Wayne D Rodriguez (NPI# 1073598611, PAC ID# 3072686757) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1073598611 |
| PAC ID by PECOS | 3072686757 |
| Professional Enrollment ID | I20091125000208 |
| Full Name | Wayne D Rodriguez |
| Organization Legal Name | SPACE COAST NEPHROLOGY ASSOCIATES PLLC |
| Address |
109 Silver Palm Ave Melbourne FL 32901-3125 |
| Phone Number | 3217683655 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 1355681032 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| 100315 | VIERA HOSPITAL |
| 100316 | PALM BAY HOSPITAL |
| 100177 | CAPE CANAVERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 109 Silver Palm Ave, Melbourne, FL 32901-3125 | 3217683655 | SPACE COAST NEPHROLOGY ASSOCIATES PLLC |
| Organization Legal Name | SPACE COAST NEPHROLOGY ASSOCIATES PLLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Hoang Tran | Nephrology | Space Coast Nephrology Associates Pllc | 450 Malabar Rd Se, Unit 102, Palm Bay, FL 32907-3111 |
| Tamer S Ahmed | Nephrology | Space Coast Nephrology Associates Pllc | 2200 W Eau Gallie Blvd, Suite 202b, Melbourne, FL 32935-3166 |
| Rhodes Kriete | Nephrology | Space Coast Nephrology Associates Pllc | 109 Silver Palm Ave, Melbourne, FL 32901-3125 |
| Claus Spies | Nephrology | Space Coast Nephrology Associates Pllc | 109 Silver Palm Ave, Melbourne, FL 32901-3125 |
| Disha Trivedi | Nephrology | Space Coast Nephrology Associates Pllc | 450 Malabar Rd Se, Unit 102, Palm Bay, FL 32907-3111 |
| Chirag R Faldu | Nephrology | Space Coast Nephrology Associates Pllc | 109 Silver Palm Ave, Melbourne, FL 32901-3125 |
| Vishnu G Patel | Nephrology | Space Coast Nephrology Associates Pllc | 450 Malabar Rd Se, Unit 102, Palm Bay, FL 32907-3111 |
| Street Address |
109 SILVER PALM AVE |
| City | MELBOURNE |
| State | FL |
| Zip | 32901-3125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith Girton | Pain Management | Florida Pain Relief Group Pllc | 109 Silver Palm Ave, Melbourne, FL 32901-3125 |
| Rhodes Kriete | Nephrology | Space Coast Nephrology Associates Pllc | 109 Silver Palm Ave, Melbourne, FL 32901-3125 |
| Claus Spies | Nephrology | Space Coast Nephrology Associates Pllc | 109 Silver Palm Ave, Melbourne, FL 32901-3125 |
| Chirag R Faldu | Nephrology | Space Coast Nephrology Associates Pllc | 109 Silver Palm Ave, Melbourne, FL 32901-3125 |
| Ronald J Stern | Interventional Pain Management | Florida Pain Relief Group Pllc | 109 Silver Palm Ave, Melbourne, FL 32901-3125 |
| Marisela Perez Barsh | Nurse Practitioner | Florida Pain Relief Group Pllc | 109 Silver Palm Ave, Melbourne, FL 32901-3125 |
| Sharon M Taranto | Nurse Practitioner | Florida Pain Relief Group Pllc | 109 Silver Palm Ave, Melbourne, FL 32901-3125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony R Else | Physical Therapy | 18 W Ave 'b' Unit, Suite 4, Melbourne, FL 32901-1219 | |
| Yanqing Gu | Internal Medicine | 551 S Apollo Blvd, Suite 103, Melbourne, FL 32901-1274 | |
| Richard J Wecker | Chiropractic | 551 S Apollo Blvd, Suite 105, Melbourne, FL 32901-1274 | |
| Ralph Zipper | Urology | Ralph Zipper Md Pa | 200 S Harbor City Blvd, Suite 401, Melbourne, FL 32901-1389 |
| James Loras Raders | Obstetrics/gynecology | Ralph Zipper Md Pa | 200 S Harbor City Blvd, Suite 401, Melbourne, FL 32901-1389 |
| Brian J Mallette | Podiatry | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1389 | |
| Claudia R Mallette | Podiatry | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1389 | |
| Ana Marisol Conde Rosa | Infectious Disease | Project Response Inc | 745 S Apollo Blvd, Melbourne, FL 32901-1457 |
| Monica L Wise | Nurse Practitioner | Quality Medical Care Pa | 675 S Babcock St, Melbourne, FL 32901-1459 |
| Heather M Weeks | Nurse Practitioner | Quality Medical Care Pa | 675 S Babcock St, Melbourne, FL 32901-1459 |
| Find all physicians in zip 32901 | |||
| City | MELBOURNE |
| Zip Code | 32901 |
| Specialty | NEPHROLOGY |
| City + Specialty | MELBOURNE + NEPHROLOGY |
Please comment or provide details below to improve the information on Wayne D Rodriguez.
| 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.