Daran J Mason (NPI# 1558576439, PAC ID# 2668531039) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1558576439 |
| PAC ID by PECOS | 2668531039 |
| Professional Enrollment ID | I20081030000611 |
| Full Name | Daran J Mason |
| Organization Legal Name | NORTH OKALOOSA CLINIC CORP |
| Address |
550 W Redstone Ave Suite 410 Crestview FL 32539-4657 |
| Phone Number | 2054542022 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0244205565 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100122 | NORTH OKALOOSA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 151 E Redstone Ave, Crestview, FL 32539-5352 | 8506898100 | NORTH OKALOOSA CLINIC CORP |
| 550 W Redstone Ave, Suite 410, Crestview, FL 32539-4657 | 2054542022 | NORTH OKALOOSA CLINIC CORP |
| 550 W Redstone Ave, Crestview, FL 32539-4657 | 2054542022 | NORTH OKALOOSA CLINIC CORP |
| 1507 Merchants Way, Suite A, Niceville, FL 32578-9728 | 8508973600 | NORTH OKALOOSA CLINIC CORP |
| 1507 Merchants Way, Niceville, FL 32578-9728 | 8508973600 | NORTH OKALOOSA CLINIC CORP |
| Organization Legal Name | NORTH OKALOOSA CLINIC CORP |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liza Ann Eiriksson | Nurse Practitioner | North Okaloosa Clinic Corp | 1200 Henley Ln, Baker, FL 32531-2702 |
| Gregory A Coates | Obstetrics/gynecology | North Okaloosa Clinic Corp | 550 Redstone W Ave, Crestview, FL 32536-6457 |
| Vicente A Mendez | Internal Medicine | North Okaloosa Clinic Corp | 130 E Redstone Ave, Crestview, FL 32539-5348 |
| Michelle H Vandenbosch | Emergency Medicine | North Okaloosa Clinic Corp | 1507 Merchants Way, Suite A, Niceville, FL 32578-9728 |
| David Dean | Orthopedic Surgery | North Okaloosa Clinic Corp | 550 Redstone W Ave, Suite 470, Crestview, FL 32536-6457 |
| Jacob Randall Lassiter | Obstetrics/gynecology | North Okaloosa Clinic Corp | 550 Redstone W Ave, Crestview, FL 32536-6457 |
| Andrew Horowitz | Urology | North Okaloosa Clinic Corp | 151 E Redstone Ave, Crestview, FL 32539-5352 |
| Bonnie L Grundel | Physician Assistant | North Okaloosa Clinic Corp | 550 Redstone W Ave, Crestview, FL 32536-6457 |
| Janet Hamby | Obstetrics/gynecology | North Okaloosa Clinic Corp | 550 Redstone W Ave, Crestview, FL 32536-6457 |
| Lauren Blake Estep | Physician Assistant | North Okaloosa Clinic Corp | 151 E Redstone Ave, Crestview, FL 32539-5352 |
| Street Address |
550 W REDSTONE AVE SUITE 410 |
| City | CRESTVIEW |
| State | FL |
| Zip | 32539-4657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne Campbell | Internal Medicine | Sacred Heart Hospital of Pensacola | 550 W Redstone Ave, Suite 200, Crestview, FL 32536-6429 |
| Paul Andrew Tamburro | Cardiovascular Disease (cardiology) | Sacred Heart Hospital of Pensacola | 550 W Redstone Ave, Suite 200, Crestview, FL 32536-6429 |
| Martha J Stewart | Cardiovascular Disease (cardiology) | Sacred Heart Hospital of Pensacola | 550 W Redstone Ave, Suite 450, Crestview, FL 32536-6429 |
| David Campbell | Internal Medicine | Sacred Heart Hospital of Pensacola | 550 W Redstone Ave, Suite 200, Crestview, FL 32536-6429 |
| Kara O. Brooks | Family Medicine | Sacred Heart Hospital of Pensacola | 550 W Redstone Ave, Suite 200, Crestview, FL 32536-6429 |
| Angela W Thomas | Neurology | Sacred Heart Hospital of Pensacola | 550 W Redstone Ave, Crestview, FL 32536-6429 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla J Bulla | Physical Therapy | 521 E Cedar Ave, Crestview, FL 32539-2803 | |
| Tanesha N Turner | Nurse Practitioner | Minute Clinic LLC | 302 E James Lee Blvd, Crestview, FL 32539-2827 |
| Sally A Cooper | Family Medicine | Florida Department of Health | 810 E James Lee Blvd, Crestview, FL 32539-3118 |
| Michelle L Milligan | Clinical Social Worker | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Nina J Gawlik | Psychologist, Clinical | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Lisa Burner | Clinical Social Worker | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Trista Shari Moffett | Clinical Social Worker | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| David A Norfleet | Anesthesiology | Okaloosa Pain Consultants P A | 150 E Redstone Ave, Crestview, FL 32539-5322 |
| Vicente A Mendez | Internal Medicine | North Okaloosa Clinic Corp | 130 E Redstone Ave, Crestview, FL 32539-5348 |
| Ian L Weisberg | Cardiac Electrophysiology | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Find all physicians in zip 32539 | |||
| City | CRESTVIEW |
| Zip Code | 32539 |
| Specialty | GENERAL SURGERY |
| City + Specialty | CRESTVIEW + GENERAL 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.