Jonathan Thomas Dismuke (NPI# 1255990693, PAC ID# 3577897776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255990693 |
| PAC ID by PECOS | 3577897776 |
| Professional Enrollment ID | I20190621001282 |
| Full Name | Jonathan Thomas Dismuke |
| Organization Legal Name | MOBILE PHYSICIAN SERVICES INC. |
| Address |
300 Lake Ne Ave Suite 100 Largo FL 33771-1691 |
| Phone Number | 7272320644 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4688685654 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 | 7272320644 | MOBILE PHYSICIAN SERVICES INC. |
| 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 7272320644 | MOBILE PHYSICIAN SERVICES INC. |
| Organization Legal Name | MOBILE PHYSICIAN SERVICES INC. |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron R Block | Family Medicine | Mobile Physician Services Inc. | 4031 Colonel Glenn Hwy, Suite 133, Beavercreek Township, OH 45431-2774 |
| Douglas P Nagle | Physician Assistant | Mobile Physician Services Inc. | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Angelia E Crozier | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| James K Condon | Internal Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Largo, FL 33771-1691 |
| Cheryl Izzo | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Robert Kleid | Physician Assistant | Mobile Physician Services Inc. | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Christi G Gagliano | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Eileen Claire Callaway | Family Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Peter Arthur Radice | Internal Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Melanie F Makar | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Street Address |
300 LAKE NE AVE SUITE 100 |
| City | LARGO |
| State | FL |
| Zip | 33771-1691 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelia E Crozier | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| James K Condon | Internal Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Largo, FL 33771-1691 |
| Cheryl Izzo | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Christi G Gagliano | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Eileen Claire Callaway | Family Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Peter Arthur Radice | Internal Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Melanie F Makar | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Anthony S Casinger | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Melissa Gail Cole | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Angela Sims Tisdale | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adriana Smith | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Kenneth Phillip Additon | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| William T Trabulsi | Podiatry | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Richard M Wacksman | Internal Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Jennifer Danielle Quinn | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Shirley Freckleton-williams | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Scott Edward Wilson | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Samuel A Pettina | Family Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Sherry A Marsden | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Fernando Barja Iii | Optometry | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Find all physicians in zip 33771 | |||
| City | LARGO |
| Zip Code | 33771 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LARGO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jonathan Thomas Dismuke.
| 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.