Randolph B Peddicord (NPI# 1841204971, PAC ID# 0244406197) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1841204971 |
| PAC ID by PECOS | 0244406197 |
| Professional Enrollment ID | I20111227000683 |
| Full Name | Randolph B Peddicord |
| Organization Legal Name | TREASURE COAST MEDICAL ASSOCIATES |
| Address |
3405 Nw Federal Hwy Jensen Beach FL 34957-4403 |
| Phone Number | 7726928082 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 6608768122 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100322 | REGIONAL GENERAL HOSPITAL WILLISTON |
| 100044 | MARTIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 | 7726928082 | TREASURE COAST MEDICAL ASSOCIATES |
| Organization Legal Name | TREASURE COAST MEDICAL ASSOCIATES |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Stutz Perry | Nurse Practitioner | Treasure Coast Medical Associates | 7195 S George Blvd, Sebring, FL 33875-5823 |
| Danika Claire Cornelius | Physician Assistant | Treasure Coast Medical Associates | 305 Ne Park St, Okeechobee, FL 34972-2900 |
| Jonathan Adelberg | Emergency Medicine | Treasure Coast Medical Associates | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 |
| Kenneth G Bridges | Vascular Surgery | Treasure Coast Medical Associates | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 |
| Joseph Paul Karram | Physician Assistant | Treasure Coast Medical Associates | 7195 S George Blvd, Sebring, FL 33875-5823 |
| Carly Peon Hintz | Nurse Practitioner | Treasure Coast Medical Associates | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 |
| Catherine Woolwine | Physician Assistant | Treasure Coast Medical Associates | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 |
| Mary Josefyk | Nurse Practitioner | Treasure Coast Medical Associates | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 |
| Amanda Nicole Kaster | Nurse Practitioner | Treasure Coast Medical Associates | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 |
| Natalia Mari Rosario | Physician Assistant | Treasure Coast Medical Associates | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 |
| Street Address |
3405 NW FEDERAL HWY |
| City | JENSEN BEACH |
| State | FL |
| Zip | 34957-4403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Adelberg | Emergency Medicine | Treasure Coast Medical Associates | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 |
| Kenneth G Bridges | Vascular Surgery | Treasure Coast Medical Associates | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 |
| Carly Peon Hintz | Nurse Practitioner | Treasure Coast Medical Associates | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 |
| Catherine Woolwine | Physician Assistant | Treasure Coast Medical Associates | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 |
| Mary Josefyk | Nurse Practitioner | Treasure Coast Medical Associates | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 |
| Amanda Nicole Kaster | Nurse Practitioner | Treasure Coast Medical Associates | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 |
| Natalia Mari Rosario | Physician Assistant | Treasure Coast Medical Associates | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan K Vrable | Interventional Pain Management | All Partners Network Pllc | 4243 Nw Federal Hwy, Jensen Beach, FL 34957-3600 |
| Shatabdi Patel | Neurology | All Partners Network Pllc | 4243 Nw Federal Hwy, Jensen Beach, FL 34957-3600 |
| Steven A Burack | Physical Medicine and Rehabilitation | All Partners Network Pllc | 4243 Nw Federal Hwy, Jensen Beach, FL 34957-3600 |
| Michael Sean Slobasky | Interventional Pain Management | All Partners Network Pllc | 4243 Nw Federal Hwy, Jensen Beach, FL 34957-3600 |
| Sidney D Swartz | Pain Management | All Partners Network Pllc | 4243 Nw Federal Hwy, Jensen Beach, FL 34957-3600 |
| Harold H Allen | Orthopedic Surgery | All Partners Network Pllc | 4243 Nw Federal Hwy, Jensen Beach, FL 34957-3600 |
| Douglas W Sanders | General Surgery | 3601 Nw Federal Hwy, Jensen Beach, FL 34957-3676 | |
| Jewell R Chang | Optometry | 3201 Ne Skyline Dr, Suite D, Jensen Beach, FL 34957-3912 | |
| Matthew M Cianfrani | Psychologist, Clinical | 3361 Ne Aviary Place, Jensen Beach, FL 34957-4275 | |
| Michael J Goldberg | Optometry | 3332 Nw Federal Hwy, Jensen Beach, FL 34957-4402 | |
| Find all physicians in zip 34957 | |||
| City | JENSEN BEACH |
| Zip Code | 34957 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | JENSEN BEACH + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Randolph B Peddicord.
| 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.