Arcadia Medical Associates PA
Organization Active NPI Internal Medicine Physician · Arcadia, FL
NPI 1891980215 · NPPES record last updated Jun 22, 2023
Key facts
- NPI
- 1891980215
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ARCADIA MEDICAL ASSOCIATES PA
- Practice address
- 425 Nursing Home Dr
Arcadia, FL 34266 - Phone
- (863) 993-2966
- Fax
- (863) 494-5491
- NPI assigned
- Sep 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Wael Alokeh, MD
- Title
- Owner
- Phone
- (863) 993-2966
Practitioners 48
-
Bassam Altajar, MD
-
Tammy J Baker, ARNP
-
Amber Coffman, NP-C
-
Dipesh Deray, MD
-
Lawrence James Elliott, D.O.
-
Werther R. Marciales, M.D.
-
Romain Onteniente, DPM
-
Joseph N Pace, MD
-
Jordan Panicco, D.P.M.
-
Ahed Roumia, MD
-
Walid F Tanyous, M.D.
-
Abanoub Zaki, MD
-
Wael Alokeh, MD
-
Jaime A Baquero, M.D.
-
Paula Ann Bedo, ARNP
-
Kelly Borgerding, PA-C
-
Shari A Burbank, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1050642 | Arcadia Medical Associates, PA | Certificate of waiver | Feb 7, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060309000193 | FL | Part B Supplier - Clinic/Group Practice | 6800803289 |
Receives reassigned benefits from 48 practitioners Practice locations: Arcadia, FL; Wauchula, FL; Venice, FL; Sarasota, FL; Bradenton, FL |
| O20130821000208 | FL | DME Supplier - Physician - Podiatry |
6800803289 | Practice locations: Arcadia, FL |
National Provider Directory
Locations
5309 E State Road 64
Ste 101
Bradenton, FL 34208
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Cardiovascular Disease Physician |
207RC0000X | |||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | |||
| Gastroenterology Physician |
207RG0100X | |||
| Pulmonary Disease Physician |
207RP1001X | |||
| Surgery Physician |
208600000X | |||
| Podiatrist |
213E00000X |
Addresses
Primary practice location
425 Nursing Home Dr
Arcadia, FL 34266
Mailing address
PO Box 2020
Arcadia, FL 34265-2020
Phone (863) 993-2966
Other providers in Arcadia, FL
- Milton M Aponte-Tapia
- Arc Desoto Inc.
- Arcadia Chiropractic Clinic
- Arcadia Eyewear Inc.
- Arcadia General Internal Medicine, Inc
- Arcadia Medical Associates, PA
- Arcadia Pediatrics PLC
- Elizabeth Arevalo
- Jessica S Arnett
- Sandra I Arocho Rodriguez
All providers in Arcadia, 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 Jun 22, 2023. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.