Lydia Phan (NPI# 1023511151, PAC ID# 7517221583) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023511151 |
| PAC ID by PECOS | 7517221583 |
| Professional Enrollment ID | I20180430001076 |
| Full Name | Lydia Phan |
| Organization Legal Name | ADVANCED CARE GASTROENTEROLOGY ASSOCIATES |
| Address |
15303 Amberly Dr Suite A Tampa FL 33647-2308 |
| Phone Number | 8137519727 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2062712433 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 | 8137519727 | ADVANCED CARE GASTROENTEROLOGY ASSOCIATES |
| Organization Legal Name | ADVANCED CARE GASTROENTEROLOGY ASSOCIATES |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sobia Ali | Gastroenterology | Advanced Care Gastroenterology Associates | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Street Address |
15303 AMBERLY DR SUITE A |
| City | TAMPA |
| State | FL |
| Zip | 33647-2308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele D Pescasio | Sports Medicine | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| William S Blackshear | Anesthesiology | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Sobia Ali | Gastroenterology | Advanced Care Gastroenterology Associates | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Timothy F Bain | Chiropractic | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Edgar Daniel Ramirez | Interventional Pain Management | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Paul Bacon | Chiropractic | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Heather Allred | Physical Therapy | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Kenneth Hammon | Chiropractic | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaison Joseph Luke | Nurse Practitioner | Florida Specialty Medical Services LLC | 15423 Amberly Dr, Tampa, FL 33647 |
| Kristi D Lewis | Nurse Practitioner | Florida Specialty Medical Services LLC | 15423 Amberly Dr, Tampa, FL 33647 |
| Ted J Cardoso | Diagnostic Radiology | Sheridan Radiology Services of West Florida Inc | 6206 Emmons Ln, Tampa, FL 33647-1148 |
| Robert H Vanfleet | Diagnostic Radiology | Alvarado Radiology Group Inc A Professional Corporation | 7214 Wareham Dr, Tampa, FL 33647-1166 |
| Jordan M Axe | Chiropractic | 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 | |
| Beth Bray | Nurse Practitioner | 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 | |
| Janel Mayer | Nurse Practitioner | Root Cause Medical Clinic LLC | 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 |
| Derek D Stewart Jr. | Chiropractic | Root Cause Clinic, Incorporated | 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 |
| Salma Z Pothiawala | Dermatology | Naples Center for Dermatology and Riverchase Dermatology | 15310 Amberly Dr, Suite 150, Tampa, FL 33647-1644 |
| Kimberly B Siders | Physician Assistant | Naples Center for Dermatology and Riverchase Dermatology | 15310 Amberly Dr, Suite 150, Tampa, FL 33647-1644 |
| Find all physicians in zip 33647 | |||
| City | TAMPA |
| Zip Code | 33647 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TAMPA + NURSE PRACTITIONER |
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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.