Kylie Mariah Schrade (NPI# 1871079905, PAC ID# 1658615356) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1871079905 |
| PAC ID by PECOS | 1658615356 |
| Professional Enrollment ID | I20181206003025 |
| Full Name | Kylie Mariah Schrade |
| Organization Legal Name | PUTNAM SURGICAL GROUP LLC |
| Address |
611 Zeagler Dr Palatka FL 32177-3810 |
| Phone Number | 3863285711 |
| Gender | F |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3678884194 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100232 | PUTNAM COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 414 Zeagler Dr, Palatka, FL 32177-3815 | 3863284123 | PUTNAM SURGICAL GROUP LLC |
| 611 Zeagler Dr, Palatka, FL 32177-3810 | 3863285711 | PUTNAM SURGICAL GROUP LLC |
| Organization Legal Name | PUTNAM SURGICAL GROUP LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Willard Salzman | General Surgery | Putnam Surgical Group LLC | 414 Zeagler Dr, Palatka, FL 32177-3815 |
| Karl M Baird | Orthopedic Surgery | Putnam Surgical Group LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| David C Cummings | General Surgery | Putnam Surgical Group LLC | 414 Zeagler Dr, Palatka, FL 32177-3815 |
| Street Address |
611 ZEAGLER DR |
| City | PALATKA |
| State | FL |
| Zip | 32177-3810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Martin | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Iris N Cedeno | Nurse Practitioner | Paragon Emergency Services LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Jenny Jean Gregory | Nurse Practitioner | Hospital Physician Services of Florida Pa | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Shahbaz Yousaf | Internal Medicine | Paragon Emergency Services LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Daniel S Winecoff | Nurse Practitioner | Paragon Emergency Services LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Dilip Purohit | Internal Medicine | Hospital Physician Services of Florida Pa | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Bold R Hood | Emergency Medicine | Paragon Emergency Services LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Marjan Rabbani | Internal Medicine | Hospital Physician Services of Florida Pa | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Jennifer D Standridge | Nurse Practitioner | Paragon Emergency Services LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Marty Mccullough | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April C Roberts | Psychologist, Clinical | Serenity Psychological Services Inc | 110 Kay Larkin Dr, Palatka, FL 32177-2312 |
| Patrick J Harris | Family Medicine | Roy H Hinman Md Pa | 200 Mission Rd, Palatka, FL 32177-2600 |
| Neil F Benson | Family Medicine | 108 N Palm Ave, Palatka, FL 32177-2626 | |
| Gina F Christopher | Nurse Practitioner | Neil F Benson Md Pa | 108 N Palm Ave, Palatka, FL 32177-2626 |
| Gerry D Meta | Emergency Medicine | Paragon Emergency Services LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Andrea C Leary | Nurse Practitioner | Paragon Emergency Services LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Ghulam Mohammed | Internal Medicine | Hospital Physician Services of Florida Pa | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Jeffrey Edward Martin | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Karl M Baird | Orthopedic Surgery | Putnam Surgical Group LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Elaine Frazier | Internal Medicine | Paragon Emergency Services LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Find all physicians in zip 32177 | |||
| City | PALATKA |
| Zip Code | 32177 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PALATKA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kylie Mariah Schrade.
| 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.