Jose Concha (NPI# 1992742142, PAC ID# 5799820213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1992742142 |
PAC ID by PECOS | 5799820213 |
Professional Enrollment ID | I20100320000263 |
Full Name | Jose Concha |
Organization Legal Name | COASTAL FOOT AND ANKLE WELLNESS CENTER LLC |
Address |
200 Southpark Blvd Suite 208 St Augustine FL 32086-3129 |
Phone Number | 9048261900 |
Gender | M |
Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1996 |
Primary Specialty | PODIATRY |
Group Practice PAC ID | 9537204151 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
3805 Crill Ave, Palatka, FL 32177-9170 | 3863281122 | COASTAL FOOT AND ANKLE WELLNESS CENTER LLC |
200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 | 9048261900 | COASTAL FOOT AND ANKLE WELLNESS CENTER LLC |
Organization Legal Name | COASTAL FOOT AND ANKLE WELLNESS CENTER LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard W Johnson | Podiatry | Coastal Foot and Ankle Wellness Center LLC | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 |
Street Address |
200 SOUTHPARK BLVD SUITE 208 |
City | ST AUGUSTINE |
State | FL |
Zip | 32086-3129 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alexandra Gabrielle Feuer | Physician Assistant | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
James Bernard | Dermatology | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
Richard W Johnson | Podiatry | Coastal Foot and Ankle Wellness Center LLC | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 |
Josep Genebriera-de Lamo | Dermatology | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dana D Reynolds | Nurse Practitioner | First City Hospitalists Group Pllc | 3 Rd, St Augustine, FL 32086 |
David C Lomaglio | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
Judith L Nichols | Nurse Practitioner | St Augustine Primary Care P L | 105 Mariner Health Way, Suite 203, St Augustine, FL 32086-3251 |
Andrew Raymond Schreiner | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
Hyacinth Wallace | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
Sarah Lia Braddock | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
Jessica P Schreiner | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
Melanie Lomaglio | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
Victoria Martin | Occupational Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
Tayler Rayanna Adams | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
Find all physicians in zip 32086 |
City | ST AUGUSTINE |
Zip Code | 32086 |
Specialty | PODIATRY |
City + Specialty | ST AUGUSTINE + PODIATRY |
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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.