Devin K Datta (NPI# 1821062290, PAC ID# 3971686270) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1821062290 |
| PAC ID by PECOS | 3971686270 |
| Professional Enrollment ID | I20080211000069 |
| Full Name | Devin K Datta |
| Organization Legal Name | BREVARD ORTHOPAEDIC SPINE AND PAIN CLINIC INC |
| Address |
2222 S Harbor City Blvd Suite 610 Melbourne FL 32901-5591 |
| Phone Number | 3217237716 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8628050515 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| 100291 | STEWARD MELBOURNE HOSPITAL |
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| 100028 | PARRISH MEDICAL CENTER |
| 100316 | PALM BAY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 | 3217237716 | BREVARD ORTHOPAEDIC SPINE AND PAIN CLINIC INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 7% |
| Organization Legal Name | BREVARD ORTHOPAEDIC SPINE AND PAIN CLINIC INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camelia Elizabeth Burrows | Nurse Practitioner | Brevard Orthopaedic Spine and Pain Clinic Inc | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 |
| Richard A Hynes | Orthopedic Surgery | Brevard Orthopaedic Spine and Pain Clinic Inc | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 |
| Syed Farhan H Zaidi | Physical Medicine and Rehabilitation | Brevard Orthopaedic Spine and Pain Clinic Inc | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 |
| Amanda A Folkers | Physician Assistant | Brevard Orthopaedic Spine and Pain Clinic Inc | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 |
| Anne C Gregg | Physician Assistant | Brevard Orthopaedic Spine and Pain Clinic Inc | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 |
| Casey W Langel | Physician Assistant | Brevard Orthopaedic Spine and Pain Clinic Inc | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 |
| Elizabeth Stoklosa | Physician Assistant | Brevard Orthopaedic Spine and Pain Clinic Inc | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 |
| Regina Luwanda Morris Solis | Pain Management | Brevard Orthopaedic Spine and Pain Clinic Inc | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 |
| Marlo Smith | Physician Assistant | Brevard Orthopaedic Spine and Pain Clinic Inc | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 |
| Susan V Ville | Chiropractic | Brevard Orthopaedic Spine and Pain Clinic Inc | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 |
| Street Address |
2222 S HARBOR CITY BLVD SUITE 610 |
| City | MELBOURNE |
| State | FL |
| Zip | 32901-5591 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas H Magee | Diagnostic Radiology | Neuroskeletal Imaging LLC | 2222 S Harbor City Blvd, Suite 520, Melbourne, FL 32901-5591 |
| Camelia Elizabeth Burrows | Nurse Practitioner | Brevard Orthopaedic Spine and Pain Clinic Inc | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 |
| Raj Vellody | Internal Medicine | Steward Medical Group Inc | 2222 S Harbor City Blvd, Suite 420, Melbourne, FL 32901-5591 |
| Richard A Hynes | Orthopedic Surgery | Brevard Orthopaedic Spine and Pain Clinic Inc | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 |
| Syed Farhan H Zaidi | Physical Medicine and Rehabilitation | Brevard Orthopaedic Spine and Pain Clinic Inc | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 |
| James Zavitsanos | Cardiovascular Disease (cardiology) | Steward Medical Group Inc | 2222 S Harbor City Blvd, Suite 440, Melbourne, FL 32901-5591 |
| Bambi Durik | Certified Registered Nurse Anesthetist (crna) | 2222 S Harbor City Blvd, Melbourne, FL 32901-5591 | |
| Amanda A Folkers | Physician Assistant | Brevard Orthopaedic Spine and Pain Clinic Inc | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 |
| Anne C Gregg | Physician Assistant | Brevard Orthopaedic Spine and Pain Clinic Inc | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 |
| Casey W Langel | Physician Assistant | Brevard Orthopaedic Spine and Pain Clinic Inc | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony R Else | Physical Therapy | 18 W Ave 'b' Unit, Suite 4, Melbourne, FL 32901-1219 | |
| Yanqing Gu | Internal Medicine | 551 S Apollo Blvd, Suite 103, Melbourne, FL 32901-1274 | |
| Richard J Wecker | Chiropractic | 551 S Apollo Blvd, Suite 105, Melbourne, FL 32901-1274 | |
| Ralph Zipper | Urology | Ralph Zipper Md Pa | 200 S Harbor City Blvd, Suite 401, Melbourne, FL 32901-1389 |
| James Loras Raders | Obstetrics/gynecology | Ralph Zipper Md Pa | 200 S Harbor City Blvd, Suite 401, Melbourne, FL 32901-1389 |
| Brian J Mallette | Podiatry | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1389 | |
| Claudia R Mallette | Podiatry | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1389 | |
| Ana Marisol Conde Rosa | Infectious Disease | Project Response Inc | 745 S Apollo Blvd, Melbourne, FL 32901-1457 |
| Monica L Wise | Nurse Practitioner | Quality Medical Care Pa | 675 S Babcock St, Melbourne, FL 32901-1459 |
| Heather M Weeks | Nurse Practitioner | Quality Medical Care Pa | 675 S Babcock St, Melbourne, FL 32901-1459 |
| Find all physicians in zip 32901 | |||
| City | MELBOURNE |
| Zip Code | 32901 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MELBOURNE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Devin K Datta.
| 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.