Gusev Gonzalez Campbell (NPI# 1104194463, PAC ID# 9739401092) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104194463 |
| PAC ID by PECOS | 9739401092 |
| Professional Enrollment ID | I20141124001263 |
| Full Name | Gusev Gonzalez Campbell |
| Organization Legal Name | OPTUMCARE FLORIDA, LLC |
| Address |
339 Cypress Pkwy Suite 100 Kissimmee FL 34759-3315 |
| Phone Number | 4073433333 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3072403476 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100320 | POINCIANA MEDICAL CENTER |
| 100110 | OSCEOLA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 339 Cypress Pkwy, Suite 100, Kissimmee, FL 34759-3315 | 4073433333 | OPTUMCARE FLORIDA, LLC |
| Organization Legal Name | OPTUMCARE FLORIDA, LLC |
| Physicians | 192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Uzma Kewan | Internal Medicine | Optumcare Florida, LLC | 208 Crystal Grove Blvd, Lutz, FL 33548-6460 |
| Shirley O White-campbell | Nurse Practitioner | Optumcare Florida, LLC | 35600 Hwy 27, Haines City, FL 33844-3731 |
| Sanlly Perez Ceballos | Internal Medicine | Optumcare Florida, LLC | 2727 W Martin L King Jr Blvd, Suite 850, Tampa, FL 33607-6383 |
| Olga Belder | Family Medicine | Optumcare Florida, LLC | 2415 University Pkwy, Suite 112, Sarasota, FL 34243-2809 |
| Eddy Laroche | Family Medicine | Optumcare Florida, LLC | 605 Lamar Ave, Brooksville, FL 34601-3211 |
| Jennifer A Walker | Internal Medicine | Optumcare Florida, LLC | 13220 Starkey Rd, Suite 500, Largo, FL 33773-1446 |
| Howard S Cohen | Family Medicine | Optumcare Florida, LLC | 6022 14th St W, Bradenton, FL 34207-4104 |
| Sajat Agarwal | Internal Medicine | Optumcare Florida, LLC | 787 Cortaro Dr, Ruskin, FL 33573-6812 |
| Lisa Jamil | Nurse Practitioner | Optumcare Florida, LLC | 143 N Oakwood Ave, Brandon, FL 33510-4629 |
| Sudha Kalva | Family Medicine | Optumcare Florida, LLC | 2228 S Kirkman Rd, Orlando, FL 32811-2308 |
| Street Address |
339 CYPRESS PKWY SUITE 100 |
| City | KISSIMMEE |
| State | FL |
| Zip | 34759-3315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hernan Gomez | Internal Medicine | Optumcare Florida, LLC | 339 Cypress Pkwy, Suite 100, Kissimmee, FL 34759-3315 |
| Oral C James | Gastroenterology | Osceola Surgical Associates LLC | 339 Cypress Pkwy, Suite 210, Kissimmee, FL 34759-3315 |
| Miriam Rivera Irizarry | Internal Medicine | 339 Cypress Pkwy, Suite 110, Kissimmee, FL 34759-3315 | |
| Talha Shamim | Internal Medicine | 339 Cypress Pkwy, Suite 250, Kissimmee, FL 34759-3315 | |
| Cesare P Peraglie | Colorectal Surgery (proctology) | Osceola Surgical Associates LLC | 339 Cypress Pkwy, Suite 210, Kissimmee, FL 34759-3315 |
| Ajay K Mangal | Otolaryngology | Osceola Surgical Associates LLC | 339 Cypress Pkwy, Suite 210, Kissimmee, FL 34759-3315 |
| Owen R Kieran | General Surgery | Osceola Surgical Associates LLC | 339 Cypress Pkwy, Suite 210, Kissimmee, FL 34759-3315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dianah Thelma Lake | Emergency Medicine | Eagle Peak Emergency Physicians LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Jared R Mueller | Chiropractic | 373 Cypress Pkwy, Kissimmee, FL 34759-3326 | |
| Luis S Rivera Gonzalez | Emergency Medicine | Eagle Peak Emergency Physicians LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Shari L Rowley | Emergency Medicine | Eagle Peak Emergency Physicians LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Srinivasa R Buggana | Internal Medicine | Mount Elbert Inpatient Services LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Mazen S Abusamaan | Internal Medicine | Mount Elbert Inpatient Services LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Yaritza Arriaga-oneill | Emergency Medicine | Eagle Peak Emergency Physicians LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Adam N Hertlein | Hospitalist | Mount Elbert Inpatient Services LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Janette M Robinson | Nurse Practitioner | Mount Elbert Inpatient Services LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Raul A Masing | Anesthesiology | Anesthesia Physician Solutions of North Florida LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Find all physicians in zip 34759 | |||
| City | KISSIMMEE |
| Zip Code | 34759 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KISSIMMEE + FAMILY 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.