Heather Nunnelly (NPI# 1114458122, PAC ID# 8123385903) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1114458122 |
| PAC ID by PECOS | 8123385903 |
| Professional Enrollment ID | I20171204000756 |
| Full Name | Heather Nunnelly |
| Organization Legal Name | H CHARLES-HARRIS MD PA |
| Address |
1100 Northwest 95th St Miami FL 33150-2038 |
| Phone Number | 3058356000 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4183676653 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100029 | NORTH SHORE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1100 Northwest 95th St, Miami, FL 33150-2038 | 3058356000 | H CHARLES-HARRIS MD PA |
| 1190 Nw 95 St, Suite 101, Miami, FL 33150-2064 | 3056912941 | H CHARLES-HARRIS MD PA |
| 160 Ne 170 St, North Miami Beach, FL 33162-1758 | 3056511100 | H CHARLES-HARRIS MD PA |
| Organization Legal Name | H CHARLES-HARRIS MD PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yue Ying Flora Lee | General Surgery | H Charles-harris Md Pa | 1190 Nw 95 St, Suite 101, Miami, FL 33150-2064 |
| Genevieve Kornblum | Physician Assistant | H Charles-harris Md Pa | 1100 Northwest 95th St, Miami, FL 33150-2038 |
| Hakan S Charles Harris | General Surgery | H Charles-harris Md Pa | 1100 Northwest 95th St, Miami, FL 33150-2038 |
| Street Address |
1100 NORTHWEST 95TH ST |
| City | MIAMI |
| State | FL |
| Zip | 33150-2038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roya R Borjian | Internal Medicine | Hamidreza Moghaddam Md Pa | 1100 Northwest 95th St, Miami, FL 33150-2038 |
| Vitalie Crudu | Cardiovascular Disease (cardiology) | Tenet Florida Physician Services LLC | 1100 Northwest 95th St, Miami, FL 33150-2038 |
| Richard D Martello | Diagnostic Radiology | Ics Radiology, Inc. | 1100 Northwest 95th St, Miami, FL 33150-2038 |
| Arthur J Iglesias | Radiation Oncology | 1100 Northwest 95th St, Miami, FL 33150-2038 | |
| Louis H Isaacson | Emergency Medicine | Paragon Contracting Services LLC | 1100 Northwest 95th St, Miami, FL 33150-2038 |
| Kwame G Buahin | Neurosurgery | 1100 Northwest 95th St, Miami, FL 33150-2038 | |
| Harrison Obinna Chine | Emergency Medicine | Paragon Contracting Services LLC | 1100 Northwest 95th St, Miami, FL 33150-2038 |
| Vincent H Roddy | Emergency Medicine | Paragon Contracting Services LLC | 1100 Northwest 95th St, Miami, FL 33150-2038 |
| Nancy Ann Gulotta | Nurse Practitioner | Paragon Contracting Services LLC | 1100 Northwest 95th St, Miami, FL 33150-2038 |
| Boris Rodriguez-fernandez | Certified Registered Nurse Anesthetist (crna) | Atlantic Anesthesia Group One, Pllc | 1100 Northwest 95th St, Miami, FL 33150-2038 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nahomie Mirville | Nurse Practitioner | Urology Professionals of South Florida LLC | 9400 Nw 12th Ave Bay, Suite 3, Miami, FL 33150-2024 |
| Matthew Hasford | Urology | Urology Professionals of South Florida LLC | 9400 Nw 12th Ave Bay, Suite 3, Miami, FL 33150-2024 |
| Jean-claude Crevecoeur | Nurse Practitioner | I and B Medical Associates Inc | 9400 Nw 12th Ave Bay, Suite 1, Miami, FL 33150-2024 |
| Myriam Landrin | Hematology/oncology | United Oncology Medical Associates of Florida LLC | 9400 Nw 12th Ave, Bay 6, Miami, FL 33150-2025 |
| Marjan Mirzabeigi | Pathology | East Coast Pathology Associates, Pa | 1100 Nw 95 St, Miami, FL 33150-2038 |
| Jose J Centurion | Internal Medicine | North Shore Ekg Associates Inc | 1100 Nw 95th St, North Shore Medical Center, Miami, FL 33150-2038 |
| Katherine J Rivera | Certified Registered Nurse Anesthetist (crna) | Atlantic Anesthesia Group One, Pllc | 1100 Northwest 95th St, Miami, FL 33150-2038 |
| Sonal Mehta | Neurosurgery | Tenet Florida Physician Services LLC | 1100 Northwest 95th St, Miami, FL 33150-2038 |
| Joseph Khell | Emergency Medicine | Paragon Contracting Services LLC | 1100 Northwest 95th St, Miami, FL 33150-2038 |
| Pedro Armenteros | Anesthesiology | Atlantic Anesthesia Group One, Pllc | 1100 Northwest 95th St, Miami, FL 33150-2038 |
| Find all physicians in zip 33150 | |||
| City | MIAMI |
| Zip Code | 33150 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MIAMI + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Heather Nunnelly.
| 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.