Amanda Pelly (NPI# 1720342652, PAC ID# 8527374636) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1720342652 |
| PAC ID by PECOS | 8527374636 |
| Professional Enrollment ID | I20151112002669 |
| Full Name | Amanda Pelly |
| Organization Legal Name | BOUNDARY PEAK EMERGENCY PHYSICIANS LLC |
| Address |
1401 S Seminole Blvd Sanford FL 32771-6743 |
| Phone Number | 4073214500 |
| Gender | F |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2012 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4789970096 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100161 | CENTRAL FLORIDA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1401 S Seminole Blvd, Sanford, FL 32771-6743 | 4073214500 | BOUNDARY PEAK EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | BOUNDARY PEAK EMERGENCY PHYSICIANS LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Snyder | Emergency Medicine | Boundary Peak Emergency Physicians LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| David S Lambie Sr. | Emergency Medicine | Boundary Peak Emergency Physicians LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Ernest Mensah | Emergency Medicine | Boundary Peak Emergency Physicians LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Dennis L Natale | Emergency Medicine | Boundary Peak Emergency Physicians LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Michael L Coussa | Emergency Medicine | Boundary Peak Emergency Physicians LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| John V Murray | Emergency Medicine | Boundary Peak Emergency Physicians LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Melissa E De La Roza | Emergency Medicine | Boundary Peak Emergency Physicians LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Alex D Stinard | Emergency Medicine | Boundary Peak Emergency Physicians LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Daniel C Lavene | Emergency Medicine | Boundary Peak Emergency Physicians LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Elaine S Condono | Emergency Medicine | Boundary Peak Emergency Physicians LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Street Address |
1401 S SEMINOLE BLVD |
| City | SANFORD |
| State | FL |
| Zip | 32771-6743 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Badalament | Urology | Central Florida Physician Network LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Allen S. Sirizi | Anesthesiology | Sheridan Healthcorp Inc | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| James A Snyder | Emergency Medicine | Boundary Peak Emergency Physicians LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Lucia Webster | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Yong Mei Ni | Internal Medicine | Inpatient Consultants of Florida, Inc | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| David S Lambie Sr. | Emergency Medicine | Boundary Peak Emergency Physicians LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Ernest Mensah | Emergency Medicine | Boundary Peak Emergency Physicians LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Anurag D Tiwary | General Surgery | Australian Prowfish Surgical Specialists LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Oluwagbemiga A Adeyemi | Anesthesiology | Sheridan Healthcorp Inc | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Steve Pierre | Anesthesiology | Sheridan Healthcorp Inc | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angeline Quinones | Nurse Practitioner | Fl-i Medical Services LLC | 4525 Internatinal Pkwy, Sanford, FL 32771 |
| William R Vivas | Podiatry | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Emma M Herrera | General Practice | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Peter H Oostwouder | Family Medicine | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Dana Tate Solomon | Physician Assistant | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Kim-cheree T Jackson | Nurse Practitioner | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Luisa O Mena | General Practice | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Theresa L Mantle | Nurse Practitioner | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Sherhonda Fevrier | Nurse Practitioner | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Jennifer F Simpkins | Family Practice | Central Florida Family Health Center Inc | 2400 State Rd, Sanford, FL 32771 |
| Find all physicians in zip 32771 | |||
| City | SANFORD |
| Zip Code | 32771 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SANFORD + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Amanda Pelly.
| 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.