Anthony Michael Harris (NPI# 1902867468, PAC ID# 0042271959) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1902867468 |
| PAC ID by PECOS | 0042271959 |
| Professional Enrollment ID | I20051129000242 |
| Full Name | Anthony Michael Harris |
| Organization Legal Name | HUGHSTON CLINIC SOUTHEAST PC |
| Address |
341 Racetrack Rd Nw Suite B Fort Walton Beach FL 32547-1552 |
| Phone Number | 8502268112 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1999 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9234423971 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100179 | MEMORIAL HOSPITAL JACKSONVILLE |
| 100226 | ORANGE PARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 341 Racetrack Rd Nw, Suite B, Fort Walton Beach, FL 32547-1552 | 8502268112 | HUGHSTON CLINIC SOUTHEAST PC |
| 5322 S 400, Ogden, UT 84405-7171 | 7064943193 | HUGHSTON CLINIC SOUTHEAST PC |
| 5475 S 500, Ogden, UT 84405-6905 | 8014792111 | HUGHSTON CLINIC SOUTHEAST PC |
| 1401 W Seminole Blvd, Central Florida Regional Hospital, Sanford, FL 32771-6743 | 4073214500 | HUGHSTON CLINIC SOUTHEAST PC |
| Organization Legal Name | HUGHSTON CLINIC SOUTHEAST PC |
| Physicians | 44 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal Ann Wade | Nurse Practitioner | Hughston Clinic Southeast PC | 1895 Kingsley Ave, Suite 300, Orange Park, FL 32073-4453 |
| Lindsey Allison Baroch | Physician Assistant | Hughston Clinic Southeast PC | 3625 University Blvd S, Memorial Hospital, Jacksonville, FL 32216-4207 |
| Rebecca Catherine Hanna | Physician Assistant | Hughston Clinic Southeast PC | 1401 W Seminole Blvd, Central Florida Regional Hospital, Sanford, FL 32771-6743 |
| John Simonson IIi | Physician Assistant | Hughston Clinic Southeast PC | 309 N Mangoustine Ave, Unit G Triple County Medical Condominium, Sanford, FL 32771-1098 |
| Quentin K Tanko | Orthopedic Surgery | Hughston Clinic Southeast PC | 3736 S 4th St, Terre Haute, IN 47802-5507 |
| Paul Richard Bretton | Physician Assistant | Hughston Clinic Southeast PC | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
| Robert M Harris | Orthopedic Surgery | Hughston Clinic Southeast PC | 631 Professional Dr, Suite 170, Lawrenceville, GA 30046-3392 |
| Matthew Wahrendorff Deweese | Nurse Practitioner | Hughston Clinic Southeast PC | 3443 Dickerson Pike, Suite 190, Nashville, TN 37207-2533 |
| Mark H Epps | Physician Assistant | Hughston Clinic Southeast PC | 631 Professional Dr, Suite 170, Lawrenceville, GA 30046-3392 |
| Matthew Combes | Physician Assistant | Hughston Clinic Southeast PC | 309 N Mangoustine Ave, Unit G Triple County Medical Condominium, Sanford, FL 32771-1098 |
| Street Address |
341 RACETRACK RD NW SUITE B |
| City | FORT WALTON BEACH |
| State | FL |
| Zip | 32547-1552 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pasquale Reino | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 341 Racetrack Rd Nw, Suite B, Fort Walton Beach, FL 32547-1552 |
| Payam Tabrizi | Orthopedic Surgery | Hughston Clinic Southeast PC | 341 Racetrack Rd Nw, Suite B, Fort Walton Beach, FL 32547-1552 |
| Kimberly A Hamrick | Nurse Practitioner | Hughston Clinic Southeast PC | 341 Racetrack Rd Nw, Suite B, Fort Walton Beach, FL 32547-1552 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morris E Gales Iii | General Surgery | Florida Post Acute Care Clinicians LLC | 1 L B J Sr Dr, Fort Walton Beach, FL 32547-1163 |
| John D Sites | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Teresa Marie Skojac | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Peter Kerr Senechal | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Chris George Pappas | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Christopher P Paulson | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Susan T Ott | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Brandy Marie Lackey | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Grant Eugene Zachary | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Jamison E Gaddy | Physician Assistant | Australian Lungfish Surgical Specialists LLC | 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221 |
| Find all physicians in zip 32547 | |||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | FORT WALTON BEACH + ORTHOPEDIC SURGERY |
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| 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.