Emad Kishi (NPI# 1245503788, PAC ID# 2769618263) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1245503788 |
| PAC ID by PECOS | 2769618263 |
| Professional Enrollment ID | I20181228000749 |
| Full Name | Emad Kishi |
| Organization Legal Name | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| Address |
1301 2nd Ave Sw Suite 315 Largo FL 33777-3120 |
| Phone Number | 7275877120 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2264595941 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100248 | LARGO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1301 2nd Ave Sw, Suite 315, Largo, FL 33777-3120 | 7275877120 | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| Organization Legal Name | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie D Coombs | Physician Assistant | Community Hospital Family Practice LLC | 201 14th St Sw, Largo, FL 33770-3133 |
| Anthony J Dedea | Family Medicine | Community Hospital Family Practice LLC | 11097 Hearth Rd, Spring Hill, FL 34608-3704 |
| Andrea Wislotsky | Nurse Practitioner | Community Hospital Family Practice LLC | 13540 Walshingham Rd, Largo, FL 33774-3546 |
| Morrissa L Soto | Certified Nurse Midwife (cnm) | Community Hospital Family Practice LLC | 4015 Mariner Blvd, Spring Hill, FL 34609-2466 |
| Brent Rentfro | Physician Assistant | Community Hospital Family Practice LLC | 44 Veterans Ave, Brooksville, FL 34601-3215 |
| Jerry R Jacobs | Family Medicine | Community Hospital Family Practice LLC | 16332 Cortez Blvd, Unit F, Brooksville, FL 34601-8980 |
| Niloufer S Kero | Obstetrics/gynecology | Community Hospital Family Practice LLC | 11373 Cortez Blvd, Suite 207, Brooksville, FL 34613-5405 |
| Richard O Chlouber | Obstetrics/gynecology | Community Hospital Family Practice LLC | 4003 Mariner Blvd, Spring Hill, FL 34609-2466 |
| Timothy N Peterson | Family Medicine | Community Hospital Family Practice LLC | 7945 S Suncoast Blvd, Suite B, Homosassa, FL 34446-5005 |
| John Mitchell Clarke | General Surgery | Community Hospital Family Practice LLC | 1615 Pasadena Ave S, Suite 330, South Pasadena, FL 33707-4567 |
| Street Address |
1301 2ND AVE SW SUITE 315 |
| City | LARGO |
| State | FL |
| Zip | 33777-3120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria D Quintela | Occupational Therapy | Diagnostic Clinic Medical Group Inc | 1301 2nd Ave Sw, Largo, FL 33770-3120 |
| Eva M Yacobi | Family Medicine | Diagnostic Clinic Medical Group Inc | 1301 2nd Ave Sw, Largo, FL 33770-3120 |
| Brahmesh S Sivaprakasapillai | Cardiovascular Disease (cardiology) | Diagnostic Clinic Medical Group Inc | 1301 2nd Ave Sw, Largo, FL 33770-3120 |
| Mladen Nikolic | Nurse Practitioner | Diagnostic Clinic Medical Group Inc | 1301 2nd Ave Sw, Largo, FL 33770-3120 |
| Mary Ann G Strobel | Registered Dietitian Or Nutrition Professional | Diagnostic Clinic Medical Group Inc | 1301 2nd Ave Sw, Largo, FL 33770-3120 |
| Tara R Dixon | Nurse Practitioner | Diagnostic Clinic Medical Group Inc | 1301 2nd Ave Sw, Largo, FL 33770-3120 |
| Linda A Cain | Occupational Therapy | Diagnostic Clinic Medical Group Inc | 1301 2nd Ave Sw, Largo, FL 33770-3120 |
| Eric J Wilkinson | Physical Therapy | Diagnostic Clinic Medical Group Inc | 1301 2nd Ave Sw, Largo, FL 33770-3120 |
| Hussein K Osman Mohamed | General Surgery | Community Hospital Family Practice LLC | 1301 2nd Ave Sw, Suite 314, Largo, FL 33770-3120 |
| Paul R Wallace | Family Medicine | Diagnostic Clinic Medical Group Inc | 1301 2nd Ave Sw, Largo, FL 33770-3120 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon M Cook | Psychologist, Clinical | 10500 Starkey Rd, Largo, FL 33777-1137 | |
| Whitney Johnson | Physician Assistant | Clearwater Cardiovascular and Interventional Consultants Md Pa | 8839 Bryan Dairy Rd, Suite 300, Largo, FL 33777-1207 |
| Jeffrey T Lipscomb | Physician Assistant | Clearwater Cardiovascular and Interventional Consultants Md Pa | 8839 Bryan Dairy Rd, Suite 300, Largo, FL 33777-1207 |
| Margaret Laukaitis | Internal Medicine | Davita Medical Florida, Inc. | 8839 Bryan Dairy Rd, Largo, FL 33777-1207 |
| Marsha E Cline | Diagnostic Radiology | Morton Plant Health Services Inc | 8787 Bryan Dairy Rd, Largo, FL 33777-1251 |
| David S Epstein | Diagnostic Radiology | Morton Plant Health Services Inc | 8787 Bryan Dairy Rd, Largo, FL 33777-1251 |
| Robert J Entel | Diagnostic Radiology | Morton Plant Health Services Inc | 8787 Bryan Dairy Rd, Largo, FL 33777-1251 |
| Jayne M. Bernier | Diagnostic Radiology | Morton Plant Health Services Inc | 8787 Bryan Dairy Rd, Largo, FL 33777-1251 |
| Alex J Weiss | Diagnostic Radiology | Morton Plant Health Services Inc | 8787 Bryan Dairy Rd, Largo, FL 33777-1251 |
| Upen J Patel | Diagnostic Radiology | Morton Plant Health Services Inc | 8787 Bryan Dairy Rd, Largo, FL 33777-1251 |
| Find all physicians in zip 33777 | |||
| City | LARGO |
| Zip Code | 33777 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LARGO + 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.