Charles T Klodell Jr. (NPI# 1053347468, PAC ID# 2163521782) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is THORACIC SURGERY.
| Nation Provider ID (NPI) | 1053347468 |
| PAC ID by PECOS | 2163521782 |
| Professional Enrollment ID | I20100806000857 |
| Full Name | Charles T Klodell Jr. |
| Organization Legal Name | NORTH FLORIDA SURGICAL ASSOCIATES LLC |
| Address |
6440 W Newberry Rd Suite 102 Gainesville FL 32605-4368 |
| Phone Number | 3523335610 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | THORACIC SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 4082634407 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100204 | NORTH FLORIDA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6440 W Newberry Rd, Suite 102, Gainesville, FL 32605-4368 | 3523335610 | NORTH FLORIDA SURGICAL ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | NORTH FLORIDA SURGICAL ASSOCIATES LLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory T Sherr | Neurosurgery | North Florida Surgical Associates LLC | 414 Zeagler Dr, Palatka, FL 32177-3815 |
| Luis E Javier | Internal Medicine | North Florida Surgical Associates LLC | 1121 Nw 64th Ter, Gainesville, FL 32605-4256 |
| Jacqueline Loriann Meekins | Nurse Practitioner | North Florida Surgical Associates LLC | 6400 W Newberry Rd, Suite 202, Gainesville, FL 32605-6611 |
| Kathleen E Flaherty | Nurse Practitioner | North Florida Surgical Associates LLC | 6400 W Newberry Rd, Suite 202, Gainesville, FL 32605-6611 |
| Lindsay A Courson | Physician Assistant | North Florida Surgical Associates LLC | 1121 Nw 64th Ter, Gainesville, FL 32605-4256 |
| Iraj Nikfarjam Sr. | Neurology | North Florida Surgical Associates LLC | 1121 Nw 64th Ter, Gainesville, FL 32605-4256 |
| Francisco Igor Bulcao De Macedo | General Surgery | North Florida Surgical Associates LLC | 1121 Nw 64th Ter, Gainesville, FL 32605-4256 |
| Asif A Khan | Neurology | North Florida Surgical Associates LLC | 1121 Nw 64th Ter, Suite B, Gainesville, FL 32605-4256 |
| Catherine Wong | Physician Assistant | North Florida Surgical Associates LLC | 1121 Nw 64th Ter, Gainesville, FL 32605-4256 |
| Emily K Callahan | Nurse Practitioner | North Florida Surgical Associates LLC | 1431 Sw 1st Ave, Ocala, FL 34471-6500 |
| Street Address |
6440 W NEWBERRY RD SUITE 102 |
| City | GAINESVILLE |
| State | FL |
| Zip | 32605-4368 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen E Harris | Obstetrics/gynecology | Florida Woman Care LLC | 6440 W Newberry Rd, Suite 508, Gainesville, FL 32605-8303 |
| Cindy Ann Nelly | Certified Nurse Midwife (cnm) | Florida Woman Care LLC | 6440 W Newberry Rd, Suite 508, Gainesville, FL 32605-8303 |
| Tracey M Botha | Obstetrics/gynecology | Florida Woman Care LLC | 6440 W Newberry Rd, Suite 508, Gainesville, FL 32605-8303 |
| Maidelys Rohan | Nurse Practitioner | Florida Neurosurgical Associates Pa | 6440 W Newberry Rd, Suite 401, Gainesville, FL 32605-4325 |
| Gregory J Bailey | Obstetrics/gynecology | Fwc Urogynecology LLC | 6440 W Newberry Rd, Suite 409, Gainesville, FL 32605-4381 |
| Eric Scott | Neurosurgery | Florida Neurosurgical Associates Pa | 6440 W Newberry Rd, Suite 401, Gainesville, FL 32605-4325 |
| Kelly Cynkar | Nurse Practitioner | Florida Woman Care LLC | 6440 W Newberry Rd, Suite 508, Gainesville, FL 32605-8303 |
| Jill R Delker | Obstetrics/gynecology | Florida Woman Care LLC | 6440 W Newberry Rd, Suite 508, Gainesville, FL 32605-8303 |
| Patricia M Fearing | Obstetrics/gynecology | Florida Woman Care LLC | 6440 W Newberry Rd, Suite 408, Gainesville, FL 32605-4370 |
| Ann S Hatfield | Obstetrics/gynecology | Florida Woman Care LLC | 6440 W Newberry Rd, Suite 508, Gainesville, FL 32605-8303 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Farkhondeh Abdollahi | Physical Therapy | New Day Wellness LLC | 5201 Nw34th Blvd, Gainesville, FL 32605-1153 |
| Bruce Sack | Physical Therapy | New Day Wellness LLC | 5201 Nw34th Blvd, Gainesville, FL 32605-1153 |
| Rhoda M Chiarelli | Physical Therapy | New Day Wellness LLC | 5201 Nw34th Blvd, Gainesville, FL 32605-1153 |
| Margaret M Sack | Occupational Therapy | New Day Wellness LLC | 5201 Nw34th Blvd, Gainesville, FL 32605-1153 |
| Reginald Frank Johnson | Physical Therapy | New Day Wellness LLC | 5201 Nw34th Blvd, Gainesville, FL 32605-1153 |
| Robert D. Barnhill | Chiropractic | 5270 Nw 34th Blvd, Gainesville, FL 32605-1154 | |
| Kevin Michael Sutton | Chiropractic | Barnhill Clinic, P.a. | 5270 Nw 34th Blvd, Gainesville, FL 32605-1154 |
| Lauri Lyn Graham | Chiropractic | Barnhill Clinic, P.a. | 5270 Nw 34th Blvd, Gainesville, FL 32605-1154 |
| William S Barnett | Physical Therapy | 2730 Nw 39th Ave, Gainesville, FL 32605-2263 | |
| Nancy L Detweiler | Clinical Social Worker | 3113 Nw24th Ave, Gainesville, FL 32605-2722 | |
| Find all physicians in zip 32605 | |||
| City | GAINESVILLE |
| Zip Code | 32605 |
| Specialty | THORACIC SURGERY |
| City + Specialty | GAINESVILLE + THORACIC SURGERY |
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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.