Sean Heron (NPI# 1164486262, PAC ID# 5698712354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1164486262 |
| PAC ID by PECOS | 5698712354 |
| Professional Enrollment ID | I20080529000621 |
| Full Name | Sean Heron |
| Organization Legal Name | ADVANCED UROLOGY INSTITUTE, LLC |
| Address |
1401 Pasadena Ave S South Pasadena FL 33707-3715 |
| Phone Number | 7273473116 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 2163653585 |
| Number of Group Practice Members | 92 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100126 | PALMS OF PASADENA HOSPITAL |
| 100238 | NORTHSIDE HOSPITAL |
| 100075 | ST JOSEPHS HOSPITAL |
| 100180 | ST PETERSBURG GENERAL HOSPITAL |
| 100127 | MORTON PLANT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1401 Pasadena Ave S, South Pasadena, FL 33707-3715 | 7273473116 | ADVANCED UROLOGY INSTITUTE, LLC |
| 5747 38th Ave N, St Petersburg, FL 33710-1925 | 7273818667 | ADVANCED UROLOGY INSTITUTE, LLC |
| Organization Legal Name | ADVANCED UROLOGY INSTITUTE, LLC |
| Physicians | 99 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajinikanth Ayyathurai | Urology | Advanced Urology Institute, LLC | 609 W Highland Blvd, Inverness, FL 34452-4638 |
| Michael Earl Galloway | Radiation Oncology | Advanced Urology Institute, LLC | 2560 Enterprise Rd E, Clearwater, FL 33759-1010 |
| Mikhail Lezhak | Physician Assistant | Advanced Urology Institute, LLC | 545 Health Blvd, Daytona Beach, FL 32114-1493 |
| Joseph L Camps | Urology | Advanced Urology Institute, LLC | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 |
| Robert C Youngman | Urology | Advanced Urology Institute, LLC | 506 Palmetto St, New Smyrna Beach, FL 32168-7325 |
| Stephen G Weiss | Urology | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Howard B Epstein | Urology | Advanced Urology Institute, LLC | 240 Southpark Cir E, Saint Augustine, FL 32086-5137 |
| David S Harris | Urology | Advanced Urology Institute, LLC | 13681 Doctors Way, Gulf Coast Medical Center, Fort Myers, FL 33912-4300 |
| Dinesh S Rao | Urology | Advanced Urology Institute, LLC | 1901 Se 18th Ave Bldg, Suite 300, Ocala, FL 34471-8214 |
| Brian D Hale | Urology | Advanced Urology Institute, LLC | 2148 Duck Slough Blvd, Suite 102, New Port Richey, FL 34655-5068 |
| Street Address |
1401 PASADENA AVE S |
| City | SOUTH PASADENA |
| State | FL |
| Zip | 33707-3715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott E Kapulskey | Geriatric Medicine | 7035 1st S Ave, Saint Petersburg, FL 33707-1203 | |
| Mark A Nowacki | Internal Medicine | 7011 1st Ave S, St Petersburg, FL 33707-1203 | |
| Rebeca Fajardo | Internal Medicine | Webber Primecare Medical Center LLC | 7035 1st S Ave, Saint Petersburg, FL 33707-1203 |
| Jane E Kienle | Geriatric Medicine | Dean A Bramlet M D P A | 7111 1st S Ave, Saint Petersburg, FL 33707-1223 |
| Christopher Joseph Leto | Otolaryngology | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Timothy M Dunlevy | Otolaryngology | Pasadena Ent Pa | 6827 1st S Ave, Suite 100, Saint Petersburg, FL 33707-1242 |
| Skye Dorsett Quamina | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Ricardo Requena | Otolaryngology | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Calli Keenan Fodor | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Helen L Techler | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Find all physicians in zip 33707 | |||
| City | SOUTH PASADENA |
| Zip Code | 33707 |
| Specialty | UROLOGY |
| City + Specialty | SOUTH PASADENA + UROLOGY |
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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.