John T Daniels (NPI# 1235105420, PAC ID# 0345274601) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1235105420 |
| PAC ID by PECOS | 0345274601 |
| Professional Enrollment ID | I20050926000692 |
| Full Name | John T Daniels |
| Organization Legal Name | CISCA PULMONARY CRITICAL CARE INC |
| Address |
1361 13th S Ave Suite 245 Jacksonville Beach FL 32250-3238 |
| Phone Number | 9044937174 |
| Gender | M |
| Credential | DO |
| Graduation Year | 2002 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE |
| Group Practice PAC ID | 1951552371 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190039 | WEST JEFFERSON MEDICAL CENTER |
| 100179 | MEMORIAL HOSPITAL JACKSONVILLE |
| 100117 | BAPTIST MEDICAL CENTER BEACHES |
| Address | Phone | Organization |
|---|---|---|
| 1361 13th S Ave, Suite 245, Jacksonville Beach, FL 32250-3238 | 9044937174 | CISCA PULMONARY CRITICAL CARE INC |
| 1101 Medical Ctr Blvd, Marrero, LA 70072-3147 | NEW ORLEANS PHYSICIAN SERVICES INC | |
| 1101 Medical Ctr Blvd Er, Marrero, LA 70072-3147 | 5043491533 | NEW ORLEANS PHYSICIAN SERVICES INC |
| Organization Legal Name | CISCA PULMONARY CRITICAL CARE INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucile R Cuenot | Nurse Practitioner | Cisca Pulmonary Critical Care Inc | 1361 13th S Ave, Suite 245, Jacksonville Beach, FL 32250-3238 |
| George Andrew Schoonover | Pulmonary Disease | Cisca Pulmonary Critical Care Inc | 1361 13th S Ave, Suite 245, Jacksonville Beach, FL 32250-3238 |
| Wendell Hiebert Williams Jr. | Pulmonary Disease | Cisca Pulmonary Critical Care Inc | 3627 University Blvd S, Suite 300, Jacksonville, FL 32216-4294 |
| Alexis Agustine Vazquez | Pulmonary Disease | Cisca Pulmonary Critical Care Inc | 3627 University Blvd S, Suite 300, Jacksonville, FL 32216-4294 |
| Bruce Mitchell Yergin | Pulmonary Disease | Cisca Pulmonary Critical Care Inc | 1361 13th S Ave, Suite 245, Jacksonville Beach, FL 32250-3238 |
| Paul A Coley | Pulmonary Disease | Cisca Pulmonary Critical Care Inc | 3627 University Blvd S, Suite 300, Jacksonville, FL 32216-4294 |
| Street Address |
1361 13TH S AVE SUITE 245 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip | 32250-3238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucile R Cuenot | Nurse Practitioner | Cisca Pulmonary Critical Care Inc | 1361 13th S Ave, Suite 245, Jacksonville Beach, FL 32250-3238 |
| George Andrew Schoonover | Pulmonary Disease | Cisca Pulmonary Critical Care Inc | 1361 13th S Ave, Suite 245, Jacksonville Beach, FL 32250-3238 |
| Bruce Mitchell Yergin | Pulmonary Disease | Cisca Pulmonary Critical Care Inc | 1361 13th S Ave, Suite 245, Jacksonville Beach, FL 32250-3238 |
| Scott Jeffrey Trimas | Plastic and Reconstructive Surgery | 1361 13th S Ave, Suite 125, Jacksonville Beach, FL 32250-3260 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary E Southwick-jones | Clinical Social Worker | 4300 Marsh Landing Blvd, Suite 204, Jacksonville Beach, FL 32250-1420 | |
| Candice P Ster | Clinical Social Worker | 4300 Marsh Landing Blvd, Suite 204, Jacksonville, FL 32250-1420 | |
| Selina W Beenen | Clinical Social Worker | 4300 Marsh Landing Blvd, Suite 204, Jacksonville Beach, FL 32250-1420 | |
| Kelly Gardner Rich | Family Medicine | Baptist Primary Care Inc | 14011 Beach Blvd, Suite 230, Jacksonville, FL 32250-1507 |
| Payvand Tiurchy | Family Medicine | Baptist Primary Care Inc | 14011 Beach Blvd, Suite 230, Jacksonville, FL 32250-1507 |
| Susan N Young | Psychologist, Clinical | 14286 Beach Blvd, Suite 22, Jacksonville, FL 32250-1569 | |
| Lauren Kay Smedley | Chiropractic | Cooper Chiropractic and Family Wellness Inc | 14333 Beach Blvd, Suite 2, Jacksonville, FL 32250-1587 |
| Lisa A Karr | Nurse Practitioner | Physicians Group Services Pa | 14011 Beach Blvd, Suite 120, Jacksonville, FL 32250-1695 |
| Jaclyn Taylor | Nurse Practitioner | Physicians Group Services Pa | 14011 Beach Blvd, Suite 120, Jacksonville, FL 32250-1695 |
| Howard J Green | Family Medicine | Family Care Partners of Northeast Florida LLC | 14444 Beach Blvd, Suite 27, Jacksonville, FL 32250-2079 |
| Find all physicians in zip 32250 | |||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | JACKSONVILLE BEACH + PULMONARY DISEASE |
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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.