Charleen L Ise (NPI# 1053427716, PAC ID# 6608810759) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1053427716 |
| PAC ID by PECOS | 6608810759 |
| Professional Enrollment ID | I20050620000355 |
| Full Name | Charleen L Ise |
| Organization Legal Name | NAUTILUS HEALTH CARE GROUP LLC |
| Address |
7000 4th St N Bayfront Wound Care and Hyperbaric St Petersburg FL 33702-5903 |
| Phone Number | 7275289824 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991604852 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| 100032 | BAYFRONT HEALTH - ST PETERSBURG |
| 100191 | MEDICAL CENTER OF TRINITY |
| 100126 | PALMS OF PASADENA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 601 Main St, Dunedin, FL 34698-5848 | 8556895105 | NAUTILUS HEALTH CARE GROUP LLC |
| 7000 4th St N, Bayfront Wound Care and Hyperbaric, St Petersburg, FL 33702-5903 | 7275289824 | NAUTILUS HEALTH CARE GROUP LLC |
| Organization Legal Name | NAUTILUS HEALTH CARE GROUP LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen L Larusso | Nurse Practitioner | Nautilus Health Care Group LLC | 3001 W Dr Mlk Jr Blvd, Tampa, FL 33607-6387 |
| Heather Amanda Dunn | Nurse Practitioner | Nautilus Health Care Group LLC | 250 2nd St E, Suite 4e, Bradenton, FL 34208-1028 |
| Louis Mazzella | Family Medicine | Nautilus Health Care Group LLC | 7501 38th Ave N, St Petersburg, FL 33710-1230 |
| Gary Anthony Gallo | Orthopedic Surgery | Nautilus Health Care Group LLC | 8340 Collier Blvd, Suite 302, Naples, FL 34114-3626 |
| Adelor Zamora | Internal Medicine | Nautilus Health Care Group LLC | 10300 4th St N, St Petersburg, FL 33716-3810 |
| Robyn M Ache | General Surgery | Nautilus Health Care Group LLC | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 |
| Kristin L Eversole | Nurse Practitioner | Nautilus Health Care Group LLC | 210 21st Ave W, Bradenton, FL 34205-8336 |
| Petra Elke Townsend | Family Medicine | Nautilus Health Care Group LLC | 3951 Nw 48th Ter, Suite 211, Gainesville, FL 32606-7230 |
| Keron A Ferguson | Family Medicine | Nautilus Health Care Group LLC | 715 W State Rd, Suite 434, Longwood, FL 32750-4937 |
| Jennifer L Misechok | Physician Assistant | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
| Street Address |
7000 4TH ST N BAYFRONT WOUND CARE AND HYPERBARIC |
| City | ST PETERSBURG |
| State | FL |
| Zip | 33702-5903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Candice C Linton | Family Medicine | Nautilus Health Care Group LLC | 7000 4th St N, Bayfront Wound Care and Hyperbaric, St Petersburg, FL 33702-5903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas G Quinlan | Psychologist, Clinical | 8479 Dr Mlk Jr St N, St Petersburg, FL 33702 | |
| Eden's Valentin | Internal Medicine | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Felipe A Alvarado Amado | Internal Medicine | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Kantilal N Bhadja | Internal Medicine | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Ruperl C Patel | Family Medicine | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Anne C Thorne-picard | Nurse Practitioner | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Nora Koziel | Nurse Practitioner | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Bina Jain | Internal Medicine | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Babette Merchand Pachence | Internal Medicine | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Denise Tatem | Nurse Practitioner | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Find all physicians in zip 33702 | |||
| City | ST PETERSBURG |
| Zip Code | 33702 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ST PETERSBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charleen L Ise.
| 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.