Jessica Kim Wood (NPI# 1194283143, PAC ID# 3173864659) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194283143 |
| PAC ID by PECOS | 3173864659 |
| Professional Enrollment ID | I20190410001192 |
| Full Name | Jessica Kim Wood |
| Organization Legal Name | SURGICAL ASSOCIATES OF VENICE AND ENGLEWOOD PA |
| Address |
436 Nokomis S Ave Venice FL 34285-2617 |
| Phone Number | 9414887742 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3274422191 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100070 | VENICE REGIONAL BAYFRONT HEALTH |
| 100166 | DOCTORS HOSPITAL OF SARASOTA |
| Address | Phone | Organization |
|---|---|---|
| 436 Nokomis S Ave, Venice, FL 34285-2617 | 9414887742 | SURGICAL ASSOCIATES OF VENICE AND ENGLEWOOD PA |
| Organization Legal Name | SURGICAL ASSOCIATES OF VENICE AND ENGLEWOOD PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Michael Willkomm | General Surgery | Surgical Associates of Venice and Englewood Pa | 436 Nokomis S Ave, Venice, FL 34285-2617 |
| Wadi S Gomero-cure | General Surgery | Surgical Associates of Venice and Englewood Pa | 436 Nokomis S Ave, Venice, FL 34285-2617 |
| Bryan L Smith | General Surgery | Surgical Associates of Venice and Englewood Pa | 436 Nokomis S Ave, Venice, FL 34285-2617 |
| Issam Halaby | General Surgery | Surgical Associates of Venice and Englewood Pa | 436 Nokomis S Ave, Venice, FL 34285-2617 |
| Street Address |
436 NOKOMIS S AVE |
| City | VENICE |
| State | FL |
| Zip | 34285-2617 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Michael Willkomm | General Surgery | Surgical Associates of Venice and Englewood Pa | 436 Nokomis S Ave, Venice, FL 34285-2617 |
| Wadi S Gomero-cure | General Surgery | Surgical Associates of Venice and Englewood Pa | 436 Nokomis S Ave, Venice, FL 34285-2617 |
| Bryan L Smith | General Surgery | Surgical Associates of Venice and Englewood Pa | 436 Nokomis S Ave, Venice, FL 34285-2617 |
| Issam Halaby | General Surgery | Surgical Associates of Venice and Englewood Pa | 436 Nokomis S Ave, Venice, FL 34285-2617 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber N Henderson | Physical Therapy | Therapeutic Mobilities LLC | 209 Park Blvd N, Venice, FL 34285-1628 |
| Cheryl L Sheffield | Occupational Therapy | Therapeutic Mobilities LLC | 209 Park Blvd N, Venice, FL 34285-1628 |
| Margaret A Williams | Physical Therapy | Therapeutic Mobilities LLC | 209 Park Blvd N, Venice, FL 34285-1628 |
| Juancarlo Esteves | Occupational Therapy | Therapeutic Mobilities LLC | 209 Park Blvd N, Venice, FL 34285-1628 |
| Lori A Bajsanski | Physical Therapy | Therapeutic Mobilities LLC | 209 Park Blvd N, Venice, FL 34285-1628 |
| Mary K Hall | Physical Therapy | Therapeutic Mobilities LLC | 209 Park Blvd N, Venice, FL 34285-1628 |
| Harold J Kaplan | Family Medicine | 200 Ave Des Parques N, Venice, FL 34285-1701 | |
| R. Scott Walker | Optometry | 262 Miami Ave W, Venice, FL 34285-2301 | |
| James J Gulick | Chiropractic | 330 Miami Ave W, Venice, FL 34285-2305 | |
| Julio Gonzalez | Orthopedic Surgery | Orthopaedic Center of Venice Pl | 241 Nokomis S Ave, Suite B, Venice, FL 34285-2319 |
| Find all physicians in zip 34285 | |||
| City | VENICE |
| Zip Code | 34285 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | VENICE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica Kim Wood.
| 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.