Jason D Cundiff (NPI# 1497926323, PAC ID# 6608930656) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1497926323 |
PAC ID by PECOS | 6608930656 |
Professional Enrollment ID | I20180108000272 |
Full Name | Jason D Cundiff |
Organization Legal Name | WEST FLORIDA TRAUMA NETWORK, LLC |
Address |
315 75th Ave W Bradenton FL 34209-3201 |
Phone Number | 9417953600 |
Gender | M |
Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2001 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 7911175658 |
Number of Group Practice Members | 13 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100213 | BLAKE MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2010 59th St W, Suite 2200, Bradenton, FL 34209-4689 | 9417945621 | WEST FLORIDA TRAUMA NETWORK, LLC |
315 75th Ave W, Bradenton, FL 34209-3201 | 9417953600 | WEST FLORIDA TRAUMA NETWORK, LLC |
Organization Legal Name | WEST FLORIDA TRAUMA NETWORK, LLC |
Physicians | 14 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joliette Barnum | General Surgery | West Florida Trauma Network, LLC | 2010 59th St W, Suite 2200, Bradenton, FL 34209-4689 |
Qaali A Hussein | General Surgery | West Florida Trauma Network, LLC | 2020 59th St W, Bradenton, FL 34209-4604 |
Lindsay Rebekah Dewolf | Nurse Practitioner | West Florida Trauma Network, LLC | 2010 59th St W, Suite 2200, Bradenton, FL 34209-4689 |
Erwin P Rusli | General Surgery | West Florida Trauma Network, LLC | 2010 59th St W, Suite 2200, Bradenton, FL 34209-4689 |
John P Leone | General Surgery | West Florida Trauma Network, LLC | 2901 B Swann Ave, Tampa, FL 33609-4056 |
Samantha L Hardwicke | Physician Assistant | West Florida Trauma Network, LLC | 2020 59th St W, Bradenton, FL 34209-4604 |
Ralph J Barker | Critical Care (intensivists) | West Florida Trauma Network, LLC | 2020 59th St W, Bradenton, FL 34209-4604 |
Kevin J Hirsch | General Surgery | West Florida Trauma Network, LLC | 2020 59th St W, Bradenton, FL 34209-4604 |
Aimee S Hall | Nurse Practitioner | West Florida Trauma Network, LLC | 2010 59th St W, Suite 2200, Bradenton, FL 34209-4689 |
Jennifer Mccleary | Physician Assistant | West Florida Trauma Network, LLC | 2020 59th St W, Bradenton, FL 34209-4604 |
Street Address |
315 75TH AVE W |
City | BRADENTON |
State | FL |
Zip | 34209-3201 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marta J Rothstein | Nurse Practitioner | West Florida Carenow Urgent Care LLC | 315 75th Ave W, Bradenton, FL 34209-3201 |
Fred Bearison | Internal Medicine | West Florida Physician Network, LLC | 315 75th Ave W, Bradenton, FL 34209-3201 |
James W Reed | Family Medicine | West Florida Carenow Urgent Care LLC | 315 75th Ave W, Bradenton, FL 34209-3201 |
Sharla Sundberg | General Surgery | West Florida Physician Network, LLC | 315 75th Ave W, Bradenton, FL 34209-3201 |
Nemer Dabage-forzoli | Internal Medicine | West Florida Physician Network, LLC | 315 75th Ave W, Bradenton, FL 34209-3201 |
Ofelia A Lopez | Family Medicine | West Florida Physician Network, LLC | 315 75th Ave W, Bradenton, FL 34209-3201 |
Rajesh Malik | Cardiac Electrophysiology | West Florida Physician Network, LLC | 315 75th Ave W, Bradenton, FL 34209-3201 |
Paige Koenig Pennebacker | General Surgery | West Florida Physician Network, LLC | 315 75th Ave W, Bradenton, FL 34209-3201 |
Kenneth H Crager | Rheumatology | West Florida Physician Network, LLC | 315 75th Ave W, Bradenton, FL 34209-3201 |
Name | Specialty | Organization | Address |
---|---|---|---|
David E Law | Internal Medicine | Sleep Manatee Pl | 5947 Riverview Blvd, Bradenton, FL 34209-1860 |
Vishal Sharma | Internal Medicine | Center for Medicine Inc | 6400 Manatee Ave W, Suite A, Bradenton, FL 34209-2357 |
Constance Elaine Russell | Clinical Social Worker | 6400 Manatee W Ave F, Bradenton, FL 34209-2357 | |
Amanda S Briles | Nurse Practitioner | Center for Medicine Inc | 6400 Manatee Ave W, Suite A, Bradenton, FL 34209-2357 |
Jane Ogden | Clinical Social Worker | 6404 Manatee Ave W, B, Bradenton, FL 34209-2358 | |
Iliannette Rivera Colon | Chiropractic | Rhc Health Services Pllc | 6220 Manatee Ave W, Suite 204, Bradenton, FL 34209-2361 |
Kaitlyn Bassett Faipler | Chiropractic | Rhc Health Services Pllc | 6220 Manatee Ave W, Suite 204, Bradenton, FL 34209-2361 |
Heather J Crawford | Chiropractic | Rhc Health Services Pllc | 6220 Manatee Ave W, Suite 204, Bradenton, FL 34209-2361 |
John A Pfeilsticker | Emergency Medicine | 6302 Manatee W Ave, Suite I 2, Bradenton, FL 34209-2377 | |
Cari L Tingen | Clinical Social Worker | 211 50th St Ct Nw, Bradenton, FL 34209-2800 | |
Find all physicians in zip 34209 |
City | BRADENTON |
Zip Code | 34209 |
Specialty | GENERAL SURGERY |
City + Specialty | BRADENTON + GENERAL 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.