Ernestine Penvaga Fomunung-ngam (NPI# 1104352665, PAC ID# 3779858501) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104352665 |
| PAC ID by PECOS | 3779858501 |
| Professional Enrollment ID | I20171004002962 |
| Full Name | Ernestine Penvaga Fomunung-ngam |
| Organization Legal Name | FLORIDA HOSPITAL ZEPHYRHILLS INC |
| Address |
27415 Cashford Cir Suite 102 Wesley Chapel FL 33544-6973 |
| Phone Number | 8139295300 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466499678 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100046 | FLORIDA HOSPITAL ZEPHYRHILLS |
| 100319 | FLORIDA HOSPITAL WESLEY CHAPEL |
| Address | Phone | Organization |
|---|---|---|
| 27415 Cashford Cir, Suite 102, Wesley Chapel, FL 33544-6973 | 8139295300 | FLORIDA HOSPITAL ZEPHYRHILLS INC |
| Organization Legal Name | FLORIDA HOSPITAL ZEPHYRHILLS INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bertram A Lewis Jr. | Urology | Florida Hospital Zephyrhills Inc | 6748 Gall Blvd, Zephyrhills, FL 33542-2511 |
| Bassel Ramadan | Critical Care (intensivists) | Florida Hospital Zephyrhills Inc | 38240 Daughtery Rd, Zephyrhills, FL 33540-1367 |
| Maria Villa | Obstetrics/gynecology | Florida Hospital Zephyrhills Inc | 37740 Meridian Ave, Dade City, FL 33525-4221 |
| Annette S Williams | Obstetrics/gynecology | Florida Hospital Zephyrhills Inc | 7050 Gall Blvd, Zephyrhills, FL 33541-1347 |
| Ralph Highshaw | Urology | Florida Hospital Zephyrhills Inc | 6748 Gall Blvd, Zephyrhills, FL 33542-2511 |
| Stephanie M Williams | Nurse Practitioner | Florida Hospital Zephyrhills Inc | 38240 Daughtery Rd, Zephyrhills, FL 33540-1367 |
| Amir Quefatieh | Pulmonary Disease | Florida Hospital Zephyrhills Inc | 6748 Gall Blvd, Zephyrhills, FL 33542-2511 |
| Julia Ann Jones | Physician Assistant | Florida Hospital Zephyrhills Inc | 38240 Daughtery Rd, Zephyrhills, FL 33540-1367 |
| Michael I Weiss | Obstetrics/gynecology | Florida Hospital Zephyrhills Inc | 7050 Gall Blvd, Zephyrhills, FL 33541-1347 |
| Tobin John | Family Medicine | Florida Hospital Zephyrhills Inc | 38240 Daughtery Rd, Zephyrhills, FL 33540-1367 |
| Street Address |
27415 CASHFORD CIR SUITE 102 |
| City | WESLEY CHAPEL |
| State | FL |
| Zip | 33544-6973 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soham P Patel | Endocrinology | 27415 Cashford Cir, Suite 102, Wesley Chapel, FL 33544-6973 | |
| Connor Lynn Brown | Qualified Audiologist | Select Physicians Alliance Pl | 27415 Cashford Cir, Suite 101, Wesley Chapel, FL 33544-6973 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenna Leigh Tillett | Nurse Practitioner | Synergic Healthcare Solutions LLC | 5504 Gateway Blvd, Wesley Chapel, FL 33544-1900 |
| Karen Marie Wilcox | Physician Assistant | Synergic Healthcare Solutions LLC | 5504 Gateway Blvd, Wesley Chapel, FL 33544-1900 |
| Nadeem R. Khan | Infectious Disease | Margarita R Cancio Md Pa | 5504 Gateway Blvd, Suite 102, Wesley Chapel, FL 33544-1900 |
| Angelica P Lamb | Nurse Practitioner | Synergic Healthcare Solutions LLC | 5504 Gateway Blvd, Wesley Chapel, FL 33544-1900 |
| Jennifer G Bush | Nurse Practitioner | Margarita R Cancio Md Pa | 5504 Gateway Blvd, Suite 102, Wesley Chapel, FL 33544-1900 |
| Cheryl S Newcomb | Nurse Practitioner | Md Businesses Inc | 5504 Gateway Blvd, Wesley Chapel, FL 33544-1900 |
| Jeremiah Lee Dupriest | Nurse Practitioner | Synergic Healthcare Solutions LLC | 5504 Gateway Blvd, Wesley Chapel, FL 33544-1900 |
| Mo Cale | Family Medicine | Synergic Healthcare Solutions LLC | 5504 Gateway Blvd, Wesley Chapel, FL 33544-1900 |
| Nouhad Y Moussa | Pediatric Medicine | Synergic Healthcare Solutions LLC | 5504 Gateway Blvd, Wesley Chapel, FL 33544-1900 |
| Aparajita Mishra | Internal Medicine | Synergic Healthcare Solutions LLC | 5504 Gateway Blvd, Wesley Chapel, FL 33544-1900 |
| Find all physicians in zip 33544 | |||
| City | WESLEY CHAPEL |
| Zip Code | 33544 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WESLEY CHAPEL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ernestine Penvaga Fomunung-ngam.
| 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.