Kaivon Madani
BALLAN WRASSE EMERGENCY PHYSICIANS LLC


Address: 1501 Pasadena S Ave, South Pasadena, FL 33707-3717
Phone: 7273811000

Kaivon Madani (NPI# 1013100825, PAC ID# 1850465568) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1013100825
PAC ID by PECOS 1850465568
Professional Enrollment ID I20080729000649
Full Name Kaivon Madani
Organization Legal Name BALLAN WRASSE EMERGENCY PHYSICIANS LLC
Address 1501 Pasadena S Ave
South Pasadena
FL 33707-3717
Phone Number 7273811000
Gender M
Medical School UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year 2005
Primary Specialty EMERGENCY MEDICINE
Group Practice PAC ID 2668798471
Number of Group Practice Members 7
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100206 MEMORIAL HOSPITAL OF TAMPA
100126 PALMS OF PASADENA HOSPITAL

Other Locations

Address Phone Organization
1501 Pasadena S Ave, South Pasadena, FL 33707-3717 7273811000 BALLAN WRASSE EMERGENCY PHYSICIANS LLC
2901 B Swann Ave, Tampa, FL 33609-4056 8138736400 TURNSTONE EMERGENCY PHYSICIANS LLC

Organization Information

Organization Legal Name BALLAN WRASSE EMERGENCY PHYSICIANS LLC
Physicians 6

Physicians with the same organization

Name Specialty Organization Address
Dennis M Anderson Family Medicine Ballan Wrasse Emergency Physicians LLC 1501 Pasadena S Ave, South Pasadena, FL 33707-3717
Luke C Williams Internal Medicine Ballan Wrasse Emergency Physicians LLC 1501 Pasadena S Ave, South Pasadena, FL 33707-3717
Mark R Casanta Emergency Medicine Ballan Wrasse Emergency Physicians LLC 1501 Pasadena S Ave, South Pasadena, FL 33707-3717
Christopher York Hopkins Emergency Medicine Ballan Wrasse Emergency Physicians LLC 1501 Pasadena S Ave, South Pasadena, FL 33707-3717
Karen L Roe Emergency Medicine Ballan Wrasse Emergency Physicians LLC 1501 Pasadena S Ave, South Pasadena, FL 33707-3717

Office Location

Street Address 1501 PASADENA S AVE
City SOUTH PASADENA
State FL
Zip 33707-3717

Physicians in the same location

Name Specialty Organization Address
Darren W Leverenz Anesthesiology Ams National LLC 1501 Pasadena S Ave, South Pasadena, FL 33707-3717
Seth Z Weiser Certified Registered Nurse Anesthetist (crna) Ams National LLC 1501 Pasadena S Ave, South Pasadena, FL 33707-3717
Valerie L Prietz Certified Registered Nurse Anesthetist (crna) Ams National LLC 1501 Pasadena S Ave, South Pasadena, FL 33707-3717
Dennis M Anderson Family Medicine Ballan Wrasse Emergency Physicians LLC 1501 Pasadena S Ave, South Pasadena, FL 33707-3717
Jeffrey M Godfrey Anesthesiology Ams National LLC 1501 Pasadena S Ave, South Pasadena, FL 33707-3717
Luke C Williams Internal Medicine Ballan Wrasse Emergency Physicians LLC 1501 Pasadena S Ave, South Pasadena, FL 33707-3717
David C Dionisio Certified Registered Nurse Anesthetist (crna) Ams National LLC 1501 Pasadena S Ave, South Pasadena, FL 33707-3717
Mark R Casanta Emergency Medicine Ballan Wrasse Emergency Physicians LLC 1501 Pasadena S Ave, South Pasadena, FL 33707-3717
Anna M Neira Certified Registered Nurse Anesthetist (crna) Ams National LLC 1501 Pasadena S Ave, South Pasadena, FL 33707-3717
Wesley A Tippit Certified Registered Nurse Anesthetist (crna) Ams National LLC 1501 Pasadena S Ave, South Pasadena, FL 33707-3717
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Physicians in the same zip code

Name Specialty Organization Address
Scott E Kapulskey Geriatric Medicine 7035 1st S Ave, Saint Petersburg, FL 33707-1203
Mark A Nowacki Internal Medicine 7011 1st Ave S, St Petersburg, FL 33707-1203
Rebeca Fajardo Internal Medicine Webber Primecare Medical Center LLC 7035 1st S Ave, Saint Petersburg, FL 33707-1203
Jane E Kienle Geriatric Medicine Dean A Bramlet M D P A 7111 1st S Ave, Saint Petersburg, FL 33707-1223
Christopher Joseph Leto Otolaryngology Select Physicians Alliance Pl 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242
Timothy M Dunlevy Otolaryngology Pasadena Ent Pa 6827 1st S Ave, Suite 100, Saint Petersburg, FL 33707-1242
Skye Dorsett Quamina Qualified Audiologist Select Physicians Alliance Pl 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242
Ricardo Requena Otolaryngology Select Physicians Alliance Pl 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242
Calli Keenan Fodor Qualified Audiologist Select Physicians Alliance Pl 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242
Helen L Techler Qualified Audiologist Select Physicians Alliance Pl 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242
Find all physicians in zip 33707

Competitor

Search similar physicians

City SOUTH PASADENA
Zip Code 33707
Specialty EMERGENCY MEDICINE
City + Specialty SOUTH PASADENA + EMERGENCY MEDICINE

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Dataset Information

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.

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