Stephen T Enguidanos


Address: 550 Twin Cities Blvd, A, Niceville, FL 32578-1050

Stephen T Enguidanos (NPI# 1821025008, PAC ID# 8325066731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1821025008
PAC ID by PECOS 8325066731
Professional Enrollment ID I20051105000004
Full Name Stephen T Enguidanos
Address 550 Twin Cities Blvd
A
Niceville
FL 32578-1050
Gender M
Credential MD
Medical School CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1995
Primary Specialty ORTHOPEDIC SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100054 TWIN CITIES HOSPITAL
100093 BAPTIST HOSPITAL

Other Locations

Address Phone Organization
550 Twin Cities Blvd, A, Niceville, FL 32578-1050

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_131_overall Pain Assessment and Follow-Up 100%

Organization Information

Office Location

Street Address 550 TWIN CITIES BLVD
A
City NICEVILLE
State FL
Zip 32578-1050

Physicians in the same location

Name Specialty Organization Address
William Michael Haney General Surgery 21st Century Oncology, LLC 550 Twin Cities Blvd, Suite C, Niceville, FL 32578-1050

Physicians in the same zip code

Name Specialty Organization Address
Monica Panwar Barnes Internal Medicine Flat Top Inpatient Services LLC 2190 Hwy 85 N, Niceville, FL 32578-1045
Kapil Puri Urology 490 Hwy 85 N A, Niceville, FL 32578-1045
Joe E Rogers Jr. Nurse Practitioner Flat Top Inpatient Services LLC 2190 Hwy 85 N, Niceville, FL 32578-1045
Michelle A Magboo Nurse Practitioner Flat Top Inpatient Services LLC 2190 Hwy 85 N, Niceville, FL 32578-1045
Zachary W Wilson Emergency Medicine Flagstone Peak Emergency Physicians LLC 2190 Hwy 85 N, Niceville, FL 32578-1045
Jeffrey S Burbidge Anesthesiology Twin Cities Anesthesia Associates Pl 2190 Hwy 85 N, Niceville, FL 32578-1045
Leslie J Bridges Nurse Practitioner Flat Top Inpatient Services LLC 2190 Hwy 85 N, Niceville, FL 32578-1045
Ekta I Kade Nurse Practitioner Flat Top Inpatient Services LLC 2190 Hwy 85 N, Niceville, FL 32578-1045
Katrina L. Tringas Anesthesiology Twin Cities Anesthesia Associates Pl 2190 Hwy 85 N, Niceville, FL 32578-1045
William S Carlson Emergency Medicine Flagstone Peak Emergency Physicians LLC 2190 Hwy 85 N, Niceville, FL 32578-1045
Find all physicians in zip 32578

Competitor

Search similar physicians

City NICEVILLE
Zip Code 32578
Specialty ORTHOPEDIC SURGERY
City + Specialty NICEVILLE + ORTHOPEDIC SURGERY

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Dataset Information

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.

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