Shawna King (NPI# 1952740599, PAC ID# 3375834567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1952740599 |
| PAC ID by PECOS | 3375834567 |
| Professional Enrollment ID | I20160617001590 |
| Full Name | Shawna King |
| Organization Legal Name | CORNERSTONE MEDICAL CARE OF BRANDON P L |
| Address |
500 Vonderburg Dr Brandon FL 33511-5964 |
| Phone Number | 8136815658 |
| Gender | F |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0345233409 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100259 | SOUTH BAY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 Vonderburg Dr, Brandon, FL 33511-5964 | 8136815658 | CORNERSTONE MEDICAL CARE OF BRANDON P L |
| 13403 Boyette Rd, Riverview, FL 33569-5710 | 8136541775 | BLOOMINGDALE MEDICAL ASSOCIATES |
| 4051 Upper Creek Dr, Suite 101, Sun City Center, FL 33573-6825 | 8136815658 | CORNERSTONE MEDICAL CARE OF BRANDON P L |
| Organization Legal Name | CORNERSTONE MEDICAL CARE OF BRANDON P L |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvonne Santiago | Internal Medicine | Cornerstone Medical Care of Brandon P L | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Dean A Bramlet | Cardiovascular Disease (cardiology) | Cornerstone Medical Care of Brandon P L | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Julio A Enriquez | Internal Medicine | Cornerstone Medical Care of Brandon P L | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Antonio Victor Zumpano | Internal Medicine | Cornerstone Medical Care of Brandon P L | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Alicia Marie Hess | Nurse Practitioner | Cornerstone Medical Care of Brandon P L | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Nicole Q Williams | Nurse Practitioner | Cornerstone Medical Care of Brandon P L | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Cheri M Wilder | Physician Assistant | Cornerstone Medical Care of Brandon P L | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Pedro Manuel Enriquez | Internal Medicine | Cornerstone Medical Care of Brandon P L | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Anurag Reddy Kumbham | Internal Medicine | Cornerstone Medical Care of Brandon P L | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Cathy Sue Eaton-hill | Nurse Practitioner | Cornerstone Medical Care of Brandon P L | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Street Address |
500 VONDERBURG DR |
| City | BRANDON |
| State | FL |
| Zip | 33511-5964 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvonne Santiago | Internal Medicine | Cornerstone Medical Care of Brandon P L | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Scott Mclaurin | Physician Assistant | Brandon Area Primary Care Pa | 500 Vonderburg Dr, Suite 311w, Brandon, FL 33511-5978 |
| Kadir J Carruthers | Physical Medicine and Rehabilitation | Rehabilitation and Electrodiagnostics Pa | 500 Vonderburg Dr, Suite 205, Brandon, FL 33511-5964 |
| Jerry L Hedrick | Dermatology | Suncoast Skin Solutions | 500 Vonderburg Dr, Suite 155w, Brandon, FL 33511-5964 |
| Dean A Bramlet | Cardiovascular Disease (cardiology) | Cornerstone Medical Care of Brandon P L | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Wali U Khan | Cardiovascular Disease (cardiology) | Bay Area Medical Clinic Pa | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Ron Mathew | Internal Medicine | Bay Area Medical Clinic Pa | 500 Vonderburg Dr, Brandon, FL 33511-5964 |
| Matthew D Bowser | Family Medicine | Brandon Area Primary Care Pa | 500 Vonderburg Dr, Suite 311w, Brandon, FL 33511-5978 |
| Melinda H Hayes | Physical Medicine and Rehabilitation | Rehabilitation and Electrodiagnostics Pa | 500 Vonderburg Dr, Suite 205, Brandon, FL 33511-5964 |
| Pravinchandra Zala | Neurology | 500 Vonderburg Dr, Suite 314w, Brandon, FL 33511-5978 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| In Soon Park | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Michael G Siegman | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Jeffrey Scott Mino | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Gopal Grandhige | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Richard G Picciocca Jr. | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Cristiano V Alpendre | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Donovan N Tapper | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Stephen Allen Jones | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Francisco H Itriago | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Paul Anthony Taiganides | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Find all physicians in zip 33511 | |||
| City | BRANDON |
| Zip Code | 33511 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BRANDON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shawna King.
| 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.