Jaclyn M Nietzer (NPI# 1417290586, PAC ID# 3173769171) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1417290586 |
| PAC ID by PECOS | 3173769171 |
| Professional Enrollment ID | I20130417000645 |
| Full Name | Jaclyn M Nietzer |
| Organization Legal Name | OSCEOLA SURGICAL ASSOCIATES LLC |
| Address |
720 W Oak St Kissimmee FL 34741-4910 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0840366126 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100110 | OSCEOLA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 700 W Oak St, Kissimmee, FL 34741-4924 | 4078462266 | OSCEOLA SURGICAL ASSOCIATES LLC |
| 720 W Oak St, Kissimmee, FL 34741-4910 | OSCEOLA SURGICAL ASSOCIATES LLC |
| Organization Legal Name | OSCEOLA SURGICAL ASSOCIATES LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wade L Fischer | Thoracic Surgery | Osceola Surgical Associates LLC | 720 W Oak St, Suite 150, Kissimmee, FL 34741-4990 |
| Harold D Neyra | General Surgery | Osceola Surgical Associates LLC | 8400 Red Bug Lake Rd, Suite 1010, Oviedo, FL 32765-6835 |
| Omar Qazi | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Fuad H Shahin | General Surgery | Osceola Surgical Associates LLC | 320 W Bass St, Kissimmee, FL 34741-5001 |
| Antonio J Ramirez | General Surgery | Osceola Surgical Associates LLC | 720 W Oak St, Kissimmee, FL 34741-4910 |
| Luis A Jaramillo | Plastic and Reconstructive Surgery | Osceola Surgical Associates LLC | 320 W Bass St, Kissimmee, FL 34741-5001 |
| Joshua Shultz | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Nicole Rachelle Brenner | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Christopher M Cooper | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Oral C James | Gastroenterology | Osceola Surgical Associates LLC | 339 Cypress Pkwy, Suite 210, Kissimmee, FL 34759-3315 |
| Street Address |
720 W OAK ST |
| City | KISSIMMEE |
| State | FL |
| Zip | 34741-4910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wade L Fischer | Thoracic Surgery | Osceola Surgical Associates LLC | 720 W Oak St, Suite 150, Kissimmee, FL 34741-4990 |
| Fernando A Gonzales Portillo | Neurology | 720 W Oak St, Suite 309, Kissimmee, FL 34741-4990 | |
| Antonio J Ramirez | General Surgery | Osceola Surgical Associates LLC | 720 W Oak St, Kissimmee, FL 34741-4910 |
| Hassan Flowers | Physician Assistant | Florida Ent Adult and Pediatric Pa | 720 W Oak St, Suite 101, Kissimmee, FL 34741-4990 |
| Robert M Turner Jr. | Physician Assistant | Osceola Surgical Associates LLC | 720 W Oak St, Kissimmee, FL 34741-4910 |
| Jeffrey D Lingo | Physician Assistant | Hunaldo J. Villalobos, M.d., P.a. | 720 W Oak St, Kissimmee, FL 34741-4989 |
| Philip Kondylis | Colorectal Surgery (proctology) | Osceola Surgical Associates LLC | 720 W Oak St, Suite 360, Kissimmee, FL 34741-4910 |
| Gustavo J Arriola | Neurosurgery | The Neurohealth Sciences Center, LLC | 720 W Oak St, 370 Osceola Neurohealth, Kissimmee, FL 34741-4910 |
| Enirique A Serrano | Neurology | Osceola Surgical Associates LLC | 720 W Oak St, Suite 370, Kissimmee, FL 34741-4910 |
| Ankur Garg | Neurology | Fairbanks Partners LLC | 720 W Oak St, Suite 111, Kissimmee, FL 34741-4990 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juan G Escobar Quintero | Chiropractic | Integrative Physical Medicine of Kissimmee LLC | 1975 S John Young Pkwy, Kissimmee, FL 34741-0603 |
| Gloria M Rodriguez Rodriguez | Nurse Practitioner | Integrative Physical Medicine of Kissimmee LLC | 1975 S John Young Pkwy, Kissimmee, FL 34741-0603 |
| Norberto Enrique Gonzalez | Internal Medicine | 3284 N Greenwald Way, Kissimmee, FL 34741-0728 | |
| Sharon A Stokes | Dermatology | Sharon A. Stokes Md Pa | 3276 Greenwald N Way, Kissimmee, FL 34741-0728 |
| Diahann M Alleyne | Family Medicine | Florida Hospital Medical Group Inc | 3264 Greenwald Way N, Kissimmee, FL 34741-0728 |
| Yekatherine Rasmussen | Internal Medicine | Florida Hospital Medical Group Inc | 3264 Greenwald Way N, Kissimmee, FL 34741-0728 |
| Robert M Winstead | Physician Assistant | Sharon A. Stokes Md Pa | 3276 Greenwald N Way, Kissimmee, FL 34741-0728 |
| Beatrice Bencosme | Physician Assistant | Sharon A. Stokes Md Pa | 3276 Greenwald N Way, Kissimmee, FL 34741-0728 |
| Wade Michael Burkard | Emergency Medicine | Nosky Pa | 1157 Miranda Ln, Kissimmee, FL 34741-0763 |
| Miriam C Carnemolla | Nurse Practitioner | Adventist Health System Sunbelt Inc | 3293 Greenwald Way N, Kissimmee, FL 34741-0772 |
| Find all physicians in zip 34741 | |||
| City | KISSIMMEE |
| Zip Code | 34741 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KISSIMMEE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jaclyn M Nietzer.
| 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.