Tara J Creus (NPI# 1952879736, PAC ID# 0042558827) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1952879736 |
| PAC ID by PECOS | 0042558827 |
| Professional Enrollment ID | I20190221000755 |
| Full Name | Tara J Creus |
| Organization Legal Name | THE MCGREGOR CLINIC, INC |
| Address |
3487 Broadway Fort Myers FL 33901-7213 |
| Phone Number | 2393342555 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7810164688 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3487 Broadway, Fort Myers, FL 33901-7213 | 2393342555 | THE MCGREGOR CLINIC, INC |
| Organization Legal Name | THE MCGREGOR CLINIC, INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek W Dewitt | Family Medicine | The Mcgregor Clinic, Inc | 3487 Broadway, Fort Myers, FL 33901-7213 |
| Douglas G Brust | Infectious Disease | The Mcgregor Clinic, Inc | 3487 Broadway, Fort Myers, FL 33901-7213 |
| Carolyn S Coleman | Nurse Practitioner | The Mcgregor Clinic, Inc | 3487 Broadway, Fort Myers, FL 33901-7213 |
| Johnna L Dettis | Nurse Practitioner | The Mcgregor Clinic, Inc | 3487 Broadway, Fort Myers, FL 33901-7213 |
| Street Address |
3487 BROADWAY |
| City | FORT MYERS |
| State | FL |
| Zip | 33901-7213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek W Dewitt | Family Medicine | The Mcgregor Clinic, Inc | 3487 Broadway, Fort Myers, FL 33901-7213 |
| Douglas G Brust | Infectious Disease | The Mcgregor Clinic, Inc | 3487 Broadway, Fort Myers, FL 33901-7213 |
| Carolyn S Coleman | Nurse Practitioner | The Mcgregor Clinic, Inc | 3487 Broadway, Fort Myers, FL 33901-7213 |
| Johnna L Dettis | Nurse Practitioner | The Mcgregor Clinic, Inc | 3487 Broadway, Fort Myers, FL 33901-7213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell E Turner | Chiropractic | 3509 Fowler St, Fort Myers, FL 33901-0925 | |
| Jaritza Smith | Nurse Practitioner | Inpatient Medical Services, Inc | 2525 1st St, Fort Myers, FL 33901-2465 |
| Tiffany D Schoen | Nurse Practitioner | Inpatient Medical Services, Inc | 2525 1st St, Fort Myers, FL 33901-2465 |
| Melissa M Francis | Nurse Practitioner | Inpatient Medical Services, Inc | 2525 1st St, Fort Myers, FL 33901-2465 |
| Christine M Dibenedetto | Psychologist, Clinical | 2525 1st St, Fort Myers, FL 33901-2465 | |
| Victor M Stewart | Nurse Practitioner | Inpatient Medical Services, Inc | 2525 1st St, Fort Myers, FL 33901-2465 |
| Daniel Scott Halajcsik | Chiropractic | 4350 Fowler St, Suite 1b, Fort Myers, FL 33901-2616 | |
| Bruce H Senior | Optometry | 2277 1st St, Fort Myers, FL 33901-2959 | |
| Winston D Irving | Diagnostic Radiology | 2090 W 1st St, Apt 809, Fort Myers, FL 33901-3115 | |
| Jody Paitra Mohle | Physical Therapy | 2059 Altamont Ave, Suite 105, Fort Myers, FL 33901-3281 | |
| Find all physicians in zip 33901 | |||
| City | FORT MYERS |
| Zip Code | 33901 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FORT MYERS + NURSE PRACTITIONER |
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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.