Derek R Nelson (NPI# 1821370685, PAC ID# 0749455178) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1821370685 |
| PAC ID by PECOS | 0749455178 |
| Professional Enrollment ID | I20111213000363 |
| Full Name | Derek R Nelson |
| Organization Legal Name | MOBILE PHYSICIAN SERVICES PA |
| Address |
6804 Cecelia Dr New Port Richey FL 34653-4935 |
| Phone Number | 7272320644 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4688685654 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100045 | FLORIDA HOSPITAL DELAND |
| Address | Phone | Organization |
|---|---|---|
| 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 7272320644 | MOBILE PHYSICIAN SERVICES PA |
| Organization Legal Name | MOBILE PHYSICIAN SERVICES PA |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard Pinsky | Nurse Practitioner | Mobile Physician Services Pa | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Pamela L June | Clinical Psychologist | Mobile Physician Services Pa | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Nikole Renae Dodge | Physician Assistant | Mobile Physician Services Pa | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Anne Marle Thompson | Nurse Practitioner | Mobile Physician Services Pa | 300 Lake Ne Ave, Largo, FL 33771-1691 |
| Glenda F Williams | Nurse Practitioner | Mobile Physician Services Pa | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Nicole P Deboskey | Nurse Practitioner | Mobile Physician Services Pa | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Susan Lucille Manifold | Nurse Practitioner | Mobile Physician Services Pa | 300 Lake Ne Ave, Largo, FL 33771-1691 |
| Richard Joseph Campanile | General Practice | Mobile Physician Services Pa | 300 Lake Ne Ave, Largo, FL 33771-1691 |
| Street Address |
6804 CECELIA DR |
| City | NEW PORT RICHEY |
| State | FL |
| Zip | 34653-4935 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas P Nagle | Physician Assistant | Mobile Physician Services Inc. | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Robert Kleid | Physician Assistant | Mobile Physician Services Inc. | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Melanie R Miller | Physician Assistant | Mobile Physician Services Inc. | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Sonya Goodner | Physician Assistant | Mobile Physician Services Inc. | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Amina C Rishi | Physician Assistant | Mobile Physician Services Inc. | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Joanne T Donnell | Nurse Practitioner | Mobile Physician Services Inc. | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Howard Pinsky | Nurse Practitioner | Mobile Physician Services Pa | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Nikole Renae Dodge | Physician Assistant | Mobile Physician Services Pa | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Glenda F Williams | Nurse Practitioner | Mobile Physician Services Pa | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Varghese Kodiyan | Clinical Social Worker | 6333 Langston Ave, New Port Richey, FL 34653-1014 | |
| Kevin P Conner | Chiropractic | 7534 Congress St, New Port Richey, FL 34653-1105 | |
| Maritza Fernandez | Clinical Social Worker | 7552 Congress St, Suite 4, New Port Richey, FL 34653-1106 | |
| Jennifer L Geigan | Clinical Social Worker | Baycare Behavioral Health Inc | 8002 King Helie Blvd, New Port Richey, FL 34653-1435 |
| Susan F Hanna | Psychiatry | Baycare Behavioral Health Inc | 8132 King Helie Blvd, New Port Richey, FL 34653-1435 |
| Jennifer M Gonatos | Clinical Social Worker | Baycare Behavioral Health Inc | 8132 King Helie Blvd, New Port Richey, FL 34653-1435 |
| Kelly J Beadle | Clinical Social Worker | Baycare Behavioral Health Inc | 8002 King Helie Blvd, New Port Richey, FL 34653-1435 |
| Morgan R Dion | Clinical Social Worker | Baycare Behavioral Health Inc | 8002 King Helie Blvd, New Port Richey, FL 34653-1435 |
| Don Alan Davis | Nurse Practitioner | Baycare Behavioral Health Inc | 8132 King Helie Blvd, New Port Richey, FL 34653-1435 |
| Britani M Lalone | Clinical Social Worker | Baycare Behavioral Health Inc | 8002 King Helie Blvd, New Port Richey, FL 34653-1435 |
| Find all physicians in zip 34653 | |||
| City | NEW PORT RICHEY |
| Zip Code | 34653 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NEW PORT RICHEY + PHYSICIAN ASSISTANT |
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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.