Mark Dean Vannorsdall (NPI# 1336141555, PAC ID# 3678658499) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1336141555 |
| PAC ID by PECOS | 3678658499 |
| Professional Enrollment ID | I20181019000361 |
| Full Name | Mark Dean Vannorsdall |
| Organization Legal Name | FRESENIUS VASCULAR CARE PENSACOLA LLC |
| Address |
925 Mar Walt Dr Fort Walton Beach FL 32547-6759 |
| Phone Number | 8508644005 |
| Gender | M |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0547549263 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100231 | WEST FLORIDA HOSPITAL |
| 100025 | SACRED HEART HOSPITAL |
| 100124 | SANTA ROSA MEDICAL CENTER |
| 100093 | BAPTIST HOSPITAL |
| 100266 | GULF BREEZE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 406 Medical Park Dr, Atmore, AL 36502-3016 | 8504444700 | PENSACOLA NEPHROLOGY PA |
| 1121 Belleview Ave, Brewton, AL 36426-1500 | 8504444700 | PENSACOLA NEPHROLOGY PA |
| 925 Mar Walt Dr, Fort Walton Beach, FL 32547-6759 | 8508644005 | FRESENIUS VASCULAR CARE PENSACOLA LLC |
| 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 | 8504444700 | PENSACOLA NEPHROLOGY PA |
| 1717 N E St, Suite 403, Pensacola, FL 32501-6364 | 8504444700 | PENSACOLA NEPHROLOGY PA |
| Organization Legal Name | FRESENIUS VASCULAR CARE PENSACOLA LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Humam Humeda | Nephrology | Fresenius Vascular Care Pensacola LLC | 1619 Creighton Rd, Pensacola, FL 32504-7152 |
| Edward L Friedland | Nephrology | Fresenius Vascular Care Pensacola LLC | 1619 Creighton Rd, Pensacola, FL 32504-7152 |
| Haitham Qader | Nephrology | Fresenius Vascular Care Pensacola LLC | 1619 Creighton Rd, Pensacola, FL 32504-7152 |
| Street Address |
925 MAR WALT DR |
| City | FORT WALTON BEACH |
| State | FL |
| Zip | 32547-6759 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek Jimenez | Nephrology | Pensacola Nephrology Pa | 925 Mar Walt Dr, Suite 1, Fort Walton Beach, FL 32547-6609 |
| Nicholas A Nagrani | Nephrology | Pensacola Nephrology Pa | 925 Mar Walt Dr, Suite 1, Fort Walton Beach, FL 32547-6609 |
| Misty Lynn Willis | Nurse Practitioner | Pensacola Nephrology Pa | 925 Mar Walt Dr, Suite 1, Fort Walton Beach, FL 32547-6609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morris E Gales Iii | General Surgery | Florida Post Acute Care Clinicians LLC | 1 L B J Sr Dr, Fort Walton Beach, FL 32547-1163 |
| John D Sites | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Teresa Marie Skojac | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Peter Kerr Senechal | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Chris George Pappas | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Christopher P Paulson | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Susan T Ott | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Brandy Marie Lackey | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Grant Eugene Zachary | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Jamison E Gaddy | Physician Assistant | Australian Lungfish Surgical Specialists LLC | 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221 |
| Find all physicians in zip 32547 | |||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
| Specialty | NEPHROLOGY |
| City + Specialty | FORT WALTON BEACH + NEPHROLOGY |
Please comment or provide details below to improve the information on Mark Dean Vannorsdall.
| 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.