Pablo A Rengifo-moreno (NPI# 1356500854, PAC ID# 1254457658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1356500854 |
| PAC ID by PECOS | 1254457658 |
| Professional Enrollment ID | I20160817000849 |
| Full Name | Pablo A Rengifo-moreno |
| Organization Legal Name | PHOEBE PHYSICIAN GROUP INC |
| Address |
151 Mayo St A Americus GA 31709-4782 |
| Phone Number | 2293125800 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 8426112350 |
| Number of Group Practice Members | 318 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100135 | TALLAHASSEE MEMORIAL HEALTHCARE |
| 100106 | DOCTOR'S MEMORIAL HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 120 Us Hwy 280 W, Americus, GA 31719-8645 | 2299311159 | PHOEBE PHYSICIAN GROUP INC |
| 122 Us Hwy 280 W, Americus, GA 31719-8645 | 2299311159 | PHOEBE PHYSICIAN GROUP INC |
| 126 Us Hwy 280 W, Americus, GA 31719-8645 | 2299311159 | PHOEBE PHYSICIAN GROUP INC |
| 132 Us Hwy 280 W, Americus, GA 31719-8645 | 2299311159 | PHOEBE PHYSICIAN GROUP INC |
| 151 Mayo St A, Americus, GA 31709-4782 | 2293125800 | PHOEBE PHYSICIAN GROUP INC |
| 151 Mayo St B, Americus, GA 31709-4782 | 2299282900 | PHOEBE PHYSICIAN GROUP INC |
| 151 Mayo St C, Americus, GA 31709-4782 | 2299282882 | PHOEBE PHYSICIAN GROUP INC |
| 151 Mayo St D, Americus, GA 31709-4782 | 2299281100 | PHOEBE PHYSICIAN GROUP INC |
| 151 Mayo St E, Americus, GA 31709-4782 | 2299311159 | PHOEBE PHYSICIAN GROUP INC |
| 1300 Medical Dr, Tallahassee, FL 32308-4646 | 8502160100 | TALLAHASSEE MEMORIAL HEALTHCARE INC |
| Organization Legal Name | PHOEBE PHYSICIAN GROUP INC |
| Physicians | 309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haylee H Ward | Nurse Practitioner | Phoebe Physician Group Inc | 120 Us Hwy 280 W, Americus, GA 31719-8645 |
| Ryan B Breland | Orthopedic Surgery | Phoebe Physician Group Inc | 132 Us Hwy 280 W, Americus, GA 31719-8645 |
| Noelle A Rolle | Internal Medicine | Phoebe Physician Group Inc | 2709 Meredyth Dr, Suite 340, Albany, GA 31707-0219 |
| Amitabh Kumar | Internal Medicine | Phoebe Physician Group Inc | 2740 Ray Knight Way, Suite 100, Albany, GA 31707-0226 |
| Abel Romero-corral | Internal Medicine | Phoebe Physician Group Inc | 425 W 3rd Ave Level, Albany, GA 31701-1941 |
| Dwaipayan Choudhury | Family Medicine | Phoebe Physician Group Inc | 922 E Jefferson St, Suite B, Americus, GA 31709-4781 |
| Gillian Leeder | Nurse Practitioner | Phoebe Physician Group Inc | 2336 Dawson Rd, Suite 1500, Albany, GA 31707-2802 |
| Sarah E Tanner | Nurse Practitioner | Phoebe Physician Group Inc | 131 E 6th Ave, Buena Vista, GA 31803-9714 |
| Brittany P Stalvey | Nurse Practitioner | Phoebe Physician Group Inc | 2002 Palmyra Rd, Suite 101, Albany, GA 31701-1593 |
| Betsy K Diaz | Nurse Practitioner | Phoebe Physician Group Inc | 901 N Madison St, Albany, GA 31701-2210 |
| Street Address |
151 MAYO ST A |
| City | AMERICUS |
| State | GA |
| Zip | 31709-4782 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David B Drury | General Practice | Phoebe Physician Group Inc | 151 Mayo St A, Americus, GA 31709-4782 |
| Cynthia P Drury | Family Medicine | Phoebe Physician Group Inc | 151 Mayo St A, Americus, GA 31709-4782 |
| Bernadette D Blount | Internal Medicine | Phoebe Physician Group Inc | 151 Mayo St A, Americus, GA 31709-4782 |
| Greg R Shiver | Physician Assistant | Phoebe Physician Group Inc | 151 Mayo St A, Americus, GA 31709-4782 |
| Lewis C Stanley | Internal Medicine | Phoebe Physician Group Inc | 151 Mayo St A, Americus, GA 31709-4782 |
| Ryan M Monti | Hospitalist | Phoebe Physician Group Inc | 151 Mayo St A, Americus, GA 31709-4782 |
| Mfon M Inyang | Psychiatry | Phoebe Physician Group Inc | 151 Mayo St A, Americus, GA 31709-4782 |
| Kitty M Beasley | Nurse Practitioner | Phoebe Physician Group Inc | 151 Mayo St A, Americus, GA 31709-4782 |
| Kimberly G Hart | Physician Assistant | Phoebe Physician Group Inc | 151 Mayo St A, Americus, GA 31709-4782 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry S Teaford Jr. | Thoracic Surgery | Middle Flint Behavioral Healthcare | 415 N Jackson St, Americus, GA 31709-3015 |
| Michelle B Fan | Nurse Practitioner | Middle Flint Behavioral Healthcare | 415 N Jackson St, Americus, GA 31709-3015 |
| Marsha Kinnett | Nurse Practitioner | Middle Flint Behavioral Healthcare | 415 N Jackson St, Americus, GA 31709-3015 |
| Eric C Fan | Psychiatry | Middle Flint Behavioral Healthcare | 415 N Jackson St, Americus, GA 31709-3015 |
| Wallace D Mays | Obstetrics/gynecology | Middle Flint Behavioral Healthcare | 415 N Jackson St, Americus, GA 31709-3015 |
| Glendell B Coleman | Nurse Practitioner | Middle Flint Behavioral Healthcare | 415 N Jackson St, Americus, GA 31709-3015 |
| Ainsworth G Dudley | Gynecological Oncology | Middle Flint Behavioral Healthcare | 415 N Jackson St, Americus, GA 31709-3015 |
| Charles R Sheffield | General Surgery | Middle Flint Behavioral Healthcare | 100 Heads Ave, Americus, GA 31709-3616 |
| Alex G Saratsiotis | Physical Therapy | Accelerated Physical Therapy, Inc. | 205 E Lamar St, Americus, GA 31709-3632 |
| Tracy Martin Law | Physical Therapy | Accelerated Physical Therapy, Inc. | 205 E Lamar St, Americus, GA 31709-3632 |
| Find all physicians in zip 31709 | |||
| City | AMERICUS |
| Zip Code | 31709 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | AMERICUS + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Pablo A Rengifo-moreno.
| 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.