Kelly Leigh Richards (NPI# 1861825127, PAC ID# 7012151533) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1861825127 |
| PAC ID by PECOS | 7012151533 |
| Professional Enrollment ID | I20130923000487 |
| Full Name | Kelly Leigh Richards |
| Organization Legal Name | ATLANTIC EAR, NOSE AND THROAT, PA |
| Address |
963 Town Ctr Dr Suite 100 Orange City FL 32763-8254 |
| Phone Number | 3867749880 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7214830660 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100007 | FLORIDA HOSPITAL |
| 100072 | FLORIDA HOSPITAL FISH MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 963 Town Ctr Dr, Suite 100, Orange City, FL 32763-8254 | 3867749880 | ATLANTIC EAR, NOSE AND THROAT, PA |
| Organization Legal Name | ATLANTIC EAR, NOSE AND THROAT, PA |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Smith | Qualified Speech Language Pathologist | Atlantic Ear, Nose and Throat, Pa | 963 Town Ctr Dr, Suite 100, Orange City, FL 32763-8254 |
| Damaris A Age | Physician Assistant | Atlantic Ear, Nose and Throat, Pa | 1431 Orange Camp Rd, Suite 112, Deland, FL 32724-7770 |
| Carinda Stout | Qualified Speech Language Pathologist | Atlantic Ear, Nose and Throat, Pa | 1301 S International Pkwy, Suite 2011, Lake Mary, FL 32746-1411 |
| Daniel L Rothbaum | Otolaryngology | Atlantic Ear, Nose and Throat, Pa | 1431 Orange Camp Rd, Suite 112, Deland, FL 32724-7770 |
| Devang M Shah | Otolaryngology | Atlantic Ear, Nose and Throat, Pa | 1431 Orange Camp Rd, Suite 112, Deland, FL 32724-7770 |
| Natasha L Taylor | Physician Assistant | Atlantic Ear, Nose and Throat, Pa | 1431 Orange Camp Rd, Suite 112, Deland, FL 32724-7770 |
| Dana Jickell | Qualified Audiologist | Atlantic Ear, Nose and Throat, Pa | 1301 S International Pkwy, Suite 2011, Lake Mary, FL 32746-1411 |
| Kelly M Yurasko | Qualified Speech Language Pathologist | Atlantic Ear, Nose and Throat, Pa | 963 Town Ctr Dr, Suite 100, Orange City, FL 32763-8254 |
| Elvira Livigni-de Armas | Audiologist | Atlantic Ear, Nose and Throat, Pa | 1301 S International Pkwy, Suite 2011, Lake Mary, FL 32746-1411 |
| Lisa A Krebs | Audiologist | Atlantic Ear, Nose and Throat, Pa | 963 Town Ctr Dr, Orange City, FL 32763-8254 |
| Street Address |
963 TOWN CTR DR SUITE 100 |
| City | ORANGE CITY |
| State | FL |
| Zip | 32763-8254 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Smith | Qualified Speech Language Pathologist | Atlantic Ear, Nose and Throat, Pa | 963 Town Ctr Dr, Suite 100, Orange City, FL 32763-8254 |
| Kelly M Yurasko | Qualified Speech Language Pathologist | Atlantic Ear, Nose and Throat, Pa | 963 Town Ctr Dr, Suite 100, Orange City, FL 32763-8254 |
| Lisa A Krebs | Audiologist | Atlantic Ear, Nose and Throat, Pa | 963 Town Ctr Dr, Orange City, FL 32763-8254 |
| Jeffrey T Swanson | Speech Language Pathologist | Atlantic Ear Nose and Throat Pa | 963 Town Ctr Dr, Suite 100, Orange City, FL 32763-8254 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Simpson Sullenberger | Optometry | Coastal Eye Associates Inc. | 2400 Veterans Memorial Pkwy, Orange City, FL 32763-1700 |
| Kevin Bruce Brantley | Optometry | Coastal Eye Associates Inc. | 2400 Veterans Memorial Pkwy, Orange City, FL 32763-1700 |
| Angela Marie Moodie | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Paul Bond | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Nakesha R Miller | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Elaine L Lawless | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Sherri A Ferguson | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Mary Frances Riggins | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Traci Lynn Zimmer | Nurse Practitioner | Primary Care of Orange City LLC | 135 E Minnesota Ave, Orange City, FL 32763-2312 |
| Raymond De Castro | Psychiatry | Primary Care of Orange City LLC | 135 E Minnesota Ave, Orange City, FL 32763-2312 |
| Find all physicians in zip 32763 | |||
| City | ORANGE CITY |
| Zip Code | 32763 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ORANGE CITY + PHYSICIAN ASSISTANT |
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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.