Douglas W Palmer (NPI# 1255570594, PAC ID# 3971524687) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255570594 |
| PAC ID by PECOS | 3971524687 |
| Professional Enrollment ID | I20051209000192 |
| Full Name | Douglas W Palmer |
| Organization Legal Name | INTENSIVE CARE CONSORTIUM INC |
| Address |
3625 Univ Blvd S Jacksonville FL 32216-4207 |
| Phone Number | 5619970821 |
| Gender | M |
| Credential | NP |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244269413 |
| Number of Group Practice Members | 248 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100179 | MEMORIAL HOSPITAL JACKSONVILLE |
| 100226 | ORANGE PARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3625 Univ Blvd S, Jacksonville, FL 32216-4207 | 5619970821 | INTENSIVE CARE CONSORTIUM INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 43% | |
| MIPS_EC_047_overall | Care Plan | 43% | |
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% |
| Organization Legal Name | INTENSIVE CARE CONSORTIUM INC |
| Physicians | 219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soowhan Lah | Critical Care (intensivists) | Intensive Care Consortium Inc | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Disha Awasthi | Pulmonary Disease | Intensive Care Consortium Inc | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 |
| Jacklyn Reyes Pancrudo | Internal Medicine | Intensive Care Consortium Inc | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Ali Ashraf | Pulmonary Disease | Intensive Care Consortium Inc | 700 W Oak St, Kissimmee, FL 34741-4996 |
| Christine D Lallos | Anesthesiology | Intensive Care Consortium Inc | 350 Hospital Dr, Macon, GA 31217-3838 |
| Shawn W Blouin | Nurse Practitioner | Intensive Care Consortium Inc | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Gina Marie Iacovella | Critical Care (intensivists) | Intensive Care Consortium Inc | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Rajiv Malhotra | Pulmonary Disease | Intensive Care Consortium Inc | 7101 Jahnke Rd, Richmond, VA 23225-4017 |
| Azzat Abdulghani Ali | Critical Care (intensivists) | Intensive Care Consortium Inc | 9330 State Rd, Suite 54, Trinity, FL 34655-1808 |
| Geoffrey Andrew Loh | Critical Care (intensivists) | Intensive Care Consortium Inc | 3651 Wheeler Rd, Augusta, GA 30909-6521 |
| Street Address |
3625 UNIV BLVD S |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32216-4207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lateya Foxx | Neuropsychiatry | Memorial Family Practice Associates, LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Georganna Michelle Rosel | Emergency Medicine | Paragon Emergency Services LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| David R Davis | Emergency Medicine | Paragon Emergency Services LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| John D Deperi | General Surgery | Memorial Family Practice Associates, LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Aarian P Afshari | Emergency Medicine | Paragon Emergency Services LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Radu Gheorghe | Physician Assistant | Neptune Beach Surgical Specialists LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| James Delano Hayes Jr. | Emergency Medicine | Paragon Emergency Services LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Janet L Rustia | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of Florida, LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Moira P Petirs | Emergency Medicine | Paragon Emergency Services LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Courtney R King | Nurse Practitioner | Paragon Emergency Services LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eula B Kovacs | Clinical Social Worker | 7035 Phillips Hwy, Suite 38, Jacksonville, FL 32216 | |
| Rebecca K Reza | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Jessica Lynn Burkett | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Diana C Maccario | Family Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Vonda Marie Love | Nurse Practitioner | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| John Paul Guercio | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Guilad Pribluda | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Bhavesh S Patel | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Arnel Larcia | Internal Medicine | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Kelly Bingham Traylor | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Find all physicians in zip 32216 | |||
| City | JACKSONVILLE |
| Zip Code | 32216 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSONVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Douglas W Palmer.
| 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.