Anthony Sayah Al Dehneh (NPI# 1518902634, PAC ID# 5193737377) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1518902634 |
| PAC ID by PECOS | 5193737377 |
| Professional Enrollment ID | I20130805000912 |
| Full Name | Anthony Sayah Al Dehneh |
| Organization Legal Name | OKALOOSA CARDIOLOGY P A |
| Address |
129 E Redstone Ave Suite A Crestview FL 32539-5350 |
| Phone Number | 8506827212 |
| Gender | M |
| Credential | DO |
| Medical School | UMDNJ NEW JERSEY SCHOOL OF OSTEO MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 7315920899 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100223 | FORT WALTON BEACH MEDICAL CENTER |
| 100122 | NORTH OKALOOSA MEDICAL CENTER |
| 100054 | TWIN CITIES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 | 8506827212 | OKALOOSA CARDIOLOGY P A |
| 1032 Mar Walt Dr, Suite 240, Fort Walton Beach, FL 32547-6661 | 8506827212 | OKALOOSA CARDIOLOGY P A |
| Organization Legal Name | OKALOOSA CARDIOLOGY P A |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly J Smidebush | Nurse Practitioner | Okaloosa Cardiology P A | 921 Northwest Mar Walt Dr, Fort Walton Beach, FL 32547-6759 |
| Ian L Weisberg | Cardiac Electrophysiology | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Marcello A Borzatta | Vascular Surgery | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Ajit Janardhan | Cardiac Electrophysiology | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Angel Morrobel | Cardiovascular Disease (cardiology) | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Kaitlin L Bennett | Physician Assistant | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Brittany Nicole Grimes | Nurse Practitioner | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Mark Katzenstein | Cardiovascular Disease (cardiology) | Okaloosa Cardiology P A | 921 Northwest Mar Walt Dr, Fort Walton Beach, FL 32547-6759 |
| Street Address |
129 E REDSTONE AVE SUITE A |
| City | CRESTVIEW |
| State | FL |
| Zip | 32539-5350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ian L Weisberg | Cardiac Electrophysiology | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Marcello A Borzatta | Vascular Surgery | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Ajit Janardhan | Cardiac Electrophysiology | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Angel Morrobel | Cardiovascular Disease (cardiology) | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Kaitlin L Bennett | Physician Assistant | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Brittany Nicole Grimes | Nurse Practitioner | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla J Bulla | Physical Therapy | 521 E Cedar Ave, Crestview, FL 32539-2803 | |
| Tanesha N Turner | Nurse Practitioner | Minute Clinic LLC | 302 E James Lee Blvd, Crestview, FL 32539-2827 |
| Sally A Cooper | Family Medicine | Florida Department of Health | 810 E James Lee Blvd, Crestview, FL 32539-3118 |
| Michelle L Milligan | Clinical Social Worker | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Nina J Gawlik | Psychologist, Clinical | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Lisa Burner | Clinical Social Worker | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Trista Shari Moffett | Clinical Social Worker | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Daran J Mason | General Surgery | North Okaloosa Clinic Corp | 550 W Redstone Ave, Suite 410, Crestview, FL 32539-4657 |
| David A Norfleet | Anesthesiology | Okaloosa Pain Consultants P A | 150 E Redstone Ave, Crestview, FL 32539-5322 |
| Vicente A Mendez | Internal Medicine | North Okaloosa Clinic Corp | 130 E Redstone Ave, Crestview, FL 32539-5348 |
| Find all physicians in zip 32539 | |||
| City | CRESTVIEW |
| Zip Code | 32539 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | CRESTVIEW + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Anthony Sayah Al Dehneh.
| 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.