Charles J Koller (NPI# 1578571295, PAC ID# 7618164336) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1578571295 |
| PAC ID by PECOS | 7618164336 |
| Professional Enrollment ID | I20101207001232 |
| Full Name | Charles J Koller |
| Organization Legal Name | CHARLES J KOLLER MD PA |
| Address |
2055 Glenwood Dr Winter Park FL 32792-3307 |
| Phone Number | 4076453555 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1355537697 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100007 | FLORIDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2055 Glenwood Dr, Winter Park, FL 32792-3307 | 4076453555 | CHARLES J KOLLER MD PA |
| Organization Legal Name | CHARLES J KOLLER MD PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Quehuong H Pham | General Surgery | Charles J Koller Md Pa | 2055 Glenwood Dr, Winter Park, FL 32792-3307 |
| Coutney L Thompson | Physician Assistant | Charles J Koller Md Pa | 2055 Glenwood Dr, Winter Park, FL 32792-3307 |
| Street Address |
2055 GLENWOOD DR |
| City | WINTER PARK |
| State | FL |
| Zip | 32792-3307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Quehuong H Pham | General Surgery | Charles J Koller Md Pa | 2055 Glenwood Dr, Winter Park, FL 32792-3307 |
| Coutney L Thompson | Physician Assistant | Charles J Koller Md Pa | 2055 Glenwood Dr, Winter Park, FL 32792-3307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan Barr | Obstetrics/gynecology | Womens Care Florida LLC | 10 N Edinburgh Dr, 200 Tampa Bay Womens Care, Winter Park, FL 32792 |
| Yelena A Atlanova | Obstetrics/gynecology | Womens Care Florida LLC | 10 N Edinburgh Dr, 200 Tampa Bay Womens Care, Winter Park, FL 32792 |
| Allison N Hioki | Physical Therapy | Physiotherapy Works, LLC | 1860 State Rd, 436 Suite 1000, Winter Park, FL 32792 |
| James N Hartland | Physical Therapy | Physiotherapy Works, LLC | 1860 State Rd, 436 Suite 1000, Winter Park, FL 32792 |
| Robyn L Zuromski | Physical Therapy | Physiotherapy Works, LLC | 1860 State Rd, Winter Park, FL 32792 |
| Mary Liebermann | Clinical Social Worker | 1908 Howell Branch Rd, Winter Park, FL 32792-1009 | |
| Sandra Harrington Barker | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Gary Barker | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Kaitlyn Kelley | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Alaina Michelle Medvetz | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Find all physicians in zip 32792 | |||
| City | WINTER PARK |
| Zip Code | 32792 |
| Specialty | GENERAL SURGERY |
| City + Specialty | WINTER PARK + GENERAL SURGERY |
Please comment or provide details below to improve the information on Charles J Koller.
| 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.