Peter W Komatz (NPI# 1164442836, PAC ID# 8224137443) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1164442836 |
PAC ID by PECOS | 8224137443 |
Professional Enrollment ID | I20070926001115 |
Full Name | Peter W Komatz |
Organization Legal Name | SHANDS JACKSONVILLE MEDICAL CENTER INC |
Address |
7751 Baymeadows Rd E 205 Uf Health Oncology Baymeadows Jacksonville FL 32256-5836 |
Phone Number | 9044271050 |
Gender | M |
Graduation Year | 2002 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 2365456258 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100001 | SHANDS JACKSONVILLE |
Address | Phone | Organization |
---|---|---|
7751 Baymeadows Rd E, 205 Uf Health Oncology Baymeadows, Jacksonville, FL 32256-5836 | 9044271050 | SHANDS JACKSONVILLE MEDICAL CENTER INC |
Organization Legal Name | SHANDS JACKSONVILLE MEDICAL CENTER INC |
Physicians | 10 |
Name | Specialty | Organization | Address |
---|---|---|---|
Yan G Makeyev | Hematology/oncology | Shands Jacksonville Medical Center Inc | 1670 St Vincents Way, St. Vincents Medical Center Clay Co, Middleburg, FL 32068-8447 |
Troy Guthrie | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
Joseph Mignone | Medical Oncology | Shands Jacksonville Medical Center Inc | 1699 S 14th St, 2 Uf Health Oncology Fernandina, Fernandina Beach, FL 32034-1964 |
Jeffrey M Harris | Medical Oncology | Shands Jacksonville Medical Center Inc | 1699 S 14th St, 2 Uf Health Oncology Fernandina, Fernandina Beach, FL 32034-1964 |
Mohammad Asif Khan | Medical Oncology | Shands Jacksonville Medical Center Inc | 1 Shircliff Way, St. Vincents Medical Center Riversi, Jacksonville, FL 32204-4748 |
Dimitrios P Agaliotis | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
Mathew Luke | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
Zhen Hou | Internal Medicine | Shands Jacksonville Medical Center Inc | 1 Shircliff Way, St. Vincents Medical Center Riversi, Jacksonville, FL 32204-4748 |
Carlos M Castillo | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
Street Address |
7751 BAYMEADOWS RD E 205 UF HEALTH ONCOLOGY BAYMEADOWS |
City | JACKSONVILLE |
State | FL |
Zip | 32256-5836 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joanne B Dragun | Radiation Oncology | 21st Century Oncology, LLC | 7751 Baymeadows Rd E, Suite 101a, Jacksonville, FL 32256-5836 |
Maymon Thint | Internal Medicine | St Vincent's Ambulatory Care Inc | 7751 Baymeadows Rd E, Suite G, Jacksonville, FL 32256-5834 |
Larry H. Wilf | Nuclear Medicine | 21st Century Oncology, LLC | 7751 Baymeadows Rd E, Suite 102, Jacksonville, FL 32256-5836 |
Leslie B Beadling | Family Practice | St Vincent's Ambulatory Care Inc | 7751 Baymeadows Rd E, Suite G, Jacksonville, FL 32256-5834 |
Linda S Sylvester | Medical Oncology | 21st Century Oncology LLC | 7751 Baymeadows Rd E, Jacksonville, FL 32256-5836 |
Name | Specialty | Organization | Address |
---|---|---|---|
Manish Relan | Internal Medicine | American Arthritis and Rheumatology Associates LLC | 9191 Rg Skinner Pkwy, Suite 401, Jacksonville, FL 32256 |
Tracy Riley | Clinical Social Worker | 10151 Deerwood Park Blvd, Suite 200 250, Jacksonville, FL 32256-0589 | |
Stephanie Nicole Burkhalter | Nurse Practitioner | Md2u Florida LLC | 10151 Deerwood Park Blvd, Suite 200 250, Jacksonville, FL 32256-0589 |
Brian Armitage | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
Scott L Thiele | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
Bradley Kirchner | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
Michael L Hay | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
Jon S Walker | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
Ann-marie Connolly | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
Jack Rubin | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
Find all physicians in zip 32256 |
City | JACKSONVILLE |
Zip Code | 32256 |
Specialty | NURSE PRACTITIONER |
City + Specialty | JACKSONVILLE + 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.