Amanda Williams Sellers (NPI# 1831633692, PAC ID# 3375826191) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1831633692 |
| PAC ID by PECOS | 3375826191 |
| Professional Enrollment ID | I20170201001812 |
| Full Name | Amanda Williams Sellers |
| Organization Legal Name | LAKE GASTROENTEROLOGY ASSOCIATES LLC |
| Address |
1858 Mayo Dr Tavares FL 32778-4320 |
| Phone Number | 3523835200 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3173708484 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100057 | FLORIDA HOSPITAL WATERMAN |
| Address | Phone | Organization |
|---|---|---|
| 620 S Lake St, Suite 5, Leesburg, FL 34748-6059 | 3523835200 | LAKE GASTROENTEROLOGY ASSOCIATES LLC |
| 1858 Mayo Dr, Tavares, FL 32778-4320 | 3523835200 | LAKE GASTROENTEROLOGY ASSOCIATES LLC |
| Organization Legal Name | LAKE GASTROENTEROLOGY ASSOCIATES LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bharathi Ramaiah | Gastroenterology | Lake Gastroenterology Associates LLC | 1858 Mayo Dr, Tavares, FL 32778-4320 |
| Soundarapandian Baskar | Gastroenterology | Lake Gastroenterology Associates LLC | 1858 Mayo Dr, Tavares, FL 32778-4320 |
| Street Address |
1858 MAYO DR |
| City | TAVARES |
| State | FL |
| Zip | 32778-4320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bharathi Ramaiah | Gastroenterology | Lake Gastroenterology Associates LLC | 1858 Mayo Dr, Tavares, FL 32778-4320 |
| Soundarapandian Baskar | Gastroenterology | Lake Gastroenterology Associates LLC | 1858 Mayo Dr, Tavares, FL 32778-4320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth E Stark | Rheumatology | 1613 Banning Beach Rd, Tavares, FL 32778-2024 | |
| Maxine A Ruddock | Psychologist, Clinical | 322 N Barrow Ave, Tavares, FL 32778-3002 | |
| Karen K Estill | Psychologist, Clinical | 101 E Maud St, Tavares, FL 32778-3249 | |
| Deborah W Ho | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Brian L Boyd | Psychologist, Clinical | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Marvin L Smith | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Juliet Smith | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Amberlee K Henson | Clinical Psychologist | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| David L Frerking | Chiropractic | 915 E Alfred St, Tavares, FL 32778-3401 | |
| Ebony Monique Rollins | Nurse Practitioner | Community Health Centers, Inc | 212 E Main St, Tavares, FL 32778-3808 |
| Find all physicians in zip 32778 | |||
| City | TAVARES |
| Zip Code | 32778 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TAVARES + NURSE PRACTITIONER |
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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.