Kevin Michael Mcelligott (NPI# 1447694864, PAC ID# 7214230804) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1447694864 |
| PAC ID by PECOS | 7214230804 |
| Professional Enrollment ID | I20180313000232 |
| Full Name | Kevin Michael Mcelligott |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Address |
4555 S Manhattan Ave Tampa FL 33611-2305 |
| Phone Number | 8138396341 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3678602802 |
| Number of Group Practice Members | 150 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100128 | TAMPA GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4555 S Manhattan Ave, Tampa, FL 33611-2305 | 8138396341 | KND DEVELOPMENT 59 LLC |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Chen | Cardiovascular Disease (cardiology) | Knd Development 59 LLC | 4555 S Manhattan Ave, Tampa, FL 33611-2305 |
| Aleksandar A Radovic | Emergency Medicine | Knd Development 59 LLC | 6130 N Sheridan Rd, Chicago, IL 60660-2830 |
| Yvonne A Alanes | Internal Medicine | Knd Development 59 LLC | 845 N Lark Ellen Ave, West Covina, CA 91791-1069 |
| Daniel J Ries | General Practice | Knd Development 59 LLC | 1901 College Ave, Santa Ana, CA 92706-2334 |
| John B Steele | Anesthesiology | Knd Development 59 LLC | 205 Hollow Tree Ln, Houston, TX 77090-2801 |
| Victor E Oliva Gutierrez | Internal Medicine | Knd Development 59 LLC | 700 High St Ne, Albuquerque, NM 87102-2565 |
| Charles Wayne Plummer | Anesthesiology | Knd Development 59 LLC | 2401 Southside Blvd, Greensboro, NC 27406-3311 |
| Jazbeen Mahmood | Family Medicine | Knd Development 59 LLC | 3030 6th S St, Saint Petersburg, FL 33705-3720 |
| Ali H Bawamia | Internal Medicine | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Shayna M Tisdall | Physician Assistant | Knd Development 59 LLC | 700 Potomac St, Fl 2, Aurora, CO 80011-6846 |
| Street Address |
4555 S MANHATTAN AVE |
| City | TAMPA |
| State | FL |
| Zip | 33611-2305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Chen | Cardiovascular Disease (cardiology) | Knd Development 59 LLC | 4555 S Manhattan Ave, Tampa, FL 33611-2305 |
| Christopher J Cook | Internal Medicine | Knd Development 59 LLC | 4555 S Manhattan Ave, Tampa, FL 33611-2305 |
| Priya Rathan | Hospitalist | 4555 S Manhattan Ave, Tampa, FL 33611-2305 | |
| Russell G Gelormini | Diagnostic Radiology | Rapid Radiology Inc | 4555 S Manhattan Ave, Tampa, FL 33611-2305 |
| Donald L Quimby Jr. | Internal Medicine | Knd Development 59 LLC | 4555 S Manhattan Ave, Tampa, FL 33611-2305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angie R Pei | Optometry | Angie R. Pei, O.d., P.a. | 5135 S Dale Mabry Hwy, Tampa, FL 33611 |
| Iliana Dole | Nurse Practitioner | Tampa Family Health Centers Inc | 3901 S W Shore Blvd, Tampa, FL 33611-1003 |
| Jamie Kroeker | Nurse Practitioner | Tampa Family Health Centers Inc | 3901 S W Shore Blvd, Tampa, FL 33611-1003 |
| Norman Viray Bisda | Nurse Practitioner | Tampa Family Health Centers Inc | 3901 S W Shore Blvd, Tampa, FL 33611-1003 |
| Nathaniel Morell Gonzalez | Nurse Practitioner | Tampa Family Health Centers Inc | 3901 S W Shore Blvd, Tampa, FL 33611-1003 |
| Nicolle A Abelow | Nurse Practitioner | Tampa Family Health Centers Inc | 3901 S W Shore Blvd, Tampa, FL 33611-1003 |
| Titi Ogunu | Nurse Practitioner | Tampa Family Health Centers Inc | 3901 S W Shore Blvd, Tampa, FL 33611-1003 |
| Jhawnee Arrington | Nurse Practitioner | Tampa Family Health Centers Inc | 3901 S W Shore Blvd, Tampa, FL 33611-1003 |
| Robin K Mcclain | Nurse Practitioner | Tampa Family Health Centers Inc | 3901 S W Shore Blvd, Tampa, FL 33611-1003 |
| Jeanie Marie Menendez | Nurse Practitioner | Tampa Family Health Centers Inc | 3901 S W Shore Blvd, Tampa, FL 33611-1003 |
| Find all physicians in zip 33611 | |||
| City | TAMPA |
| Zip Code | 33611 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TAMPA + INTERNAL MEDICINE |
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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.