Jessica Metakes (NPI# 1558872226, PAC ID# 1254690340) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1558872226 |
| PAC ID by PECOS | 1254690340 |
| Professional Enrollment ID | I20180118000316 |
| Full Name | Jessica Metakes |
| Organization Legal Name | BLUE OCEAN DERMATOLOGY LLC |
| Address |
3951 S Nova Rd Suite 3 Port Orange FL 32127-9268 |
| Phone Number | 3862561444 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3779729603 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3951 S Nova Rd, Suite 3, Port Orange, FL 32127-9268 | 3862561444 | BLUE OCEAN DERMATOLOGY LLC |
| Organization Legal Name | BLUE OCEAN DERMATOLOGY LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda C Hulce | Nurse Practitioner | Blue Ocean Dermatology LLC | 1840 Greenwich Ave, Winter Park, FL 32789-4012 |
| Jason L Welch | Nurse Practitioner | Blue Ocean Dermatology LLC | 3951 S Nova Rd, Suite 3, Port Orange, FL 32127-9268 |
| Michael Robert Murchland | Dermatology | Blue Ocean Dermatology LLC | 3951 S Nova Rd, Suite 3, Port Orange, FL 32127-9268 |
| Stanley Norman Katz | Dermatology | Blue Ocean Dermatology LLC | 3951 S Nova Rd, Suite 3, Port Orange, FL 32127-9268 |
| Nitra H Welch | Nurse Practitioner | Blue Ocean Dermatology LLC | 3951 S Nova Rd, Suite 3, Port Orange, FL 32127-9268 |
| Alina M Collins | Nurse Practitioner | Blue Ocean Dermatology LLC | 3951 S Nova Rd, Suite 3, Port Orange, FL 32127-9268 |
| Lawrence G Blasik Jr. | Dermatology | Blue Ocean Dermatology LLC | 3951 S Nova Rd, Port Orange, FL 32127-9268 |
| Street Address |
3951 S NOVA RD SUITE 3 |
| City | PORT ORANGE |
| State | FL |
| Zip | 32127-9268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason L Welch | Nurse Practitioner | Blue Ocean Dermatology LLC | 3951 S Nova Rd, Suite 3, Port Orange, FL 32127-9268 |
| Michael Robert Murchland | Dermatology | Blue Ocean Dermatology LLC | 3951 S Nova Rd, Suite 3, Port Orange, FL 32127-9268 |
| Stanley Norman Katz | Dermatology | Blue Ocean Dermatology LLC | 3951 S Nova Rd, Suite 3, Port Orange, FL 32127-9268 |
| Nitra H Welch | Nurse Practitioner | Blue Ocean Dermatology LLC | 3951 S Nova Rd, Suite 3, Port Orange, FL 32127-9268 |
| Alina M Collins | Nurse Practitioner | Blue Ocean Dermatology LLC | 3951 S Nova Rd, Suite 3, Port Orange, FL 32127-9268 |
| Lawrence G Blasik Jr. | Dermatology | Blue Ocean Dermatology LLC | 3951 S Nova Rd, Port Orange, FL 32127-9268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Williams | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| David L Meese | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Joseph Mirante | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| Michael Munier | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| Andrew H Ritter | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| John S Newman | Certified Registered Nurse Anesthetist (crna) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Anthony T Tucker | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| John T Tolland | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Robert J Yu | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Timothy J Wierzbicki | Neurology | 1211 Dunlawton Ave, Port Orange, FL 32127-2913 | |
| Find all physicians in zip 32127 | |||
| City | PORT ORANGE |
| Zip Code | 32127 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORT ORANGE + NURSE PRACTITIONER |
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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.