Mark R Casanta (NPI# 1376506048, PAC ID# 8921900812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1376506048 |
| PAC ID by PECOS | 8921900812 |
| Professional Enrollment ID | I20040122000107 |
| Full Name | Mark R Casanta |
| Organization Legal Name | BALLAN WRASSE EMERGENCY PHYSICIANS LLC |
| Address |
1501 Pasadena S Ave South Pasadena FL 33707-3717 |
| Phone Number | 7273811000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 2668798471 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100126 | PALMS OF PASADENA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1501 Pasadena S Ave, South Pasadena, FL 33707-3717 | 7273811000 | BALLAN WRASSE EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | BALLAN WRASSE EMERGENCY PHYSICIANS LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaivon Madani | Emergency Medicine | Ballan Wrasse Emergency Physicians LLC | 1501 Pasadena S Ave, South Pasadena, FL 33707-3717 |
| Dennis M Anderson | Family Medicine | Ballan Wrasse Emergency Physicians LLC | 1501 Pasadena S Ave, South Pasadena, FL 33707-3717 |
| Luke C Williams | Internal Medicine | Ballan Wrasse Emergency Physicians LLC | 1501 Pasadena S Ave, South Pasadena, FL 33707-3717 |
| Christopher York Hopkins | Emergency Medicine | Ballan Wrasse Emergency Physicians LLC | 1501 Pasadena S Ave, South Pasadena, FL 33707-3717 |
| Karen L Roe | Emergency Medicine | Ballan Wrasse Emergency Physicians LLC | 1501 Pasadena S Ave, South Pasadena, FL 33707-3717 |
| Street Address |
1501 PASADENA S AVE |
| City | SOUTH PASADENA |
| State | FL |
| Zip | 33707-3717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaivon Madani | Emergency Medicine | Ballan Wrasse Emergency Physicians LLC | 1501 Pasadena S Ave, South Pasadena, FL 33707-3717 |
| Darren W Leverenz | Anesthesiology | Ams National LLC | 1501 Pasadena S Ave, South Pasadena, FL 33707-3717 |
| Seth Z Weiser | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 1501 Pasadena S Ave, South Pasadena, FL 33707-3717 |
| Valerie L Prietz | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 1501 Pasadena S Ave, South Pasadena, FL 33707-3717 |
| Dennis M Anderson | Family Medicine | Ballan Wrasse Emergency Physicians LLC | 1501 Pasadena S Ave, South Pasadena, FL 33707-3717 |
| Jeffrey M Godfrey | Anesthesiology | Ams National LLC | 1501 Pasadena S Ave, South Pasadena, FL 33707-3717 |
| Luke C Williams | Internal Medicine | Ballan Wrasse Emergency Physicians LLC | 1501 Pasadena S Ave, South Pasadena, FL 33707-3717 |
| David C Dionisio | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 1501 Pasadena S Ave, South Pasadena, FL 33707-3717 |
| Anna M Neira | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 1501 Pasadena S Ave, South Pasadena, FL 33707-3717 |
| Wesley A Tippit | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 1501 Pasadena S Ave, South Pasadena, FL 33707-3717 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott E Kapulskey | Geriatric Medicine | 7035 1st S Ave, Saint Petersburg, FL 33707-1203 | |
| Mark A Nowacki | Internal Medicine | 7011 1st Ave S, St Petersburg, FL 33707-1203 | |
| Rebeca Fajardo | Internal Medicine | Webber Primecare Medical Center LLC | 7035 1st S Ave, Saint Petersburg, FL 33707-1203 |
| Jane E Kienle | Geriatric Medicine | Dean A Bramlet M D P A | 7111 1st S Ave, Saint Petersburg, FL 33707-1223 |
| Christopher Joseph Leto | Otolaryngology | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Timothy M Dunlevy | Otolaryngology | Pasadena Ent Pa | 6827 1st S Ave, Suite 100, Saint Petersburg, FL 33707-1242 |
| Skye Dorsett Quamina | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Ricardo Requena | Otolaryngology | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Calli Keenan Fodor | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Helen L Techler | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Find all physicians in zip 33707 | |||
| City | SOUTH PASADENA |
| Zip Code | 33707 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SOUTH PASADENA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mark R Casanta.
| 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.