Ron R Hiemstra (NPI# 1558374454, PAC ID# 9032361688) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1558374454 |
| PAC ID by PECOS | 9032361688 |
| Professional Enrollment ID | I20130529000807 |
| Full Name | Ron R Hiemstra |
| Organization Legal Name | DIAGNOSTIC CLINIC MEDICAL GROUP INC |
| Address |
630 Pasadena S Ave Saint Petersburg FL 33707-2128 |
| Phone Number | 7273457100 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 4082526280 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100126 | PALMS OF PASADENA HOSPITAL |
| 100032 | BAYFRONT HEALTH - ST PETERSBURG |
| Address | Phone | Organization |
|---|---|---|
| 630 Pasadena S Ave, Saint Petersburg, FL 33707-2128 | 7273457100 | DIAGNOSTIC CLINIC MEDICAL GROUP INC |
| Organization Legal Name | DIAGNOSTIC CLINIC MEDICAL GROUP INC |
| Physicians | 95 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria L James | Nurse Practitioner | Diagnostic Clinic Medical Group Inc | 3131 N Mcmullen Booth Rd, Clearwater, FL 33761-2008 |
| Samir Klapuh | Nurse Practitioner | Diagnostic Clinic Medical Group Inc | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 |
| Maria D Quintela | Occupational Therapy | Diagnostic Clinic Medical Group Inc | 1301 2nd Ave Sw, Largo, FL 33770-3120 |
| Meredith L Dykes | Nurse Practitioner | Diagnostic Clinic Medical Group Inc | 6776 54th Ave N, Suite A, Saint Petersburg, FL 33709-1405 |
| Eva M Yacobi | Family Medicine | Diagnostic Clinic Medical Group Inc | 1301 2nd Ave Sw, Largo, FL 33770-3120 |
| Jill Marie Roehr | General Surgery | Diagnostic Clinic Medical Group Inc | 3131 N Mcmullen Booth Rd, Clearwater, FL 33761-2008 |
| Robert N Shobe | Internal Medicine | Diagnostic Clinic Medical Group Inc | 3131 N Mcmullen Booth Rd, Clearwater, FL 33761-2008 |
| Brahmesh S Sivaprakasapillai | Cardiovascular Disease (cardiology) | Diagnostic Clinic Medical Group Inc | 1301 2nd Ave Sw, Largo, FL 33770-3120 |
| Mladen Nikolic | Nurse Practitioner | Diagnostic Clinic Medical Group Inc | 1301 2nd Ave Sw, Largo, FL 33770-3120 |
| Mary Ann G Strobel | Registered Dietitian Or Nutrition Professional | Diagnostic Clinic Medical Group Inc | 1301 2nd Ave Sw, Largo, FL 33770-3120 |
| Street Address |
630 PASADENA S AVE |
| City | SAINT PETERSBURG |
| State | FL |
| Zip | 33707-2128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane L Williams | Family Practice | Diagnostic Clinic Medical Group Inc | 630 Pasadena S Ave, Saint Petersburg, FL 33707-2128 |
| John V Murray | Family Practice | Diagnostic Clinic Medical Group Inc | 630 Pasadena S Ave, Saint Petersburg, FL 33707-2128 |
| Joseph W Verge | Nurse Practitioner | Diagnostic Clinic Medical Group Inc | 630 Pasadena S Ave, Saint Petersburg, FL 33707-2128 |
| 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 | SAINT PETERSBURG |
| Zip Code | 33707 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | SAINT PETERSBURG + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Ron R Hiemstra.
| 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.