Thomas J Gifford (NPI# 1669408639, PAC ID# 2668495706) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1669408639 |
| PAC ID by PECOS | 2668495706 |
| Professional Enrollment ID | I20180727001741 |
| Full Name | Thomas J Gifford |
| Organization Legal Name | TREASURE COAST ANESTHESIA GROUP PA |
| Address |
509 Seriverside Dr Suite 100 Stuart FL 34994-2579 |
| Phone Number | 7722235920 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1994 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 2567600588 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100044 | MARTIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 509 Seriverside Dr, Suite 100, Stuart, FL 34994-2579 | 7722235920 | TREASURE COAST ANESTHESIA GROUP PA |
| Organization Legal Name | TREASURE COAST ANESTHESIA GROUP PA |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elaine R Desman | Certified Registered Nurse Anesthetist (crna) | Treasure Coast Anesthesia Group Pa | 2100 Se Salerno Rd, Stuart, FL 34997-6503 |
| Stacey L Bettes | Certified Registered Nurse Anesthetist (crna) | Treasure Coast Anesthesia Group Pa | 10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111 |
| Randy R Shaver | Certified Registered Nurse Anesthetist (crna) | Treasure Coast Anesthesia Group Pa | 2096 Se Ocean Blvd, Stuart, FL 34996-3304 |
| Robert Charles Layland | Certified Registered Nurse Anesthetist (crna) | Treasure Coast Anesthesia Group Pa | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
| Melanie M Hovda | Certified Registered Nurse Anesthetist (crna) | Treasure Coast Anesthesia Group Pa | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
| Andrea D Waters | Certified Registered Nurse Anesthetist (crna) | Treasure Coast Anesthesia Group Pa | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
| Basel Jazbeh | Anesthesiology | Treasure Coast Anesthesia Group Pa | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
| Lidiya Pastukh | Certified Registered Nurse Anesthetist (crna) | Treasure Coast Anesthesia Group Pa | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
| Larry D May | Certified Registered Nurse Anesthetist (crna) | Treasure Coast Anesthesia Group Pa | 10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111 |
| Rocoson P Parilla | Certified Registered Nurse Anesthetist (crna) | Treasure Coast Anesthesia Group Pa | 200 Se Hospital Ave, Stuart, FL 34994-2346 |
| Street Address |
509 SERIVERSIDE DR SUITE 100 |
| City | STUART |
| State | FL |
| Zip | 34994-2579 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary E Callahan | Physician Assistant | Primary Care Associates, Pa | 509 Seriverside Dr, Suite 200, Stuart, FL 34994-2579 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Simona Silvestri | Nurse Practitioner | Paragon Contracting Services LLC | 200 Sehospital Ave, Stuart, FL 34994 |
| Frances P Holliday | Clinical Social Worker | 759 S Federal Hwy, Suite 304, Stuart, FL 34994 | |
| Stephen Adler | Plastic and Reconstructive Surgery | 323 Osceola St, Stuart, FL 34994 | |
| Shawn R Sorensen | Psychologist, Clinical | 400 N Dixie Hwy, Stuart, FL 34994 | |
| Robert L Schellenberg | Chiropractic | 1200 S Kanner Hwy, Stuart, FL 34994 | |
| Claude Sassoon | Clinical Psychologist | 850 Nwfederal Hwy 232, Stuart, FL 34994 | |
| Elizabeth A Reynolds | Nurse Practitioner | Paragon Contracting Services LLC | 200 Sehospital Ave, Stuart, FL 34994 |
| Patricia A Molle | Nurse Practitioner | Paragon Contracting Services LLC | 200 Sehospital Ave, Stuart, FL 34994 |
| John R Collins | Emergency Medicine | Paragon Contracting Services LLC | 200 Sehospital Ave, Stuart, FL 34994 |
| Gina C Petrakos | Emergency Medicine | Paragon Contracting Services LLC | 200 Sehospital Ave, Stuart, FL 34994 |
| Find all physicians in zip 34994 | |||
| City | STUART |
| Zip Code | 34994 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | STUART + CERTIFIED REGISTERED NURSE ANESTHETIST |
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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.