Tristan A Imhof (NPI# 1699123968, PAC ID# 2062708092) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1699123968 |
| PAC ID by PECOS | 2062708092 |
| Professional Enrollment ID | I20191014002967 |
| Full Name | Tristan A Imhof |
| Organization Legal Name | BAPTIST PRIMARY CARE INC |
| Address |
12341 Yellow Bluff Rd Jacksonville FL 32226-2025 |
| Phone Number | 9047578308 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648177733 |
| Number of Group Practice Members | 308 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 12341 Yellow Bluff Rd, Jacksonville, FL 32226-2025 | 9047578308 | BAPTIST PRIMARY CARE INC |
| Organization Legal Name | BAPTIST PRIMARY CARE INC |
| Physicians | 322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Gardner Rich | Family Medicine | Baptist Primary Care Inc | 14011 Beach Blvd, Suite 230, Jacksonville, FL 32250-1507 |
| Muhammad A Ghazi | Family Medicine | Baptist Primary Care Inc | 9090 Regency Square Blvd, Jacksonville, FL 32211-8119 |
| Jami D Feltner | Internal Medicine | Baptist Primary Care Inc | 2014 University Blvd W, Jacksonville, FL 32217-2016 |
| Hiro Rahbar | Family Medicine | Baptist Primary Care Inc | 98 Nocatee Village Dr, Ponta Vedra, FL 32801 |
| Heather S Applewhite | Family Medicine | Baptist Primary Care Inc | 11236 Baptist Health Dr, Suite 220, Jacksonville, FL 32218-2988 |
| Kristie Driver | Family Medicine | Baptist Primary Care Inc | 4530 Saint Johns Ave, Suite 13, Jacksonville, FL 32210-1852 |
| Sandrela Mussallam Abu Shaibeh | Hospitalist | Baptist Primary Care Inc | 820 Prudential Dr, Suite 304, Jacksonville, FL 32207-8207 |
| Marla R Capes | Nurse Practitioner | Baptist Primary Care Inc | 559 W Twincourt Trl, Suite 601, St Augustine, FL 32095-8805 |
| Andrew T Pinder | Family Medicine | Baptist Primary Care Inc | 8355 Merchants Gate Dr, Jacksonville, FL 32222-5848 |
| Stacy Quinn | Family Medicine | Baptist Primary Care Inc | 769 Blanding Blvd, Suite 7, Orange Park, FL 32065-8700 |
| Street Address |
12341 YELLOW BLUFF RD |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32226-2025 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Cronin | Ophthalmology | Frank W Bowden IIi Md Facs Pa | 12341 Yellow Bluff Rd, Suite 4, Jacksonville, FL 32226-2014 |
| Alison Vukich | Family Medicine | Baptist Primary Care Inc | 12341 Yellow Bluff Rd, Jacksonville, FL 32226-2025 |
| Jerry Lee Robben | Optometry | Frank W Bowden IIi Md Facs Pa | 12341 Yellow Bluff Rd, Suite 4, Jacksonville, FL 32226-2014 |
| Mehul K Parekh | Family Medicine | Baptist Primary Care Inc | 12341 Yellow Bluff Rd, Jacksonville, FL 32226-2025 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah M Chapin | Family Medicine | Florida Post Acute Care Clinicians LLC | 12740 Lanier Rd, Jacksonville, FL 32226-1704 |
| Susan Armour | Nurse Practitioner | Florida Post Acute Medical Services 1 Pa | 12740 Lanier Rd, Jacksonville, FL 32226-1704 |
| Amanda Salzburg | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 3122 New Berlin Rd, Jacksonville, FL 32226-1828 |
| Bradley A Briscoe | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 3122 New Berlin Rd, Jacksonville, FL 32226-1828 |
| Christopher Scuderi | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 3122 New Berlin Rd, Jacksonville, FL 32226-1828 |
| Holly L Hamilton | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 3122 New Berlin Rd, Jacksonville, FL 32226-1828 |
| Victoria A Mccreadie | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 3122 New Berlin Rd, Jacksonville, FL 32226-1828 |
| Leah R Robinowitz | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 3122 New Berlin Rd, Jacksonville, FL 32226-1828 |
| City | JACKSONVILLE |
| Zip Code | 32226 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSONVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tristan A Imhof.
| 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.