William C. Welch (NPI# 1720247992, PAC ID# 1557438207) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1720247992 |
| PAC ID by PECOS | 1557438207 |
| Professional Enrollment ID | I20080922000335 |
| Full Name | William C. Welch |
| Organization Legal Name | NAUTILUS HEALTH CARE GROUP LLC |
| Address |
1120 Pinellas Bayway S Suite 200 Tierra Verde FL 33715-1505 |
| Phone Number | 7278675480 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5991604852 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100286 | PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE |
| 100032 | BAYFRONT HEALTH - ST PETERSBURG |
| Address | Phone | Organization |
|---|---|---|
| 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 | 7278675480 | NAUTILUS HEALTH CARE GROUP LLC |
| 1120 Pinellas Bayway S, Tierra Verde, FL 33715-1505 | 7278675480 | NAUTILUS HEALTH CARE GROUP LLC |
| Organization Legal Name | NAUTILUS HEALTH CARE GROUP LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen L Larusso | Nurse Practitioner | Nautilus Health Care Group LLC | 3001 W Dr Mlk Jr Blvd, Tampa, FL 33607-6387 |
| Heather Amanda Dunn | Nurse Practitioner | Nautilus Health Care Group LLC | 250 2nd St E, Suite 4e, Bradenton, FL 34208-1028 |
| Louis Mazzella | Family Medicine | Nautilus Health Care Group LLC | 7501 38th Ave N, St Petersburg, FL 33710-1230 |
| Gary Anthony Gallo | Orthopedic Surgery | Nautilus Health Care Group LLC | 8340 Collier Blvd, Suite 302, Naples, FL 34114-3626 |
| Adelor Zamora | Internal Medicine | Nautilus Health Care Group LLC | 10300 4th St N, St Petersburg, FL 33716-3810 |
| Robyn M Ache | General Surgery | Nautilus Health Care Group LLC | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 |
| Kristin L Eversole | Nurse Practitioner | Nautilus Health Care Group LLC | 210 21st Ave W, Bradenton, FL 34205-8336 |
| Petra Elke Townsend | Family Medicine | Nautilus Health Care Group LLC | 3951 Nw 48th Ter, Suite 211, Gainesville, FL 32606-7230 |
| Keron A Ferguson | Family Medicine | Nautilus Health Care Group LLC | 715 W State Rd, Suite 434, Longwood, FL 32750-4937 |
| Jennifer L Misechok | Physician Assistant | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
| Street Address |
1120 PINELLAS BAYWAY S SUITE 200 |
| City | TIERRA VERDE |
| State | FL |
| Zip | 33715-1505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Misechok | Physician Assistant | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
| Stephen Vallakalayil Pappachen | Obstetrics/gynecology | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
| Richard G Martin | General Surgery | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
| Louis V Frosch | Family Practice | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
| Felix R Ortega | Plastic and Reconstructive Surgery | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
| Ashley L Patrick | Nurse Practitioner | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Mountcastle | Emergency Medicine | Mountcastle Vein Center of St Petersburg | 5901 Sun Blvd, Saint Petersburg, FL 33715-1165 |
| Kristin S Sochet | Family Medicine | Prawer Medical Group | 5101 Brittany Dr S, St Petersburg, FL 33715-1565 |
| Joel S Prawer | Family Practice | Davita Medical Florida, Inc. | 5101 Brittany S Dr, Saint Petersburg, FL 33715-1565 |
| City | TIERRA VERDE |
| Zip Code | 33715 |
| Specialty | GENERAL SURGERY |
| City + Specialty | TIERRA VERDE + GENERAL 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.