Michael A Fabian (NPI# 1134124753, PAC ID# 5092776815) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1134124753 |
PAC ID by PECOS | 5092776815 |
Professional Enrollment ID | I20041025000392 |
Full Name | Michael A Fabian |
Organization Legal Name | NORTH FLORIDA SURGEONS PA |
Address |
1890 Lpga Blvd Suite 250 Daytona Beach FL 32117-7131 |
Phone Number | 3862740250 |
Gender | M |
Credential | MD |
Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1986 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 2769381391 |
Number of Group Practice Members | 106 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100017 | HALIFAX HEALTH MEDICAL CENTER |
100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7131 | 3862740250 | NORTH FLORIDA SURGEONS PA |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_047_overall | Care Plan | 0% |
Organization Legal Name | NORTH FLORIDA SURGEONS PA |
Physicians | 112 |
Name | Specialty | Organization | Address |
---|---|---|---|
Leah Lynn Kammerdiener | Ophthalmology | North Florida Surgeons Pa | 714 Stockton St, Jacksonville, FL 32204-3402 |
Edward A Collier Ii | Nurse Practitioner | North Florida Surgeons Pa | 600 E Government St, Pensacola, FL 32502-6136 |
Francis A Chrzanowski Jr. | Colorectal Surgery (proctology) | North Florida Surgeons Pa | 1617 King St, Jacksonville, FL 32204-4563 |
John Mitchell Vassallo | Ophthalmology | North Florida Surgeons Pa | 3780 Us Hwy 1 S, St Augustine, FL 32086-7150 |
Norman A Jones | General Surgery | North Florida Surgeons Pa | 2407 Ruth Hentz Ave, Panama City, FL 32405-2259 |
Garrett A Hauptman | Otolaryngology | North Florida Surgeons Pa | 7135 Nw 11th Place, Suite A, Gainesville, FL 32605-3143 |
Mcgregor N Lott | Ophthalmology | North Florida Surgeons Pa | 224 Ponte Vedra Park Dr, Suite 300, Ponte Vedra Beach, FL 32082-6604 |
John D Brinkman | General Surgery | North Florida Surgeons Pa | 1658 St Vincents Way, Suite 210, Middleburg, FL 32068-8459 |
Richard D Curtis | Orthopedic Surgery | North Florida Surgeons Pa | 1715 Eagle Harbour Pkwy, Suite A, Fleming Island, FL 32003-4324 |
Agnes David | General Surgery | North Florida Surgeons Pa | 1370 13th S Ave, Suite 119, Jacksonville Beach, FL 32250-3206 |
Street Address |
1890 LPGA BLVD SUITE 250 |
City | DAYTONA BEACH |
State | FL |
Zip | 32117-7131 |
Name | Specialty | Organization | Address |
---|---|---|---|
Luther St James Iii | Family Medicine | Memorial Health Systems Inc | 1890 Lpga Blvd, Suite 170, Daytona Beach, FL 32117-7131 |
Evelyn V Santiago Gonzalez | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 1890 Lpga Blvd, Suite 200, Daytona Beach, FL 32117-7138 |
Joseph Thomas Watson | Podiatry | Atlantic Podiatry Associates Dpm Pa | 1890 Lpga Blvd, Suite 230, Daytona Beach, FL 32117-7131 |
Patrick Leung | General Practice | Primecare At Twin Lakes LLC | 1890 Lpga Blvd, Suite 130, Daytona Beach, FL 32117-7131 |
James W. Rust | Podiatry | Atlantic Podiatry Associates Dpm Pa | 1890 Lpga Blvd, Suite 230, Daytona Beach, FL 32117-7131 |
Andrew W Gamenthaler | General Surgery | North Florida Surgeons Pa | 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7131 |
Federico C Vinas | Neurosurgery | 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7131 | |
Daniel Scott Burfield | Nurse Practitioner | North Florida Surgeons Pa | 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7131 |
Charles M Burkett | Diagnostic Radiology | East Central Florida Outpatient Imaging, LLC | 1890 Lpga Blvd, Suite 110, Daytona Beach, FL 32117-7131 |
Stephen J Cortez | Obstetrics/gynecology | Schwenker and Stavoy, Md, Pa | 1890 Lpga Blvd, Suite 160, Daytona Beach, FL 32117-7138 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Erika Faile | Family Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
Richard C Braithwaite | Internal Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
Joseph J Zuckerman | Internal Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
James T Moore | Psychiatry | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
Karen Michelle Berkeley | Clinical Social Worker | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
Jared Ritter | Psychiatry | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
Willis Blower | Clinical Social Worker | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
Wendy A Myers | Internal Medicine | Florida Health Care Plans Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
Mary Jo Arciom | Chiropractic | 244 9th St, Holly Hill, FL 32117-3535 | |
Gabriel F Rizzo | Chiropractic | 701 Ridgewood Ave, Unit B, Holly Hill, FL 32117-3619 | |
Find all physicians in zip 32117 |
City | DAYTONA BEACH |
Zip Code | 32117 |
Specialty | GENERAL SURGERY |
City + Specialty | DAYTONA BEACH + GENERAL SURGERY |
Please comment or provide details below to improve the information on Michael A Fabian.
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.