |
| 1154484533 | Karen Wunderlich Md Pa | Clinic/Center | 14540 Cortez Blvd, Suite 102, Brooksville, FL 34613-6056 | 2006-12-18 |
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| Find all providers with the same taxonomy | ||||
| City | BROOKSVILLE |
| Zip Code | 34613 |
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| 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.