Jeanette L Lain (NPI# 1871516351, PAC ID# 1658386743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1871516351 |
| PAC ID by PECOS | 1658386743 |
| Professional Enrollment ID | I20070912000012 |
| Full Name | Jeanette L Lain |
| Organization Legal Name | ADVANCED UROLOGY INSTITUTE, LLC |
| Address |
685 Peachwood Dr Deland FL 32720-0804 |
| Phone Number | 3867363463 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2163653585 |
| Number of Group Practice Members | 92 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100072 | FLORIDA HOSPITAL FISH MEMORIAL |
| 100045 | FLORIDA HOSPITAL DELAND |
| Address | Phone | Organization |
|---|---|---|
| 685 Peachwood Dr, Deland, FL 32720-0804 | 3867363463 | ADVANCED UROLOGY INSTITUTE, LLC |
| 3475 S Suncoast Blvd, Homosassa, FL 34448-2322 | 3526287671 | ADVANCED UROLOGY INSTITUTE, LLC |
| 1061 Medical Ctr Dr, Suite 300, Orange City, FL 32763-8227 | 3864279554 | ADVANCED UROLOGY INSTITUTE, LLC |
| 12109 County Rd, Suite 103, Oxford, FL 34484-2967 | 3523916494 | ADVANCED UROLOGY INSTITUTE, LLC |
| Organization Legal Name | ADVANCED UROLOGY INSTITUTE, LLC |
| Physicians | 99 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajinikanth Ayyathurai | Urology | Advanced Urology Institute, LLC | 609 W Highland Blvd, Inverness, FL 34452-4638 |
| Michael Earl Galloway | Radiation Oncology | Advanced Urology Institute, LLC | 2560 Enterprise Rd E, Clearwater, FL 33759-1010 |
| Mikhail Lezhak | Physician Assistant | Advanced Urology Institute, LLC | 545 Health Blvd, Daytona Beach, FL 32114-1493 |
| Joseph L Camps | Urology | Advanced Urology Institute, LLC | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 |
| Robert C Youngman | Urology | Advanced Urology Institute, LLC | 506 Palmetto St, New Smyrna Beach, FL 32168-7325 |
| Stephen G Weiss | Urology | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Howard B Epstein | Urology | Advanced Urology Institute, LLC | 240 Southpark Cir E, Saint Augustine, FL 32086-5137 |
| David S Harris | Urology | Advanced Urology Institute, LLC | 13681 Doctors Way, Gulf Coast Medical Center, Fort Myers, FL 33912-4300 |
| Dinesh S Rao | Urology | Advanced Urology Institute, LLC | 1901 Se 18th Ave Bldg, Suite 300, Ocala, FL 34471-8214 |
| Sean Heron | Urology | Advanced Urology Institute, LLC | 1401 Pasadena Ave S, South Pasadena, FL 33707-3715 |
| Street Address |
685 PEACHWOOD DR |
| City | DELAND |
| State | FL |
| Zip | 32720-0804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen G Weiss | Urology | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Thomas M Corbyons | General Surgery | Memorial Hospital-west Volusia Inc | 685 Peachwood Dr, Deland, FL 32720-0804 |
| John Claude Pearson | Urology | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Michael S Grable | Urology | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Chelsie Renee Ferrell | Physician Assistant | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Michael Joseph Donohoe | General Surgery | Memorial Hospital-west Volusia Inc | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sue-ellen Elizabeth Griffith | Family Medicine | Memorial Hospital-west Volusia Inc | 1070 N Stone St A, Adventhealth Medical Group, Deland, FL 32720-0824 |
| Martin Gino F Prado | Gastroenterology | Memorial Hospital-west Volusia Inc | 1070 N Stone St D, Adventhealth Medical Group, Deland, FL 32720-0824 |
| Joseph B Depeyster | Internal Medicine | Memorial Hospital-west Volusia Inc | 1070 N Stone St A, Adventhealth Medical Group, Deland, FL 32720-0824 |
| Zoe E Paiva | Nurse Practitioner | Memorial Hospital-west Volusia Inc | 1070 N Stone St A, Adventhealth Medical Group, Deland, FL 32720-0824 |
| Sona Ramdath Jr. | Podiatry | 675 Peachwood Dr, Deland, FL 32720-0903 | |
| Rene S Vasquez | General Practice | Metcare of Florida Inc | 929 N Spring Garden Ave, 170 Metcare of Deland, Deland, FL 32720-0917 |
| Melodye Jones | Nurse Practitioner | Metcare of Florida Inc | 929 N Spring Garden Ave, 170 Metcare of Deland, Deland, FL 32720-0917 |
| Aaron Porter | Family Medicine | Metcare of Florida Inc | 929 N Spring Garden Ave, 170 Metcare of Deland, Deland, FL 32720-0917 |
| Godson I Oguchi | Internal Medicine | 665 Peachwood Dr, Suite 1, Deland, FL 32720-0920 | |
| Michael B White | Family Medicine | Dwic of Tampa Bay Inc | 1328 N Woodland Blvd, Deland, FL 32720-2203 |
| Find all physicians in zip 32720 | |||
| City | DELAND |
| Zip Code | 32720 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DELAND + 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.