Larry J Dailey (NPI# 1063478477, PAC ID# 1759334105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1063478477 |
| PAC ID by PECOS | 1759334105 |
| Professional Enrollment ID | I20050224000987 |
| Full Name | Larry J Dailey |
| Organization Legal Name | MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC |
| Address |
224 Nw Crane Ave Madison FL 32340-1400 |
| Phone Number | 85097322711927 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1976 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2860474111 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 101311 | MADISON COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 368 Ne Franklin St, Lake City, FL 32055-3088 | 3862928000 | AMS NATIONAL LLC |
| 224 Nw Crane Ave, Madison, FL 32340-1400 | 85097322711927 | MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC |
| Organization Legal Name | MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ira J Seasholtz | Diagnostic Radiology | Madison County Hospital Health Systems Inc | 224 Nw Crane Ave, Madison, FL 32340-1400 |
| Wade G Douglas | General Surgery | Madison County Hospital Health Systems Inc | 224 Nw Crane Ave, Madison, FL 32340-1400 |
| James W Stockwell | Gastroenterology | Madison County Hospital Health Systems Inc | 224 Nw Crane Ave, Madison, FL 32340-1400 |
| Street Address |
224 NW CRANE AVE |
| City | MADISON |
| State | FL |
| Zip | 32340-1400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Culpepper | Nurse Practitioner | Southland Ems At Madison, Pllc | 224 Nw Crane Ave, Madison, FL 32340-1400 |
| Ira J Seasholtz | Diagnostic Radiology | Madison County Hospital Health Systems Inc | 224 Nw Crane Ave, Madison, FL 32340-1400 |
| Cindy M Porter | Nurse Practitioner | Southland Ems At Madison, Pllc | 224 Nw Crane Ave, Madison, FL 32340-1400 |
| Wade G Douglas | General Surgery | Madison County Hospital Health Systems Inc | 224 Nw Crane Ave, Madison, FL 32340-1400 |
| Christopher N Shores | Nurse Practitioner | Southland Ems At Madison, Pllc | 224 Nw Crane Ave, Madison, FL 32340-1400 |
| Lucilla F Strickland | Nurse Practitioner | Southland Ems At Madison, Pllc | 224 Nw Crane Ave, Madison, FL 32340-1400 |
| James W Stockwell | Gastroenterology | Madison County Hospital Health Systems Inc | 224 Nw Crane Ave, Madison, FL 32340-1400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Murray Herring | Chiropractic | 126 Sw Sumatra Ave, Unit C, Madison, FL 32340-1458 | |
| Daniel B Perkins | Family Medicine | Family First Wellness Clinic, Inc. | 486 Sw Rutledge St, Madison, FL 32340-1978 |
| Rachael Sapp | Nurse Practitioner | Family First Wellness Clinic, Inc. | 486 Sw Rutledge St, Madison, FL 32340-1978 |
| Michele Richardson | Family Medicine | Family First Wellness Clinic, Inc. | 486 Sw Rutledge St, Madison, FL 32340-1978 |
| Martha Kelly Waldrep Reeves | Nurse Practitioner | Family First Wellness Clinic, Inc. | 486 Sw Rutledge St, Madison, FL 32340-1978 |
| Tammy P Williams | Nurse Practitioner | Mos LLC | 256 Sw Washington Ave, Madison, FL 32340-1982 |
| Lucas Nathan Williams | Nurse Practitioner | Mos LLC | 256 Sw Washington Ave, Madison, FL 32340-1982 |
| Theresa B Payne | Family Medicine | 180 Nw Haynes St, Madison, FL 32340-2010 | |
| Kimberly M Sanders | Physical Therapy | 456 W Base St, Madison, FL 32340-2061 | |
| Melanie Ann Hill | Optometry | South Georgia Eye Partners PC | 234 Sw Range Ave, Madison, FL 32340-2323 |
| Find all physicians in zip 32340 | |||
| City | MADISON |
| Zip Code | 32340 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MADISON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Larry J Dailey.
| 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.