Justin L Neubrander (NPI# 1942580105, PAC ID# 8224268339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1942580105 |
PAC ID by PECOS | 8224268339 |
Professional Enrollment ID | I20140310002006 |
Full Name | Justin L Neubrander |
Organization Legal Name | WILDWOOD SANITARIUM INCORPORATED |
Address |
435 Lifestyle Lane Wildwood GA 30757-0129 |
Phone Number | 7068201493 |
Gender | M |
Graduation Year | 2011 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 3779571138 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
435 Lifestyle Lane, Wildwood, GA 30757-0129 | 7068201493 | WILDWOOD SANITARIUM INCORPORATED |
435 Lifestyle Ln, Wildwood, GA 30757-0129 | 7068201493 | WILDWOOD SANITARIUM INCORPORATED |
Organization Legal Name | WILDWOOD SANITARIUM INCORPORATED |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Viktorija Rimko | Nurse Practitioner | Wildwood Sanitarium Incorporated | 435 Lifestyle Ln, Wildwood, GA 30757-0129 |
Andrew Scott Grivas Jr. | Internal Medicine | Wildwood Sanitarium Incorporated | 435 Lifestyle Lane, Wildwood, GA 30757-0129 |
Roby Ann Sherman | Internal Medicine | Wildwood Sanitarium Incorporated | 435 Lifestyle Lane, Wildwood, GA 30757-0129 |
Edward Sigh | Chiropractic | Wildwood Sanitarium Incorporated | 435 Lifestyle Ln, Wildwood, GA 30757-0129 |
Street Address |
435 LIFESTYLE LANE |
City | WILDWOOD |
State | GA |
Zip | 30757-0129 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrew Scott Grivas Jr. | Internal Medicine | Wildwood Sanitarium Incorporated | 435 Lifestyle Lane, Wildwood, GA 30757-0129 |
Roby Ann Sherman | Internal Medicine | Wildwood Sanitarium Incorporated | 435 Lifestyle Lane, Wildwood, GA 30757-0129 |
Name | Specialty | Organization | Address |
---|---|---|---|
Viktorija Rimko | Nurse Practitioner | Wildwood Sanitarium Incorporated | 435 Lifestyle Ln, Wildwood, GA 30757-0129 |
Edward Sigh | Chiropractic | Wildwood Sanitarium Incorporated | 435 Lifestyle Ln, Wildwood, GA 30757-0129 |
City | WILDWOOD |
Zip Code | 30757 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | WILDWOOD + PHYSICIAN ASSISTANT |
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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.