Brian Madow (NPI# 1225187271, PAC ID# 9931276664) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1225187271 |
| PAC ID by PECOS | 9931276664 |
| Professional Enrollment ID | I20080923000301 |
| Full Name | Brian Madow |
| Organization Legal Name | SUNCOAST RETINA CONSULTANTS, LLC |
| Address |
3280 N Mcmullen Booth Rd 120 The Macula Center Clearwater FL 33761-2046 |
| Phone Number | 7277898770 |
| Gender | M |
| Graduation Year | 1984 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 8022070556 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100001 | SHANDS JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 3280 N Mcmullen Booth Rd, 120 The Macula Center, Clearwater, FL 33761-2046 | 7277898770 | SUNCOAST RETINA CONSULTANTS, LLC |
| 580 W 8th St, Jacksonville, FL 32209-6533 | 9042443950 | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
| 924 S Florida Ave, The Macula Center, Lakeland, FL 33803-1116 | 7277898770 | SUNCOAST RETINA CONSULTANTS, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 20% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 14% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 96% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | SUNCOAST RETINA CONSULTANTS, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana M Deupree | Ophthalmology | Suncoast Retina Consultants, LLC | 3280 N Mcmullen Booth Rd, 120 The Macula Center, Clearwater, FL 33761-2046 |
| Katherine A Macoul | Ophthalmology | Suncoast Retina Consultants, LLC | 11834 County Rd, 101 Suite 202, The Villages, FL 32162-9340 |
| Street Address |
3280 N MCMULLEN BOOTH RD 120 THE MACULA CENTER |
| City | CLEARWATER |
| State | FL |
| Zip | 33761-2046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd K Letzring | Anesthesiology | Ams National LLC | 3280 N Mcmullen Booth Rd, Suite 110, Clearwater, FL 33761-2046 |
| Diane M Larson | Clinical Social Worker | Florida Cancer Specialists and Research Institute, LLC | 3280 N Mcmullen Booth Rd, Suite 200, Clearwater, FL 33761-2046 |
| Timothy Brown | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 3280 N Mcmullen Booth Rd, Suite 110, Clearwater, FL 33761-2046 |
| Minh D Ngo | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 3280 N Mcmullen Booth Rd, Suite 110, Clearwater, FL 33761-2046 |
| Dana M Deupree | Ophthalmology | Suncoast Retina Consultants, LLC | 3280 N Mcmullen Booth Rd, 120 The Macula Center, Clearwater, FL 33761-2046 |
| Jennifer Ball | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 3280 N Mcmullen Booth Rd, Suite 200, Clearwater, FL 33761-2046 |
| Edgar G Miranda | Medical Oncology | Florida Cancer Specialists and Research Institute, LLC | 3280 N Mcmullen Booth Rd, Suite 200, Clearwater, FL 33761-2046 |
| Gregoire H Bergier | Hematology | Florida Cancer Specialists and Research Institute, LLC | 3280 N Mcmullen Booth Rd, Suite 200, Clearwater, FL 33761-2046 |
| Idelfia A Marte | Medical Oncology | Florida Cancer Specialists and Research Institute, LLC | 3280 N Mcmullen Booth Rd, Suite 200, Clearwater, FL 33761-2046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Kim Scurlock | Optometry | Gulf Coast Optometry Pa | 30323 Us Hwy 19 N, Clearwater, FL 33761 |
| Ronald K Kittl | Optometry | 27001 Us Hwy 19 N, Sears Optical, Clearwater, FL 33761 | |
| Gary M Parsonis | Physical Therapy | 29605 Us Hwy 19 N, Suite 360, Clearwater, FL 33761 | |
| Bryn Renda | Physician Assistant | Dynamic Total Health LLC | 29901 Us Hwy 19 N, Clearwater, FL 33761-1041 |
| Carol L Alderman | Nurse Practitioner | Dynamic Total Health LLC | 29901 Us Hwy 19 N, Clearwater, FL 33761-1041 |
| Christopher Oldfield | Audiologist | Audiology Distribution LLC | 30220 Us Hwy 19 N, Suite 222, Clearwater, FL 33761-1042 |
| Christine Lynne Holderman | Nurse Practitioner | Medflorida Hospitalists LLC | 29605 Us Hwy 19 N, Suite 170, Clearwater, FL 33761-1538 |
| Sharon Renee Michaels | Clinical Social Worker | 2878 Fair Green Dr, Clearwater, FL 33761-1845 | |
| Victoria L James | Nurse Practitioner | Diagnostic Clinic Medical Group Inc | 3131 N Mcmullen Booth Rd, Clearwater, FL 33761-2008 |
| Jill Marie Roehr | General Surgery | Diagnostic Clinic Medical Group Inc | 3131 N Mcmullen Booth Rd, Clearwater, FL 33761-2008 |
| Find all physicians in zip 33761 | |||
| City | CLEARWATER |
| Zip Code | 33761 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | CLEARWATER + OPHTHALMOLOGY |
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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.