Paul E. Roa (NPI# 1861717092, PAC ID# 4486786456) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1861717092 |
| PAC ID by PECOS | 4486786456 |
| Professional Enrollment ID | I20151118001890 |
| Full Name | Paul E. Roa |
| Organization Legal Name | BLUE WATER PAIN SOLUTIONS, PA |
| Address |
4850 W Oakland Park Blvd Suite 201 Lauderdale Lakes FL 33313-7268 |
| Phone Number | 9544475206 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | PAIN MANAGEMENT |
| Group Practice PAC ID | 0143547232 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100285 | MEMORIAL HOSPITAL MIRAMAR |
| Address | Phone | Organization |
|---|---|---|
| 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7268 | 9544475206 | BLUE WATER PAIN SOLUTIONS, PA |
| Organization Legal Name | BLUE WATER PAIN SOLUTIONS, PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil Isaac Kirschbaum | Interventional Pain Management | Blue Water Pain Solutions, Pa | 1951 Sw172nd Ave, Suite 314, Miramar, FL 33029 |
| Michelle Cotayo-linares | Nurse Practitioner | Blue Water Pain Solutions, Pa | 2 Oakwood Blvd, Suite 195, Hollywood, FL 33020-1962 |
| Lowell S Davis | Anesthesiology | Blue Water Pain Solutions, Pa | 1901 Sw172nd Ave, Miramar, FL 33029-5592 |
| Rosemary Daly | Interventional Pain Management | Blue Water Pain Solutions, Pa | 1951 Sw172nd Ave, Miramar, FL 33029 |
| Street Address |
4850 W OAKLAND PARK BLVD SUITE 201 |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip | 33313-7268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith J Lerner | Internal Medicine | 4850 W Oakland Park Blvd, Suite 209, Lauderdale Lakes, FL 33313-7260 | |
| Edward A Dauer | Diagnostic Radiology | Broward Pet Imaging Center LLC | 4850 W Oakland Park Blvd, Suite 1a, Fort Lauderdale, FL 33313-7265 |
| Herman M Epstein | Obstetrics/gynecology | Florida Woman Care LLC | 4850 W Oakland Park Blvd, Suite 118, Fort Lauderdale, FL 33313-7268 |
| Richard B Polakoff | Cardiovascular Disease (cardiology) | 4850 W Oakland Park Blvd, Suite 143, Lauderdale Lakes, FL 33313-7277 | |
| Humaira Khan | Internal Medicine | 4850 W Oakland Park Blvd, Suite 132, Lauderdale Lakes, FL 33313-7268 | |
| Ignacio Rodriguez | Otolaryngology | South Florida Ent Associates Inc | 4850 W Oakland Park Blvd, Suite 102, Lauderdale Lakes, FL 33313-7268 |
| Michael C Hanus | Radiation Oncology | 21st Century Oncology, LLC | 4850 W Oakland Park Blvd, Suite C, Lauderdale Lakes, FL 33313-7282 |
| Daniel Kesden | Internal Medicine | 4850 W Oakland Park Blvd, Suite 209, Lauderdale Lakes, FL 33313-7261 | |
| Victoria A Rojas | Qualified Audiologist | South Florida Ent Associates Inc | 4850 W Oakland Park Blvd, Suite 102, Lauderdale Lakes, FL 33313-7268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clifton D Okman | Chiropractic | 7244 W Oakland Park Blvd, Lauderhill, FL 33313-1041 | |
| Luis Anaya | Physical Therapy | 7175 -7177 W Oakland Park Blvd, Lauderhill, FL 33313-1050 | |
| Melanie Reese | Optometry | Reese Vision Care Pa | 6244 W Oakland Park Blvd, Sunrise, FL 33313-1214 |
| Lynette Sieracki | Infectious Disease | 4900 W Oakland Park Blvd, Suite 203, Lauderdale Lakes, FL 33313-1501 | |
| Frantz Chery | General Surgery | 4900 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-1501 | |
| Kimeka Mckain- Joseph | Physician Assistant | Tenet Florida Physician Services LLC | 5000 W Oakland Park Blvd, Ft Lauderdale, FL 33313-1503 |
| Raghav L Seth | Cardiovascular Disease (cardiology) | 5000 W Oakland Park Boulevard, Lauderdale Lakes, FL 33313-1503 | |
| Theodoros Hailu | Emergency Medicine | Paragon Contracting Services LLC | 5000 W Oakland Park Blvd, Lauderdale Lake, FL 33313-1503 |
| Brucha L Dickinson | Pathology | East Coast Pathology Associates, Pa | 5000 W Oakland Park Blvd, Fort Lauderdale, FL 33313-1503 |
| Linda Dolin | Internal Medicine | 5000 W Oakland Park Blvd, Lauderdale Lake, FL 33313-1503 | |
| Find all physicians in zip 33313 | |||
| City | LAUDERDALE LAKES |
| Zip Code | 33313 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | LAUDERDALE LAKES + PAIN MANAGEMENT |
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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.