Amy A Haney (NPI# 1891737177, PAC ID# 1759416365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1891737177 |
| PAC ID by PECOS | 1759416365 |
| Professional Enrollment ID | I20100322000679 |
| Full Name | Amy A Haney |
| Organization Legal Name | AVECINA MEDICAL PA |
| Address |
9580 Applecross Rd Suite 106 Jacksonville FL 32222-5843 |
| Phone Number | 9047789180 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3173547825 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9580 Applecross Rd, Suite 106, Jacksonville, FL 32222-5843 | 9047789180 | AVECINA MEDICAL PA |
| 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 | 9042306988 | AVECINA MEDICAL PA |
| Organization Legal Name | AVECINA MEDICAL PA |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerardo A Montanez | Nurse Practitioner | Avecina Medical Pa | 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 |
| Sohail A Khan | Physician Assistant | Avecina Medical Pa | 9580 Applecross Rd, Suite 106, Jacksonville, FL 32222-5843 |
| Kimberly M Wieringa | Physician Assistant | Avecina Medical Pa | 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 |
| Michael D Kight Jr. | Physician Assistant | Avecina Medical Pa | 9580 Applecross Rd, Suite 106, Jacksonville, FL 32222-5843 |
| Dmitriy B Model | Internal Medicine | Avecina Medical Pa | 9580 Applecross Rd, Suite 106, Jacksonville, FL 32222-5843 |
| Natasha Spencer | Nurse Practitioner | Avecina Medical Pa | 9580 Applecross Rd, Suite 106, Jacksonville, FL 32222-5843 |
| Nicole Fifer | Physician Assistant | Avecina Medical Pa | 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 |
| Sonila Musta- Kina | Physician Assistant | Avecina Medical Pa | 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 |
| Megan Minor | Physician Assistant | Avecina Medical Pa | 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 |
| Street Address |
9580 APPLECROSS RD SUITE 106 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32222-5843 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sohail A Khan | Physician Assistant | Avecina Medical Pa | 9580 Applecross Rd, Suite 106, Jacksonville, FL 32222-5843 |
| Michael D Kight Jr. | Physician Assistant | Avecina Medical Pa | 9580 Applecross Rd, Suite 106, Jacksonville, FL 32222-5843 |
| Dmitriy B Model | Internal Medicine | Avecina Medical Pa | 9580 Applecross Rd, Suite 106, Jacksonville, FL 32222-5843 |
| Natasha Spencer | Nurse Practitioner | Avecina Medical Pa | 9580 Applecross Rd, Suite 106, Jacksonville, FL 32222-5843 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy E Thompson | Chiropractic | Oakleaf Family Chiropractic | 9526 Argyle Forest Blvd, B6, Jacksonville, FL 32222-2825 |
| Melanie C Jordan | Physical Therapy | Oakleaf Family Chiropractic | 9526 Argyle Forest Blvd, B6, Jacksonville, FL 32222-2825 |
| Stacey N Harden | Nurse Practitioner | Oakleaf Family Chiropractic | 9526 Argyle Forest Blvd, B6, Jacksonville, FL 32222-2825 |
| Andrew T Pinder | Family Medicine | Baptist Primary Care Inc | 8355 Merchants Gate Dr, Jacksonville, FL 32222-5848 |
| Amy Melinda Hartley | Psychologist, Clinical | Baptist Behavioral Health LLC | 8355 Merchants Gate Dr, Jacksonville, FL 32222-5848 |
| Crystal M Davis | Family Medicine | Baptist Primary Care Inc | 8355 Merchants Gate Dr, Jacksonville, FL 32222-5848 |
| Monica Tran | Family Medicine | St Vincent's Ambulatory Care Inc | 9504 Crosshill Blvd, Suite 108, Jacksonville, FL 32222-5851 |
| City | JACKSONVILLE |
| Zip Code | 32222 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | JACKSONVILLE + 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.