Sommer Baron (NPI# 1053755017, PAC ID# 2062650450) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1053755017 |
| PAC ID by PECOS | 2062650450 |
| Professional Enrollment ID | I20130523000729 |
| Full Name | Sommer Baron |
| Organization Legal Name | PARKS DERMATOLOGY CENTER LLC |
| Address |
1175 Dunlawton Ave Suite 102 Port Orange FL 32127-4745 |
| Phone Number | 3866779044305 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7315985686 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2515 Junior St, Orange City, FL 32763-8016 | 3866779044305 | PARKS DERMATOLOGY CENTER LLC |
| 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 3866779044 | PARKS DERMATOLOGY CENTER LLC |
| 1175 Dunlawton Ave, Suite 102, Port Orange, FL 32127-4745 | 3866779044305 | PARKS DERMATOLOGY CENTER LLC |
| Organization Legal Name | PARKS DERMATOLOGY CENTER LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karthik Krishnamurthy | Dermatology | Parks Dermatology Center LLC | 37 Old Kings N Rd, Palm Coast, FL 32137-8227 |
| Michael J Suah | Dermatology | Parks Dermatology Center LLC | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 |
| Meg Elizabeth Pierce | Physician Assistant | Parks Dermatology Center LLC | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 |
| Jeffrey D Parks | Dermatology | Parks Dermatology Center LLC | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 |
| John Coppola | Dermatology | Parks Dermatology Center LLC | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 |
| Rebekah Elisabeth Doyle | Physician Assistant | Parks Dermatology Center LLC | 1175 Dunlawton Ave, Suite 102, Port Orange, FL 32127-4745 |
| Ida Jutting Bell | Nurse Practitioner | Parks Dermatology Center LLC | 1175 Dunlawton Ave, Suite 102, Port Orange, FL 32127-4745 |
| Michelle W Foley | Dermatology | Parks Dermatology Center LLC | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 |
| Rachel L Derwick | Nurse Practitioner | Parks Dermatology Center LLC | 1175 Dunlawton Ave, Suite 102, Port Orange, FL 32127-4745 |
| Lindsay Mach | Physician Assistant | Parks Dermatology Center LLC | 1175 Dunlawton Ave, Suite 102, Port Orange, FL 32127-4745 |
| Street Address |
1175 DUNLAWTON AVE SUITE 102 |
| City | PORT ORANGE |
| State | FL |
| Zip | 32127-4745 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebekah Elisabeth Doyle | Physician Assistant | Parks Dermatology Center LLC | 1175 Dunlawton Ave, Suite 102, Port Orange, FL 32127-4745 |
| Ida Jutting Bell | Nurse Practitioner | Parks Dermatology Center LLC | 1175 Dunlawton Ave, Suite 102, Port Orange, FL 32127-4745 |
| Rachel L Derwick | Nurse Practitioner | Parks Dermatology Center LLC | 1175 Dunlawton Ave, Suite 102, Port Orange, FL 32127-4745 |
| Lindsay Mach | Physician Assistant | Parks Dermatology Center LLC | 1175 Dunlawton Ave, Suite 102, Port Orange, FL 32127-4745 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Williams | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| David L Meese | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Joseph Mirante | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| Michael Munier | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| Andrew H Ritter | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| John S Newman | Certified Registered Nurse Anesthetist (crna) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Anthony T Tucker | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| John T Tolland | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Robert J Yu | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Timothy J Wierzbicki | Neurology | 1211 Dunlawton Ave, Port Orange, FL 32127-2913 | |
| Find all physicians in zip 32127 | |||
| City | PORT ORANGE |
| Zip Code | 32127 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PORT ORANGE + 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.