Jennifer L Kolodchak (NPI# 1942276985, PAC ID# 4981641966) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1942276985 |
| PAC ID by PECOS | 4981641966 |
| Professional Enrollment ID | I20100916001269 |
| Full Name | Jennifer L Kolodchak |
| Organization Legal Name | HALIFAX HEALTHCARE SYSTEMS INC |
| Address |
303 N Clyde Morris Blvd First Floor East Daytona Beach FL 32114-2709 |
| Phone Number | 3864256198 |
| Gender | F |
| Credential | MD |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1998 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1254238090 |
| Number of Group Practice Members | 212 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100017 | HALIFAX HEALTH MEDICAL CENTER |
| 100177 | CAPE CANAVERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 465 Minutemen Cswy, Suite 455, Cocoa Beach, FL 32931-2881 | 8663897601 | SUNSHINE HEALTHCARE SOLUTIONS INC |
| 303 N Clyde Morris Blvd, First Floor East, Daytona Beach, FL 32114-2709 | 3864256198 | HALIFAX HEALTHCARE SYSTEMS INC |
| Organization Legal Name | HALIFAX HEALTHCARE SYSTEMS INC |
| Physicians | 230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ariana N Abid | Family Medicine | Halifax Healthcare Systems Inc | 311 N Clyde Morris Blvd, Daytona Beach, FL 32114-2766 |
| Juliana S Demello | Nurse Practitioner | Halifax Healthcare Systems Inc | 1688 W Granada Blvd, Suite 2a1, Ormond Beach, FL 32174-1851 |
| Tammy K Kirby | Nurse Practitioner | Halifax Healthcare Systems Inc | 3300 E Halifax Crossing Blvd, Deltona, FL 32725-2911 |
| Michael L Young | Family Medicine | Halifax Healthcare Systems Inc | 201 N Clyde Morris Blvd, Suite 200, Daytona Beach, FL 32114-2765 |
| Anthony Edward Stover | Family Medicine | Halifax Healthcare Systems Inc | 807 State Rd, Suite 44, New Smyrna, FL 32168-7271 |
| Marizsa Perez | Nurse Practitioner | Halifax Healthcare Systems Inc | 2090 Saxon Blvd B, Deltona, FL 32725-3251 |
| Nishita D Patel | Ophthalmology | Halifax Healthcare Systems Inc | 517 N Clyde Morris Blvd, Daytona Beach, FL 32114-2323 |
| Paula J Blais | Nurse Practitioner | Halifax Healthcare Systems Inc | 775 W Granada Blvd, Suite 102, Ormond Beach, FL 32174-5109 |
| Norman B Seltzer | Orthopedic Surgery | Halifax Healthcare Systems Inc | 614 N Peninsula Dr, Daytona Beach, FL 32118-3829 |
| Bennett P Scaglia | Urology | Halifax Healthcare Systems Inc | 303 N Clyde Morris Blvd, Daytona Bch, FL 32114-2709 |
| Street Address |
303 N CLYDE MORRIS BLVD FIRST FLOOR EAST |
| City | DAYTONA BEACH |
| State | FL |
| Zip | 32114-2709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hope F Webb | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 303 N Clyde Morris Blvd, Daytona Bch, FL 32114-2709 |
| Bennett P Scaglia | Urology | Halifax Healthcare Systems Inc | 303 N Clyde Morris Blvd, Daytona Bch, FL 32114-2709 |
| John W Gianini | Diagnostic Radiology | Radiology Imaging Associates, LLC | 303 N Clyde Morris Blvd, Daytona Bch, FL 32114-2709 |
| Richard C Weiss | Hematology/oncology | Halifax Healthcare Systems Inc | 303 N Clyde Morris Blvd, Daytona Bch, FL 32114-2709 |
| Christian Schuetz | General Surgery | Halifax Healthcare Systems Inc | 303 N Clyde Morris Blvd, Daytona Bch, FL 32114-2709 |
| Ebel D. Silva | Anesthesiology | Sheridan Healthcorp Inc | 303 N Clyde Morris Blvd, Daytona Bch, FL 32114-2709 |
| Alexandra A Crossman | Infectious Disease | 303 N Clyde Morris Blvd, Daytona Bch, FL 32114-2709 | |
| Nicholas W Metakes | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 303 N Clyde Morris Blvd, Daytona Bch, FL 32114-2709 |
| Jennifer Leigh Kirkman | Family Medicine | Halifax Healthcare Systems Inc | 303 N Clyde Morris Blvd, Daytona Bch, FL 32114-2709 |
| Ammar Hemaidan | Gastroenterology | Imacs, LLC | 303 N Clyde Morris Blvd, Daytona Bch, FL 32114-2709 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Gunter | Optometry | Gulf Coast Optometry Pa | 2254 W International Speedway Blvd, Daytona Beach, FL 32114-1124 |
| Kyle J Bettis | Optometry | Gulf Coast Optometry Pa | 2254 W International Speedway Blvd, Daytona Beach, FL 32114-1124 |
| James W Weaver | Diagnostic Radiology | Sheridan Radiology Services of West Florida Inc | 201 Bill France Blvd, Daytona Beach, FL 32114-1316 |
| Robert B Leb | Diagnostic Radiology | Sheridan Radiology Services of West Florida Inc | 201 Bill France Blvd, Daytona Beach, FL 32114-1316 |
| Katherine Rogers | Nurse Practitioner | Can Community Health, Inc. | 1435 Dunn Ave, Suite 101, Daytona Beach, FL 32114-1434 |
| Charles Harrelson Moss | Nurse Practitioner | Can Community Health, Inc. | 1435 Dunn Ave, Suite 101, Daytona Beach, FL 32114-1434 |
| Holly Anne Smith | Nurse Practitioner | Rural Health Care Incorporated | 1425 Dunn Ave, Daytona Beach, FL 32114-1437 |
| Michelle K Kessler | Nurse Practitioner | Rural Health Care Incorporated | 1455 Dunn Ave, Daytona Beach, FL 32114-1437 |
| Muhammad I Usmani | Family Medicine | Rural Health Care Incorporated | 1425 Dunn Ave, Daytona Beach, FL 32114-1437 |
| Francis X Decandis | Family Medicine | Rural Health Care Incorporated | 1425 Dunn Ave, Daytona Beach, FL 32114-1437 |
| Find all physicians in zip 32114 | |||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DAYTONA BEACH + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jennifer L Kolodchak.
| 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.