James R Smith (NPI# 1275504144, PAC ID# 6305821075) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1275504144 |
| PAC ID by PECOS | 6305821075 |
| Professional Enrollment ID | I20040618000905 |
| Full Name | James R Smith |
| Organization Legal Name | POLK EMERGENCY GROUP LLC |
| Address |
2200 Osprey Blvd Bartow FL 33830-3308 |
| Phone Number | 8635338111 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0547241598 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100121 | BARTOW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2200 Osprey Blvd, Bartow, FL 33830-3308 | 8635338111 | POLK EMERGENCY GROUP LLC |
| Organization Legal Name | POLK EMERGENCY GROUP LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen Michael Fisher | Emergency Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Christopher C Whitney | Nurse Practitioner | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Anid O Orbezo Phelps | Family Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Howard Nelson Chipman Iii | Emergency Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Gregory Baisden | Nurse Practitioner | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Ruslan Ivanov | Family Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Eric Conklin | Nurse Practitioner | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Street Address |
2200 OSPREY BLVD |
| City | BARTOW |
| State | FL |
| Zip | 33830-3308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen Michael Fisher | Emergency Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Christopher C Whitney | Nurse Practitioner | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Anid O Orbezo Phelps | Family Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Howard Nelson Chipman Iii | Emergency Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Gregory Baisden | Nurse Practitioner | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Ruslan Ivanov | Family Medicine | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Eric Conklin | Nurse Practitioner | Polk Emergency Group LLC | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Thomas E Mcmicken | Family Practice | Watson Clinic LLP | 2200 Osprey Blvd, Bartow, FL 33830-3308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca C Duvall | Chiropractic | 1335 Hwy 17 S, Bartow, FL 33830 | |
| Adam C Parker | Family Medicine | Raypar Inc | 1064 N Broadway Ave, Bartow, FL 33830-3301 |
| Dane V Parker | Chiropractic | Raypar Inc | 1064 N Broadway Ave, Bartow, FL 33830-3301 |
| Barry P Nash | Internal Medicine | Raypar Inc | 1064 N Broadway Ave, Bartow, FL 33830-3301 |
| Joseph Howard | Physician Assistant | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Deborah Ann Vaccarello | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Stephanie Rebekah Moore | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Peter A Jacobson | Internal Medicine | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Larnel P Sultan | Family Medicine | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Tara M Calise | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 2020 Flamingo Dr, Bartow, FL 33830-4262 |
| Find all physicians in zip 33830 | |||
| City | BARTOW |
| Zip Code | 33830 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BARTOW + EMERGENCY MEDICINE |
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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.