Jennifer Sally Waldon (NPI# 1629510599, PAC ID# 5294017588) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1629510599 |
| PAC ID by PECOS | 5294017588 |
| Professional Enrollment ID | I20170120002613 |
| Full Name | Jennifer Sally Waldon |
| Organization Legal Name | NEPTUNE BEACH SURGICAL SPECIALISTS LLC |
| Address |
3625 Univ Blvd S Jacksonville FL 32216-4207 |
| Phone Number | 9047026111 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1355626789 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100179 | MEMORIAL HOSPITAL JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 3625 Univ Blvd S, Jacksonville, FL 32216-4207 | 9047026111 | NEPTUNE BEACH SURGICAL SPECIALISTS LLC |
| 3627 University Blvd S, Suite 305, Jacksonville, FL 32216-4294 | 2147122444 | NEPTUNE BEACH SURGICAL SPECIALISTS LLC |
| Organization Legal Name | NEPTUNE BEACH SURGICAL SPECIALISTS LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Yeykal | General Surgery | Neptune Beach Surgical Specialists LLC | 3627 University Blvd S, Suite 305, Jacksonville, FL 32216-4294 |
| Radu Gheorghe | Physician Assistant | Neptune Beach Surgical Specialists LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Igor J Alvarez-forte | Physician Assistant | Neptune Beach Surgical Specialists LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Randall B Fulford | Physician Assistant | Neptune Beach Surgical Specialists LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| John M Hale | Physician Assistant | Neptune Beach Surgical Specialists LLC | 3627 University Blvd S, Suite 305, Jacksonville, FL 32216-4294 |
| Terry K Mckinney | General Surgery | Neptune Beach Surgical Specialists LLC | 3627 University Blvd S, Suite 305, Jacksonville, FL 32216-4294 |
| Hayley G Patridge | Physician Assistant | Neptune Beach Surgical Specialists LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Pamela L.p. Melera | General Surgery | Neptune Beach Surgical Specialists LLC | 3627 University Blvd S, Suite 305, Jacksonville, FL 32216-4294 |
| Sylvester Paulasir | General Surgery | Neptune Beach Surgical Specialists LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Michael P Heid | General Surgery | Neptune Beach Surgical Specialists LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Street Address |
3625 UNIV BLVD S |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32216-4207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lateya Foxx | Neuropsychiatry | Memorial Family Practice Associates, LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Georganna Michelle Rosel | Emergency Medicine | Paragon Emergency Services LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| David R Davis | Emergency Medicine | Paragon Emergency Services LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| John D Deperi | General Surgery | Memorial Family Practice Associates, LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Aarian P Afshari | Emergency Medicine | Paragon Emergency Services LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Radu Gheorghe | Physician Assistant | Neptune Beach Surgical Specialists LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| James Delano Hayes Jr. | Emergency Medicine | Paragon Emergency Services LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Janet L Rustia | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of Florida, LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Moira P Petirs | Emergency Medicine | Paragon Emergency Services LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Courtney R King | Nurse Practitioner | Paragon Emergency Services LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eula B Kovacs | Clinical Social Worker | 7035 Phillips Hwy, Suite 38, Jacksonville, FL 32216 | |
| Rebecca K Reza | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Jessica Lynn Burkett | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Diana C Maccario | Family Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Vonda Marie Love | Nurse Practitioner | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| John Paul Guercio | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Guilad Pribluda | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Bhavesh S Patel | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Arnel Larcia | Internal Medicine | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Kelly Bingham Traylor | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Find all physicians in zip 32216 | |||
| City | JACKSONVILLE |
| Zip Code | 32216 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | JACKSONVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jennifer Sally Waldon.
| 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.