Patricia Jordan-gonzalez (NPI# 1639596976, PAC ID# 1153664339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1639596976 |
| PAC ID by PECOS | 1153664339 |
| Professional Enrollment ID | I20190628000564 |
| Full Name | Patricia Jordan-gonzalez |
| Organization Legal Name | CHARLES KAHN AND WAYNE RISKIN M D S P A |
| Address |
4700 Sheridan St C Hollywood FL 33021-3416 |
| Phone Number | 9549613252 |
| Gender | F |
| Medical School | UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3072515550 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100038 | MEMORIAL REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4700 Sheridan St C, Hollywood, FL 33021-3416 | 9549613252 | CHARLES KAHN AND WAYNE RISKIN M D S P A |
| Organization Legal Name | CHARLES KAHN AND WAYNE RISKIN M D S P A |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yesenia Santiago-casas | Rheumatology | Charles Kahn and Wayne Riskin M D S P A | 4700 Sheridan St C, Hollywood, FL 33021-3416 |
| Wayne Riskin | Rheumatology | Charles Kahn and Wayne Riskin M D S P A | 4700 Sheridan St C, Hollywood, FL 33021-3416 |
| Lynette Weitman Nicholson | Physician Assistant | Charles Kahn and Wayne Riskin M D S P A | 4700 Sheridan St C, Hollywood, FL 33021-3416 |
| Frederick J A Font | Rheumatology | Charles Kahn and Wayne Riskin M D S P A | 4700 Sheridan St C, Hollywood, FL 33021-3416 |
| Charles B Kahn | Rheumatology | Charles Kahn and Wayne Riskin M D S P A | 4700 Sheridan St C, Hollywood, FL 33021-3416 |
| Street Address |
4700 SHERIDAN ST C |
| City | HOLLYWOOD |
| State | FL |
| Zip | 33021-3416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yesenia Santiago-casas | Rheumatology | Charles Kahn and Wayne Riskin M D S P A | 4700 Sheridan St C, Hollywood, FL 33021-3416 |
| Wayne Riskin | Rheumatology | Charles Kahn and Wayne Riskin M D S P A | 4700 Sheridan St C, Hollywood, FL 33021-3416 |
| Lynette Weitman Nicholson | Physician Assistant | Charles Kahn and Wayne Riskin M D S P A | 4700 Sheridan St C, Hollywood, FL 33021-3416 |
| Frederick J A Font | Rheumatology | Charles Kahn and Wayne Riskin M D S P A | 4700 Sheridan St C, Hollywood, FL 33021-3416 |
| Charles B Kahn | Rheumatology | Charles Kahn and Wayne Riskin M D S P A | 4700 Sheridan St C, Hollywood, FL 33021-3416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorrett Codner | Nurse Practitioner | South Broward Hospital District | 1150 N 35th St, Suite 205a, Hollywood, FL 33021 |
| Carmen Herrera | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Sathi Ghosh | Psychiatry | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Alan S Lane | Ophthalmology | 4000 Hollywood Blvd, 180n, Hollywood, FL 33021-1204 | |
| Jeffrey E Caplan | Plastic and Reconstructive Surgery | 4330 Sheridan St, Suite 102, Hollywood, FL 33021-1406 | |
| Edward S. Wagner | Obstetrics/gynecology | Vitalmd Group Holding LLC | 4330 Sheridan St, Suite 101, Hollywood, FL 33021-1408 |
| Ravikanth Chiravuri | Cardiovascular Disease (cardiology) | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 | |
| Thomas D Rawson | Physician Assistant | Frank C Alario Md Pl | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 |
| Michael L Newman | Optometry | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Blaine S Cameron | Anesthesiology | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Find all physicians in zip 33021 | |||
| City | HOLLYWOOD |
| Zip Code | 33021 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HOLLYWOOD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Patricia Jordan-gonzalez.
| 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.