Kevin B Shrock (NPI# 1154327260, PAC ID# 6305869017) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1154327260 |
| PAC ID by PECOS | 6305869017 |
| Professional Enrollment ID | I20090916000827 |
| Full Name | Kevin B Shrock |
| Organization Legal Name | ORTHO FLORIDA, LLC |
| Address |
1414 Se 3 Ave Fort Lauderdale FL 33316-1910 |
| Phone Number | 9547648033 |
| Gender | M |
| Medical School | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3274616453 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100039 | BROWARD HEALTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 660 Glades Rd, Suite 460, Boca Raton, FL 33431-6469 | 5613915515 | ORTHO FLORIDA, LLC |
| 1414 Se 3 Ave, Fort Lauderdale, FL 33316-1910 | 9547648033 | ORTHO FLORIDA, LLC |
| 1600 S Andrews Ave, Fort Lauderdale, FL 33316-1910 | 9543554400 | ORTHO FLORIDA, LLC |
| Organization Legal Name | ORTHO FLORIDA, LLC |
| Physicians | 89 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie D Culpepper | Nurse Practitioner | Ortho Florida, LLC | 7301 Aw Palmetto Park Rd, 100b, Boca Raton, FL 33433-3435 |
| Elizabeth Moore | Nurse Practitioner | Ortho Florida, LLC | 670 Glades Rd, Suite 200, Boca Raton, FL 33431-6464 |
| William Munoz | Orthopedic Surgery | Ortho Florida, LLC | 660 Glades Rd, Suite 460, Boca Raton, FL 33431-6469 |
| Jorge Gonzalez | Internal Medicine | Ortho Florida, LLC | 5400 N Federal Hwy, Suite 102and103, Fort Lauderdale, FL 33308-3201 |
| Gene Jason Hunt | Orthopedic Surgery | Ortho Florida, LLC | 4450 E Fletcher Ave, Suite C, Tampa, FL 33613-4907 |
| Matthew Dzwonkiewicz | Physician Assistant | Ortho Florida, LLC | 6125 Sw 31st St, Miami, FL 33155-3003 |
| Matthew C. Mai | Orthopedic Surgery | Ortho Florida, LLC | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7808 |
| Michael Rosselli | Emergency Medicine | Ortho Florida, LLC | 4705 N Federal Hwy, Boca Raton, FL 33431-5135 |
| Alan S Routman | Orthopedic Surgery | Ortho Florida, LLC | 5601 N Dixie Hwy, Suite 210, Oakland Park, FL 33334-5144 |
| Erik C Nilssen | Orthopedic Surgery | Ortho Florida, LLC | 825 E Burgess Rd, Pensacola, FL 32504-7001 |
| Street Address |
1414 SE 3 AVE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip | 33316-1910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rafael Sanchez | Physician Assistant | Ortho Florida, LLC | 1414 Se 3 Ave, Fort Lauderdale, FL 33316-1910 |
| Matthew E Wells | Orthopedic Surgery | Ortho Florida, LLC | 1414 Se 3 Ave, Fort Lauderdale, FL 33316-1910 |
| Brittany Poole | Physician Assistant | Ortho Florida, LLC | 1414 Se 3 Ave, Fort Lauderdale, FL 33316-1910 |
| Richard D Goldstein | Orthopedic Surgery | Ortho Florida, LLC | 1414 Se 3 Ave, Fort Lauderdale, FL 33316-1910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey J Oddman | Family Medicine | Holy Cross Hospital Inc | 1115 S Federal Hwy, Ft. Lauderdale, FL 33316 |
| Patricia J Aurelien | Family Medicine | Holy Cross Hospital Inc | 1115 S Federal Hwy, Ft. Lauderdale, FL 33316 |
| Christopher L Queen | General Practice | Holy Cross Hospital Inc | 1115 S Federal Hwy, Ft. Lauderdale, FL 33316 |
| Rebecca M Rey | Family Medicine | Holy Cross Hospital Inc | 1115 S Federal Hwy, Ft. Lauderdale, FL 33316 |
| Carine M Porfiri | Family Medicine | Holy Cross Hospital Inc | 1115 S Federal Hwy, Ft. Lauderdale, FL 33316 |
| Rachel Harris | Family Practice | Holy Cross Hospital Inc | 1115 S Federal Hwy, Ft. Lauderdale, FL 33316 |
| Adlih Moreno-coll | Family Practice | Holy Cross Hospital Inc | 1115 S Federal Hwy, Ft. Lauderdale, FL 33316 |
| Jean-jacques Rajter | Critical Care (intensivists) | Jean Jacques Rajter, M.d.,p.a. | 1001 S Andrews Ave, Suite 100, Fort Lauderdale, FL 33316-1015 |
| Juliana Cepelowicz Rajter | Pulmonary Disease | Jean Jacques Rajter, M.d.,p.a. | 1001 S Andrews Ave, Suite 100, Fort Lauderdale, FL 33316-1015 |
| Charu Jain | Psychologist, Clinical | 1112 Se 3rd Ave, Fort Lauderdale, FL 33316-1110 | |
| Find all physicians in zip 33316 | |||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | FORT LAUDERDALE + ORTHOPEDIC SURGERY |
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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.