Jason Smith (NPI# 1548606619, PAC ID# 1759676521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1548606619 |
| PAC ID by PECOS | 1759676521 |
| Professional Enrollment ID | I20181205000497 |
| Full Name | Jason Smith |
| Organization Legal Name | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Address |
1290 Waterman Way Tavares FL 32778-5229 |
| Phone Number | 3527420054 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0749186153 |
| Number of Group Practice Members | 823 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100057 | FLORIDA HOSPITAL WATERMAN |
| Address | Phone | Organization |
|---|---|---|
| 1290 Waterman Way, Tavares, FL 32778-5229 | 3527420054 | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Organization Legal Name | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Physicians | 1050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Kay Kaufmann | Certified Nurse Midwife (cnm) | Florida Hospital Medical Group Inc | 235 E Princeton St, Suite 200, Orlando, FL 32804-5555 |
| Jonathan Lucking | Colorectal Surgery (proctology) | Florida Hospital Medical Group Inc | 2415 Norange Ave, Suite 300, Orlando, FL 32804 |
| Amanda Nadeau | Family Medicine | Florida Hospital Medical Group Inc | 2000 Fowler Grove Blvd, Fl 3, Winter Garden, FL 34787-5050 |
| Amber Shepard | Family Medicine | Florida Hospital Medical Group Inc | 1255 State Rd 60, Suite 500, Lake Wales, FL 33853-4302 |
| Buck Andreu Scott | General Surgery | Florida Hospital Medical Group Inc | 407 S 11th St, Lake Wales, FL 33853-4243 |
| Mitchell Machado | Medical Oncology | Florida Hospital Medical Group Inc | 7975 Lake Underhill Rd, Suite 220b, Orlando, FL 32822-8202 |
| Lennie Calderon | Nurse Practitioner | Florida Hospital Medical Group Inc | 1300 W Oak St, Kissimmee, FL 34741-4024 |
| Devlin H O'connor | Family Medicine | Florida Hospital Medical Group Inc | 3330 Waterman Way, Tavares, FL 32778-5250 |
| Tutu Cheng | Plastic and Reconstructive Surgery | Florida Hospital Medical Group Inc | 410 Lionel Way, Suite 204, Davenport, FL 33837-7809 |
| Andrija Vidic | Advanced Heart Failure and Transplant Cardiology | Florida Hospital Medical Group Inc | 601 E Rolling St, Orlando, FL 32803-1248 |
| Street Address |
1290 WATERMAN WAY |
| City | TAVARES |
| State | FL |
| Zip | 32778-5229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Ana Oliva L Parinas | Nurse Practitioner | Florida Hospital Medical Group Inc | 1290 Waterman Way, Tavares, FL 32778-5229 |
| Phillip M Dascher | General Surgery | Florida Hospital Medical Group Inc | 1290 Waterman Way, Tavares, FL 32778-5229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth E Stark | Rheumatology | 1613 Banning Beach Rd, Tavares, FL 32778-2024 | |
| Maxine A Ruddock | Psychologist, Clinical | 322 N Barrow Ave, Tavares, FL 32778-3002 | |
| Karen K Estill | Psychologist, Clinical | 101 E Maud St, Tavares, FL 32778-3249 | |
| Deborah W Ho | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Brian L Boyd | Psychologist, Clinical | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Marvin L Smith | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Juliet Smith | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Amberlee K Henson | Clinical Psychologist | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| David L Frerking | Chiropractic | 915 E Alfred St, Tavares, FL 32778-3401 | |
| Ebony Monique Rollins | Nurse Practitioner | Community Health Centers, Inc | 212 E Main St, Tavares, FL 32778-3808 |
| Find all physicians in zip 32778 | |||
| City | TAVARES |
| Zip Code | 32778 |
| Specialty | GENERAL SURGERY |
| City + Specialty | TAVARES + GENERAL SURGERY |
Please comment or provide details below to improve the information on Jason Smith.
| 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.