Kevin L Payton (NPI# 1174587315, PAC ID# 8224003694) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
Nation Provider ID (NPI) | 1174587315 |
PAC ID by PECOS | 8224003694 |
Professional Enrollment ID | I20040830000359 |
Full Name | Kevin L Payton |
Organization Legal Name | ORAL FACIAL RECONSTRUCTION AND IMPLANT CENTER OF S. FLORIDA INC. |
Address |
100 Nw 82nd Ave Suite 101 102 Plantation FL 33324-7809 |
Phone Number | 9544759840 |
Gender | M |
Credential | DDS |
Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1984 |
Primary Specialty | ORAL SURGERY |
Group Practice PAC ID | 4880645787 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100131 | AVENTURA HOSPITAL AND MEDICAL CENTER |
100228 | WESTSIDE REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
100 Nw 82nd Ave, Suite 101 102, Plantation, FL 33324-7809 | 9544759840 | ORAL FACIAL RECONSTRUCTION AND IMPLANT CENTER OF S. FLORIDA INC. |
Organization Legal Name | ORAL FACIAL RECONSTRUCTION AND IMPLANT CENTER OF S. FLORIDA INC. |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Juan G Lopez | Oral Surgery | Oral Facial Reconstruction and Implant Center of S. Florida Inc. | 100 Nw 82nd Ave, Suite 101 102, Plantation, FL 33324-7809 |
Kurt E Friedman | Oral Surgery | Oral Facial Reconstruction and Implant Center of S. Florida Inc. | 1 Sw 129th Ave, Suite 400, Pembroke Pines, FL 33027-1718 |
Luis E Cardenas | Oral Surgery | Oral Facial Reconstruction and Implant Center of S. Florida Inc. | 1 Sw 129th Ave, Suite 400, Pembroke Pines, FL 33027-1718 |
Street Address |
100 NW 82ND AVE SUITE 101 102 |
City | PLANTATION |
State | FL |
Zip | 33324-7809 |
Name | Specialty | Organization | Address |
---|---|---|---|
Claire P Katz | Internal Medicine | 100 Nw 82nd Ave, Suite 401, Plantation, FL 33324-1835 | |
Juan G Lopez | Oral Surgery | Oral Facial Reconstruction and Implant Center of S. Florida Inc. | 100 Nw 82nd Ave, Suite 101 102, Plantation, FL 33324-7809 |
Peter Simek | Internal Medicine | 100 Nw 82nd Ave, Suite 206, Plantation, FL 33324-1899 |
Name | Specialty | Organization | Address |
---|---|---|---|
David E Yachter | Chiropractic | 10189 Cleary Blvd, Suite 103, Plantation, FL 33324-1027 | |
Jeffrey E Sager | Optometry | Jeffrey E Sager Od Pa | 823 N Nob Hill Rd, Plantation, FL 33324-1038 |
Candice Mansito | Optometry | Jeffrey E Sager Od Pa | 823 N Nob Hill Rd, Plantation, FL 33324-1038 |
Robert S Leshaw | Chiropractic | 10063 Cleary Blvd, Plantation, FL 33324-1063 | |
Abram Berens | Family Medicine | 969 N Nob Hill Rd, Plantation, FL 33324-1078 | |
Ivy Lawson | Diagnostic Radiology | West Hudson Imaging Associates Pllc | 10781 Nw 5th St, Plantation, FL 33324-1518 |
Mark Herman | Chiropractic | 301 Nw84th Ave, Suite 301, Plantation, FL 33324-1807 | |
Gail G Bonner | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
Alejandro R Luna | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
Kim R Nickelson | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
Find all physicians in zip 33324 |
City | PLANTATION |
Zip Code | 33324 |
Specialty | ORAL SURGERY |
City + Specialty | PLANTATION + ORAL SURGERY |
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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.