Kevin E Elder (NPI# 1598768160, PAC ID# 9739088550) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1598768160 |
| PAC ID by PECOS | 9739088550 |
| Professional Enrollment ID | I20031231000201 |
| Full Name | Kevin E Elder |
| Organization Legal Name | BAYCARE MEDICAL GROUP, INC. |
| Address |
1919 W Swann Ave 3rd Floor Tampa FL 33606-2417 |
| Phone Number | 8132548055 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF OHIO AT TOLEDO |
| Graduation Year | 1999 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 6406753623 |
| Number of Group Practice Members | 610 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100075 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1919 W Swann Ave, 3rd Floor, Tampa, FL 33606-2417 | 8132548055 | BAYCARE MEDICAL GROUP, INC. |
| Organization Legal Name | BAYCARE MEDICAL GROUP, INC. |
| Physicians | 577 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Gannon | Family Medicine | Baycare Medical Group, Inc. | 2531 Landmark Dr, Suite 103, Clearwater, FL 33761-3928 |
| Okwudili Okpaleke | Family Medicine | Baycare Medical Group, Inc. | 10141 Big Bend Rd, Suite 206, Riverview, FL 33578-7419 |
| Brian P Mcdaniel | Family Medicine | Baycare Medical Group, Inc. | 400 Pinellas St, Clearwater, FL 33756-3312 |
| Nickole A Bacon | Nurse Practitioner | Baycare Medical Group, Inc. | 2525 Pasadena Ave S, Suite U, South Pasadena, FL 33707-4559 |
| Fred H Brennan Jr. | Family Medicine | Baycare Medical Group, Inc. | 807 N Myrtle Ave, Clearwater, FL 33755-4254 |
| Farshad Anvari | Thoracic Surgery | Baycare Medical Group, Inc. | 3003 W Dr Martin Luther King Jr Blvd, Mab 2nd Floor, Tampa, FL 33607-6307 |
| Thomas E Applegate | Hospitalist | Baycare Medical Group, Inc. | 6901 Simmons Loop, Suite 4, Riverview, FL 33578-9498 |
| Christopher N Nobo | Gastroenterology | Baycare Medical Group, Inc. | 2000 Osprey Blvd, Suite 110, Bartow, FL 33830-4347 |
| Jennifer Rebecca Chambers | Family Medicine | Baycare Medical Group, Inc. | 5405 Park N St, Saint Petersburg, FL 33709-1044 |
| Darryl B Bain | Nurse Practitioner | Baycare Medical Group, Inc. | 6633 Forest Ave, Suite 300, New Port Richey, FL 34653-2612 |
| Street Address |
1919 W SWANN AVE 3RD FLOOR |
| City | TAMPA |
| State | FL |
| Zip | 33606-2417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rizwanuddin M Farooqi | Family Medicine | Baycare Medical Group, Inc. | 1919 W Swann Ave, 3rd Floor, Tampa, FL 33606-2417 |
| Dipali S Patel | Family Medicine | Baycare Medical Group, Inc. | 1919 W Swann Ave, 2nd Floor, Tampa, FL 33606-2417 |
| Antonio O Castellvi | Family Medicine | Baycare Medical Group, Inc. | 1919 W Swann Ave, 3rd Floor, Tampa, FL 33606-2417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Joy Sims | Optometry | Eye Physicians of Pinellas, Pa | 501 N Howard Ave, Suite 100, Tampa, FL 33606-1213 |
| Jairo D Libreros Cupido | Neurology | 4914 N Armenia, Tampa, FL 33606-1402 | |
| Kirk R Smith | Nurse Practitioner | Joanna Mulder Np Inc | 211 N Albany Ave, Tampa, FL 33606-1502 |
| Nestor Guerrero | Nurse Practitioner | Choice Health Care, Inc. | 1881 W Kennedy Blvd A B, Tampa, FL 33606-1611 |
| Michael W Finn | Certified Registered Nurse Anesthetist (crna) | Synergy Anesthesiology Inc | 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611 |
| Susanne R Torano | Certified Registered Nurse Anesthetist (crna) | Synergy Anesthesiology Inc | 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611 |
| Mark Mikulak | Certified Registered Nurse Anesthetist (crna) | Synergy Anesthesiology Inc | 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611 |
| Janale C Beckford | Podiatry | 1881 W Kennedy Blvd, Suite A, Tampa, FL 33606-1611 | |
| David E Halpern | Plastic and Reconstructive Surgery | 120 S Fremont Ave, Tampa, FL 33606-1703 | |
| Kerry W Knesl | Clinical Social Worker | 105 S Albany Ave, Tampa, FL 33606-1710 | |
| Find all physicians in zip 33606 | |||
| City | TAMPA |
| Zip Code | 33606 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | TAMPA + SPORTS MEDICINE |
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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.