Nursing Home Physicians PA
Organization Active NPI Internal Medicine Physician · Marathon, FL
NPI 1396769725 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1396769725
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- NURSING HOME PHYSICIANS PA
- Practice address
- 365 Stirrup Key Blvd
Marathon, FL 33050-2943 - Phone
- (954) 363-1011
- Fax
- (954) 787-6772
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Glenn Gidseg
- Title
- President
- Phone
- (954) 363-1011
Practitioners 29
-
Madeline Cherubin, ARNP
-
Glenn Gidseg, M.D.
-
Julian Scott Davis, DPM
-
Guerbie Alcime, ARNP
-
Cheyenne Compton, FNP-BC
-
Theresa-Lynda D'Souza, AGNP-C
-
Marcy Davis, RN, ARNP
-
Brielle Dyall, APRN
-
Darnelle Faveur, ARNP
-
Latoya Gauntlett-Freeman, ARNP
-
Lynda Germeil, ARNP
-
Rachel Graef, ARNP, MSN
-
Genna Hergerton, APRN
-
Isolyn Mahaliah Housen, FNP-C
-
Kerleine Jessica Rosemey, APRN
-
Nia Spicer-Thomas, APRN
-
Lesly Vazquez, FNP
-
Lyonie Herodia Charles, ARNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050425000291 | FL | Part B Supplier - Clinic/Group Practice | 9335187855 | Receives reassigned benefits from 22 practitioners |
National Provider Directory
Locations
22198 Ensenada Way
Boca Raton, FL 33433
Phone (561) 245-8836
17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998
611 S A St
Lake Worth Beach, FL 33460
Phone (561) 585-2997
524 Datura St
West Palm Beach, FL 33401
Phone (877) 352-5324
Interoperability endpoints
- shannonmae@ubuntu.kareodirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
365 Stirrup Key Blvd
Marathon, FL 33050-2943
Mailing address
365 Stirrup Key Blvd
Marathon, FL 33050-2943
Phone (561) 870-6233
Other names
- Glenn Gidseg
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shannonmae@ubuntu.kareodirect.com | Direct |
Other providers in Marathon, FL
- Kevin B Newfield
- Carrie Elizabeth Newsome
- Bridget Noon
- Jessica Nosel
- Nursing Home Consultants LLC
- John Patrick O'Connor
- Carlos O'Farrill
- Vanessa Marie Ocasio
- Thomas Operchal
- Thomas Ottey
All providers in Marathon, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.