Timothy Lee Light (NPI# 1912215807, PAC ID# 6901053693) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1912215807 |
| PAC ID by PECOS | 6901053693 |
| Professional Enrollment ID | I20120831000469 |
| Full Name | Timothy Lee Light |
| Address |
1573 S Fort Harrison Ave Clearwater FL 33756-2004 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100127 | MORTON PLANT HOSPITAL |
| 100248 | LARGO MEDICAL CENTER |
| 100265 | MORTON PLANT MEASE HEALTHCARE COUNTRYSIDE |
| Address | Phone | Organization |
|---|---|---|
| 1173 Turner St, Clearwater, FL 33756-4135 | 7272988496210 | COMMUNITY HOSPITALISTS OF PINELLA |
| 1573 S Fort Harrison Ave, Clearwater, FL 33756-2004 |
| Street Address |
1573 S FORT HARRISON AVE |
| City | CLEARWATER |
| State | FL |
| Zip | 33756-2004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miguel E Trevino | Internal Medicine | 1573 S Fort Harrison Ave, Clearwater, FL 33756-2004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guillermo W Cosma | Psychiatry | 1305 S Ft Harrison Ave, Bldg F, Clearwater, FL 33756 | |
| Jeanette C Rivas | Clinical Social Worker | 1145 Ponce De Leon Blvd, Clearwater, FL 33756-1040 | |
| Louis M Palermo | Anesthesiology | Northwood Anesthesia Associates LLC | 1130 Ponce De Leon Blvd, Clearwater, FL 33756-1041 |
| Ronda S Anderson | Certified Registered Nurse Anesthetist (crna) | Northwood Anesthesia Associates LLC | 1130 Ponce De Leon Blvd, Clearwater, FL 33756-1041 |
| Julie C Swink | Certified Registered Nurse Anesthetist (crna) | Northwood Anesthesia Associates LLC | 1130 Ponce De Leon Blvd, Clearwater, FL 33756-1041 |
| Ann L Deverell | Certified Registered Nurse Anesthetist (crna) | Northwood Anesthesia Associates LLC | 1130 Ponce De Leon Blvd, Clearwater, FL 33756-1041 |
| David H Nathan | Dermatology | 1016 Ponce De Leon Blvd, Suite 7, Belleair, FL 33756-1069 | |
| Erin Butler | Nurse Practitioner | All Care Medical Consultants Pa | 1745 S Highland Ave, Clearwater, FL 33756-1852 |
| Bhiru A Patel-elio | Family Medicine | All Care Medical Consultants Pa | 1745 S Highland Ave, Clearwater, FL 33756-1852 |
| Carol Ann Ives | Nurse Practitioner | All Care Medical Consultants Pa | 1745 S Highland Ave, Clearwater, FL 33756-1852 |
| Find all physicians in zip 33756 | |||
| City | CLEARWATER |
| Zip Code | 33756 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CLEARWATER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Timothy Lee Light.
| 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.