David J. Hak (NPI# 1942290341, PAC ID# 0547272619) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1942290341 |
| PAC ID by PECOS | 0547272619 |
| Professional Enrollment ID | I20181218000799 |
| Full Name | David J. Hak |
| Organization Legal Name | HUGHSTON CLINIC SOUTHEAST PC |
| Address |
309 N Mangoustine Ave Unit G Triple County Medical Condominium Sanford FL 32771-1098 |
| Phone Number | 3213631754 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| 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 |
|---|---|
| 100161 | CENTRAL FLORIDA REGIONAL HOSPITAL |
| 390110 | CONEMAUGH MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 236 Jamesway Rd, Ebensburg, PA 15931-4207 | 8144727336 | DLP CONEMAUGH PHYSICIAN PRACTICES LLC |
| 2 Celeste Dr, Johnstown, PA 15905-2832 | 8142556781 | DLP CONEMAUGH PHYSICIAN PRACTICES LLC |
| 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 |
| 309 N Mangoustine Ave, Unit G Triple County Medical Condominium, Sanford, FL 32771-1098 | 3213631754 | HUGHSTON CLINIC SOUTHEAST PC |
| 3736 S 4th St, Terre Haute, IN 47802-5507 | 8122309470 | HUGHSTON CLINIC SOUTHEAST PC |
| 3901 7th S St, Terre Haute, IN 47802-5709 | 8122320021 | 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 |
309 N MANGOUSTINE AVE UNIT G TRIPLE COUNTY MEDICAL CONDOMINIUM |
| City | SANFORD |
| State | FL |
| Zip | 32771-1098 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Simonson IIi | Physician Assistant | Hughston Clinic Southeast PC | 309 N Mangoustine Ave, Unit G Triple County Medical Condominium, Sanford, FL 32771-1098 |
| Matthew Combes | Physician Assistant | Hughston Clinic Southeast PC | 309 N Mangoustine Ave, Unit G Triple County Medical Condominium, Sanford, FL 32771-1098 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angeline Quinones | Nurse Practitioner | Fl-i Medical Services LLC | 4525 Internatinal Pkwy, Sanford, FL 32771 |
| William R Vivas | Podiatry | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Emma M Herrera | General Practice | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Peter H Oostwouder | Family Medicine | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Dana Tate Solomon | Physician Assistant | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Kim-cheree T Jackson | Nurse Practitioner | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Luisa O Mena | General Practice | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Theresa L Mantle | Nurse Practitioner | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Sherhonda Fevrier | Nurse Practitioner | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Jennifer F Simpkins | Family Practice | Central Florida Family Health Center Inc | 2400 State Rd, Sanford, FL 32771 |
| Find all physicians in zip 32771 | |||
| City | SANFORD |
| Zip Code | 32771 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SANFORD + 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.