Beau Ryan Smith (NPI# 1578947487, PAC ID# 3779899729) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1578947487 |
PAC ID by PECOS | 3779899729 |
Professional Enrollment ID | I20150904002100 |
Full Name | Beau Ryan Smith |
Organization Legal Name | MARIO A. MENDIZABAL, M.D. P.A. |
Address |
2320 N Sunshine Path Crystal River FL 34429-5810 |
Phone Number | 3527955350 |
Gender | M |
Medical School | LIFE CHIROPRACTIC COLLEGE |
Graduation Year | 2014 |
Primary Specialty | CHIROPRACTIC |
Group Practice PAC ID | 6204831126 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2320 N Sunshine Path, Crystal River, FL 34429-5810 | 3527955350 | MARIO A. MENDIZABAL, M.D. P.A. |
2202 Hwy 44 W, Inverness, FL 34453-3855 | 3527264441 | MARIO A. MENDIZABAL, M.D. P.A. |
Organization Legal Name | MARIO A. MENDIZABAL, M.D. P.A. |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ross T Dumbadse | Chiropractic | Mario A. Mendizabal, M.d. P.a. | 255 Se 7th Ave, Crystal River, FL 34429-4848 |
Street Address |
2320 N SUNSHINE PATH |
City | CRYSTAL RIVER |
State | FL |
Zip | 34429-5810 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ellen Heubach | Nurse Practitioner | Quick Care Med, LLC | 659 Unit Us Hwy 19 1, Crystal River, FL 34429 |
Donna Jean Scarbrough | Nurse Practitioner | Quick Care Med, LLC | 659 Unit Us Hwy 19 1, Crystal River, FL 34429 |
Jered Jones | Nurse Practitioner | Quick Care Med, LLC | 659 Unit Us Hwy 19 1, Crystal River, FL 34429 |
Coty J Tino | Family Medicine | Meadowcrest Family Physicians, P.a. | 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679 |
Jimmy C Dickert | Internal Medicine | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
Robbie Lee Bradley | Physician Assistant | Meadowcrest Family Physicians, P.a. | 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679 |
Ryan Spencer Dickert | Family Medicine | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
Jeri L Anderson | Nurse Practitioner | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
Alex Jonathan Dickert | Family Medicine | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
Jennifer Yoho | Physician Assistant | Meadowcrest Family Physicians, P.a. | 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679 |
Find all physicians in zip 34429 |
City | CRYSTAL RIVER |
Zip Code | 34429 |
Specialty | CHIROPRACTIC |
City + Specialty | CRYSTAL RIVER + CHIROPRACTIC |
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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.