Michael Charles Petrauskis (NPI# 1457738353, PAC ID# 5799083978) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1457738353 |
| PAC ID by PECOS | 5799083978 |
| Professional Enrollment ID | I20190729000575 |
| Full Name | Michael Charles Petrauskis |
| Organization Legal Name | DUVAL EMERGENCY GROUP LLC |
| Address |
160 Nw 170th St N Miami Bch FL 33169-5576 |
| Phone Number | 3056511100 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5991846370 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100022 | JACKSON HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 160 Nw 170th St, N Miami Bch, FL 33169-5576 | 3056511100 | DUVAL EMERGENCY GROUP LLC |
| Organization Legal Name | DUVAL EMERGENCY GROUP LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen G Larkin | Emergency Medicine | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Norbert Elsner | Emergency Medicine | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Marisa J Kooima | Nurse Practitioner | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Michael R Miller | Emergency Medicine | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Charles V Bailey Iii | Emergency Medicine | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Mark Ruen | Nurse Practitioner | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Jeffrey C Lombardo | Emergency Medicine | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Vikye Beauport | Emergency Medicine | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Robert Anthony Viviano | Emergency Medicine | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Hassan Y Farhat | Emergency Medicine | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Street Address |
160 NW 170TH ST |
| City | N MIAMI BCH |
| State | FL |
| Zip | 33169-5576 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alande Brezault | Internal Medicine | I and B Medical Associates Inc | 160 Nw 170th St, North Miami Beach, FL 33169-5576 |
| Stephen G Larkin | Emergency Medicine | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Norbert Elsner | Emergency Medicine | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Marisa J Kooima | Nurse Practitioner | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Michael R Miller | Emergency Medicine | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Charles V Bailey Iii | Emergency Medicine | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Claude A Innocent | Internal Medicine | I and B Medical Associates Inc | 160 Nw 170th St, North Miami Beach, FL 33169-5576 |
| Mark Ruen | Nurse Practitioner | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Jeffrey C Lombardo | Emergency Medicine | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Vikye Beauport | Emergency Medicine | Duval Emergency Group LLC | 160 Nw 170th St, N Miami Bch, FL 33169-5576 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent C Chin | General Practice | 19411 Nw 2 Nd Ave, Miami, FL 33169 | |
| Dayna J Clarke-cameron | Family Medicine | 260 N W 183rd St, Miami Gardens, FL 33169 | |
| Ana Tascheret | Internal Medicine | Chen Neighborhood Medical Centers of South Florida, LLC | 20801 Nw 2nd Ave, Miami Gardens, FL 33169-2103 |
| Magalys A Vitiello Toledo | Internal Medicine | Chen Neighborhood Medical Centers of South Florida, LLC | 20801 Nw 2nd Ave, Miami Gardens, FL 33169-2103 |
| Amabel Tangunan Lubaton | Nurse Practitioner | 20566 Nw 11th Ct, Miami Gardens, FL 33169-2495 | |
| Alan H Mandell | Chiropractic | 20334 Nw2nd Ave, Miami, FL 33169-2503 | |
| Patrick Anthony Gray | Geriatric Medicine | Doctors Medical Center Inc | 20215 Nw 2nd Ave, Suite 1, North Miami, FL 33169-2538 |
| Jorge Hernandez Medina | General Practice | Doctors Medical Center Inc | 20215 Nw 2nd Ave, Suite 1, North Miami, FL 33169-2538 |
| Mercedes Jimenez | Nurse Practitioner | Doctors Medical Center Inc | 20215 Nw 2nd Ave, Suite 1, North Miami, FL 33169-2538 |
| Edilia Vivanco | Internal Medicine | Doctors Medical Center Inc | 20215 Nw 2nd Ave, Suite 1, North Miami, FL 33169-2538 |
| Find all physicians in zip 33169 | |||
| City | N MIAMI BCH |
| Zip Code | 33169 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | N MIAMI BCH + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Michael Charles Petrauskis.
| 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.