Jodi L Nickel (NPI# 1588725329, PAC ID# 7618979246) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1588725329 |
| PAC ID by PECOS | 7618979246 |
| Professional Enrollment ID | I20070209000360 |
| Full Name | Jodi L Nickel |
| Organization Legal Name | BAYCARE MEDICAL GROUP, INC. |
| Address |
4821 Us Hwy 19 4 New Port Richey FL 34652-4259 |
| Phone Number | 7278519654 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6406753623 |
| Number of Group Practice Members | 610 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100127 | MORTON PLANT HOSPITAL |
| 100063 | MORTON PLANT NORTH BAY HOSPITAL |
| 100191 | MEDICAL CENTER OF TRINITY |
| Address | Phone | Organization |
|---|---|---|
| 4821 Us Hwy 19 4, New Port Richey, FL 34652-4259 | 7278519654 | BAYCARE MEDICAL GROUP, INC. |
| 6633 Forest Ave, New Port Richey, FL 34653-2612 | BAYCARE MEDICAL GROUP, INC. | |
| 2044 Trinity Oaks Blvd, Suite 125, Trinity, FL 34655-4405 | 7273722501 | BAYCARE MEDICAL GROUP, INC. |
| Organization Legal Name | BAYCARE MEDICAL GROUP, INC. |
| Physicians | 577 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Gannon | Family Medicine | Baycare Medical Group, Inc. | 2531 Landmark Dr, Suite 103, Clearwater, FL 33761-3928 |
| Okwudili Okpaleke | Family Medicine | Baycare Medical Group, Inc. | 10141 Big Bend Rd, Suite 206, Riverview, FL 33578-7419 |
| Brian P Mcdaniel | Family Medicine | Baycare Medical Group, Inc. | 400 Pinellas St, Clearwater, FL 33756-3312 |
| Nickole A Bacon | Nurse Practitioner | Baycare Medical Group, Inc. | 2525 Pasadena Ave S, Suite U, South Pasadena, FL 33707-4559 |
| Fred H Brennan Jr. | Family Medicine | Baycare Medical Group, Inc. | 807 N Myrtle Ave, Clearwater, FL 33755-4254 |
| Farshad Anvari | Thoracic Surgery | Baycare Medical Group, Inc. | 3003 W Dr Martin Luther King Jr Blvd, Mab 2nd Floor, Tampa, FL 33607-6307 |
| Thomas E Applegate | Hospitalist | Baycare Medical Group, Inc. | 6901 Simmons Loop, Suite 4, Riverview, FL 33578-9498 |
| Christopher N Nobo | Gastroenterology | Baycare Medical Group, Inc. | 2000 Osprey Blvd, Suite 110, Bartow, FL 33830-4347 |
| Jennifer Rebecca Chambers | Family Medicine | Baycare Medical Group, Inc. | 5405 Park N St, Saint Petersburg, FL 33709-1044 |
| Darryl B Bain | Nurse Practitioner | Baycare Medical Group, Inc. | 6633 Forest Ave, Suite 300, New Port Richey, FL 34653-2612 |
| Street Address |
4821 US HWY 19 4 |
| City | NEW PORT RICHEY |
| State | FL |
| Zip | 34652-4259 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Marcus Boyles | Optometry | 4330 Us Hwy 19, New Port Richey, FL 34652 | |
| Norman H Buchman | Podiatry | Norman H Buchman and Assoc PC | 7240 Tarpon Ln, New Port Richey, FL 34652-1352 |
| Brian Christopher Carlton | Chiropractic | Bc Healthcare Consulting LLC | 7212 Us Hwy 19, New Port Richey, FL 34652-1641 |
| Omair Zafar | Podiatry | 6543 Madison St, New Port Richey, FL 34652-1926 | |
| James V Stelnicki | Podiatry | James V Stelnicki Dpm Pa | 6543 Madison St, New Port Richey, FL 34652-1926 |
| David O Ikudayisi | Internal Medicine | 6641 Madison St, Suite 3, New Port Richey, FL 34652-1966 | |
| Robbin De Witt | Certified Registered Nurse Anesthetist (crna) | Morton Plant Mease Outpatient Anesthesiology, Pa | 6600 Madison St, New Port Richey, FL 34652-1971 |
| Leonard P Johns | Physician Assistant | 6600 Madison St, New Port Richey, FL 34652-1971 | |
| Peter F Schultz | Certified Registered Nurse Anesthetist (crna) | Morton Plant Mease Outpatient Anesthesiology, Pa | 6600 Madison St, New Port Richey, FL 34652-1971 |
| Dan A Williams | Emergency Medicine | Pasco County Emergency Physicians LLC | 6600 Madison St, New Port Richey, FL 34652-1971 |
| Find all physicians in zip 34652 | |||
| City | NEW PORT RICHEY |
| Zip Code | 34652 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEW PORT RICHEY + FAMILY 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.