Jecebu Ceballos (NPI# 1740394352, PAC ID# 6608973342) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1740394352 |
| PAC ID by PECOS | 6608973342 |
| Professional Enrollment ID | I20070515000245 |
| Full Name | Jecebu Ceballos |
| Organization Legal Name | MEMORIAL HOSPITAL FLAGLER INC |
| Address |
61 Memorial Medical Pkwy Palm Coast FL 32164-5982 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1759371594 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100118 | FLORIDA HOSPITAL FLAGLER |
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 120 Cypress Edge Dr, Palm Coast, FL 32164-8454 | MEMORIAL HOSPITAL FLAGLER INC | |
| 61 Memorial Medical Pkwy, Palm Coast, FL 32164-5982 | MEMORIAL HOSPITAL FLAGLER INC |
| Organization Legal Name | MEMORIAL HOSPITAL FLAGLER INC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donnette F Williams | Family Medicine | Memorial Hospital Flagler Inc | 21 Hospital Dr, Suite 290, Palm Coast, FL 32164-2455 |
| Sergey Turchin | Internal Medicine | Memorial Hospital Flagler Inc | 120 Cypress Edge Dr, Palm Coast, FL 32164-8454 |
| John Cascone | General Surgery | Memorial Hospital Flagler Inc | 61 Memorial Medical Pkwy, Palm Coast, FL 32164-5982 |
| Tanam S Ahmed | Family Medicine | Memorial Hospital Flagler Inc | 120 Cypress Edge Dr, Palm Coast, FL 32164-8454 |
| Joseph Mckinley | Gastroenterology | Memorial Hospital Flagler Inc | 21 Hospital Dr, Suite 110, Palm Coast, FL 32164-2453 |
| Jose Ramon Garcia Guerra | Neurology | Memorial Hospital Flagler Inc | 120 Cypress Edge Dr, Palm Coast, FL 32164-8454 |
| Jeffrey J Ward | Family Medicine | Memorial Hospital Flagler Inc | 120 Cypress Edge Dr, Palm Coast, FL 32164-8454 |
| Gregory Macisaac | Family Medicine | Memorial Hospital Flagler Inc | 120 Cypress Edge Dr, Palm Coast, FL 32164-8454 |
| Kate M Loftis | Physician Assistant | Memorial Hospital Flagler Inc | 120 Cypress Edge Dr, Palm Coast, FL 32164-8454 |
| Allan C Oglesby | Internal Medicine | Memorial Hospital Flagler Inc | 120 Cypress Edge Dr, Palm Coast, FL 32164-8454 |
| Street Address |
61 MEMORIAL MEDICAL PKWY |
| City | PALM COAST |
| State | FL |
| Zip | 32164-5982 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Padmaja B Sai | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 61 Memorial Medical Pkwy, Suite 2818, Palm Coast, FL 32164-5999 |
| John Cascone | General Surgery | Memorial Hospital Flagler Inc | 61 Memorial Medical Pkwy, Palm Coast, FL 32164-5982 |
| Shriram S Marathe | Internal Medicine | 61 Memorial Medical Pkwy, Suite 3815, Palm Coast, FL 32164-5982 | |
| Paulina Z Bellezza | Physician Assistant | Memorial Hospital Flagler Inc | 61 Memorial Medical Pkwy, Palm Coast, FL 32164-5983 |
| Mitchell B Weisberg | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 61 Memorial Medical Pkwy, Suite 2812, Palm Coast, FL 32164-5999 |
| Kizhake C Kurian | Cardiovascular Disease (cardiology) | Memorial Hospital Flagler Inc | 61 Memorial Medical Pkwy, Suite 2811, Palm Coast, FL 32164-5999 |
| Michelle B Johnston | Physician Assistant | Memorial Health Systems Inc | 61 Memorial Medical Pkwy, Suite 1 800a, Palm Coast, FL 32164-5983 |
| Richard V Cashio Jr. | Plastic and Reconstructive Surgery | 61 Memorial Medical Pkwy, Suite 2802, Palm Coast, FL 32164-5999 | |
| Haroldo Melo | Internal Medicine | Memorial Health Systems Inc | 61 Memorial Medical Pkwy, Suite 1 800a, Palm Coast, FL 32164-5983 |
| Farhaad C Golkar | General Surgery | Memorial Hospital Flagler Inc | 61 Memorial Medical Pkwy, Palm Coast, FL 32164-5982 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don Joseph Alfonso | Family Medicine | Ardent Family Care Pa | 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324 |
| Mirian G Langer | Nurse Practitioner | Ardent Family Care Pa | 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324 |
| Renato A Alfonso | Internal Medicine | Ardent Family Care Pa | 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324 |
| Mary K Reynolds | Nurse Practitioner | Ardent Family Care Pa | 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324 |
| Kenneth M Roberts | Physician Assistant | Florida Urology Center Pa | 84 Pinnacles Dr, Suite 500, Palm Coast, FL 32164-2324 |
| Jason R Thompson | Obstetrics/gynecology | Fwc Urogynecology LLC | 84 Pinnacles Dr, Suite 500, Palm Coast, FL 32164-2324 |
| Ross C Wheeler | Dermatology | 84 Pinnacles Dr, Suite 400, Palm Coast, FL 32164-2324 | |
| Robert Bruce Perri | Nurse Practitioner | Ardent Family Care Pa | 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324 |
| Vicki S Ma | Occupational Therapy | Physical Therapy Professionals and Associates, Inc. | 84 Pinnacles Dr, Suite 300, Palm Coast, FL 32164-2324 |
| Frank Michael Alea | Vascular Surgery | Roy H Hinman Md Pa | 2 Mccormick Dr, Palm Coast, FL 32164-2352 |
| Find all physicians in zip 32164 | |||
| City | PALM COAST |
| Zip Code | 32164 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PALM COAST + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jecebu Ceballos.
| 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.