Clayton Terhune Hofstra (NPI# 1972941565, PAC ID# 4385865971) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1972941565 |
| PAC ID by PECOS | 4385865971 |
| Professional Enrollment ID | I20160808002497 |
| Full Name | Clayton Terhune Hofstra |
| Organization Legal Name | VENADO EMERGENCY PHYSICIANS LLC |
| Address |
6000 49th N St Saint Petersburg FL 33709-2114 |
| Phone Number | 7275215044 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2961724745 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100238 | NORTHSIDE HOSPITAL |
| 100127 | MORTON PLANT HOSPITAL |
| 100063 | MORTON PLANT NORTH BAY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6000 49th N St, Saint Petersburg, FL 33709-2114 | 7275215044 | VENADO EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | VENADO EMERGENCY PHYSICIANS LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Selph | Emergency Medicine | Venado Emergency Physicians LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Genti Tahiraj | Emergency Medicine | Venado Emergency Physicians LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Paul J Richards | Emergency Medicine | Venado Emergency Physicians LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Edward Djan-kwansa | Emergency Medicine | Venado Emergency Physicians LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Rakhshinda Moeen | Emergency Medicine | Venado Emergency Physicians LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Joe A Nelson | Emergency Medicine | Venado Emergency Physicians LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Dane E Clarke | Emergency Medicine | Venado Emergency Physicians LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Olufolahan O Lawal | Emergency Medicine | Venado Emergency Physicians LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Raafat M Hanna | Emergency Medicine | Venado Emergency Physicians LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Street Address |
6000 49TH N ST |
| City | SAINT PETERSBURG |
| State | FL |
| Zip | 33709-2114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lilian Enyonam Ahiable | Internal Medicine | Cardiology Interpreters Inc | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Scott M Selph | Emergency Medicine | Venado Emergency Physicians LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Genti Tahiraj | Emergency Medicine | Venado Emergency Physicians LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Paul J Richards | Emergency Medicine | Venado Emergency Physicians LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Edward Djan-kwansa | Emergency Medicine | Venado Emergency Physicians LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Rakhshinda Moeen | Emergency Medicine | Venado Emergency Physicians LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Akosua A Yeboah | Nurse Practitioner | Fl-i Medical Services LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Ali Abdul Jabbar | Internal Medicine | Cardiology Interpreters Inc | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Joe A Nelson | Emergency Medicine | Venado Emergency Physicians LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Dane E Clarke | Emergency Medicine | Venado Emergency Physicians LLC | 6000 49th N St, Saint Petersburg, FL 33709-2114 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber Shakira Tas | Cardiovascular Disease (cardiology) | Bay Area Heart Center Pa | 5398 Park St N, Suite A, St Petersburg, FL 33709-1041 |
| Mohammad Yamani | Internal Medicine | All Care Medical Consultants Pa | 5301 Park St N, St Petersburg, FL 33709-1042 |
| Jennifer Rebecca Chambers | Family Medicine | Baycare Medical Group, Inc. | 5405 Park N St, Saint Petersburg, FL 33709-1044 |
| Eve L Massarsky | Physician Assistant | Baycare Medical Group, Inc. | 5405 Park N St, Saint Petersburg, FL 33709-1044 |
| Shannaz A Kazi | Family Medicine | Baycare Medical Group, Inc. | 5405 Park N St, Saint Petersburg, FL 33709-1044 |
| Julian R Menendez | Podiatry | 5415 Park St N, Saint Petersburg, FL 33709-1087 | |
| Sushilla N Beecum | Internal Medicine | 7000 54th Ave N, St. Petersburg, FL 33709-1304 | |
| Meredith L Dykes | Nurse Practitioner | Diagnostic Clinic Medical Group Inc | 6776 54th Ave N, Suite A, Saint Petersburg, FL 33709-1405 |
| Lisa M Disanto | General Practice | Diagnostic Clinic Medical Group Inc | 6776 54th Ave N, Suite A, Saint Petersburg, FL 33709-1405 |
| George R Dunkelberger | Family Practice | Diagnostic Clinic Medical Group Inc | 6776 54th Ave N, Suite A, Saint Petersburg, FL 33709-1405 |
| Find all physicians in zip 33709 | |||
| City | SAINT PETERSBURG |
| Zip Code | 33709 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SAINT PETERSBURG + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Clayton Terhune Hofstra.
| 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.