Brian Raymaker (NPI# 1184696221, PAC ID# 2668445776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1184696221 |
PAC ID by PECOS | 2668445776 |
Professional Enrollment ID | I20080801000100 |
Full Name | Brian Raymaker |
Organization Legal Name | ST AUGUSTINE PRIMARY CARE P L |
Address |
110 Health Park Blvd St Augustine FL 32086-5776 |
Phone Number | 9048246214 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
Graduation Year | 2001 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 6800960592 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100090 | FLAGLER HOSPITAL |
Address | Phone | Organization |
---|---|---|
110 Health Park Blvd, St Augustine, FL 32086-5776 | 9048246214 | ST AUGUSTINE PRIMARY CARE P L |
Organization Legal Name | ST AUGUSTINE PRIMARY CARE P L |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Judith L Nichols | Nurse Practitioner | St Augustine Primary Care P L | 105 Mariner Health Way, Suite 203, St Augustine, FL 32086-3251 |
Street Address |
110 HEALTH PARK BLVD |
City | ST AUGUSTINE |
State | FL |
Zip | 32086-5776 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dana D Reynolds | Nurse Practitioner | First City Hospitalists Group Pllc | 3 Rd, St Augustine, FL 32086 |
Alexandra Gabrielle Feuer | Physician Assistant | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
James Bernard | Dermatology | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
Richard W Johnson | Podiatry | Coastal Foot and Ankle Wellness Center LLC | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 |
Josep Genebriera-de Lamo | Dermatology | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
Jose Concha | Podiatry | Coastal Foot and Ankle Wellness Center LLC | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 |
David C Lomaglio | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
Judith L Nichols | Nurse Practitioner | St Augustine Primary Care P L | 105 Mariner Health Way, Suite 203, St Augustine, FL 32086-3251 |
Andrew Raymond Schreiner | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
Hyacinth Wallace | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
Find all physicians in zip 32086 |
City | ST AUGUSTINE |
Zip Code | 32086 |
Specialty | FAMILY MEDICINE |
City + Specialty | ST AUGUSTINE + FAMILY MEDICINE |
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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.