Roger Gustavo Amigo (NPI# 1982603668, PAC ID# 0749275865) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1982603668 |
| PAC ID by PECOS | 0749275865 |
| Professional Enrollment ID | I20100810000055 |
| Full Name | Roger Gustavo Amigo |
| Organization Legal Name | MARY RUTAN HOSPITAL |
| Address |
1880 E Us Hwy 36 Urbana OH 43078-9600 |
| Phone Number | 9378870164 |
| Gender | M |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 9032013792 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360197 | MARY RUTAN HOSPITAL |
| 361315 | HARDIN MEMORIAL HOSPITAL |
| 360006 | RIVERSIDE METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 205 Palmer Ave, Bellefontaine, OH 43311-2281 | 9375924015 | MARY RUTAN HOSPITAL |
| 2160 Ewing Crawfis Circle, Bellefontaine, OH 43311-9042 | 9372927354 | MARY RUTAN HOSPITAL |
| 921 E Franklin St, Kenton, OH 43326-2020 | 4196730761 | MARY RUTAN HOSPITAL |
| 1880 E Us Hwy 36, Urbana, OH 43078-9600 | 9378870164 | MARY RUTAN HOSPITAL |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 88% | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 88% | |
| MIPS_EC_047_overall | Care Plan | 99% | |
| MIPS_EC_047_overall | Care Plan | 99% |
| Organization Legal Name | MARY RUTAN HOSPITAL |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Peters | Orthopedic Surgery | Mary Rutan Hospital | 2221 Timber Trl, Bellefontaine, OH 43311-9036 |
| Norman Xavier Greene | Obstetrics/gynecology | Mary Rutan Hospital | 1125 Rush Ave, Bellefontaine, OH 43311-9488 |
| Michael T Cray | General Surgery | Mary Rutan Hospital | 2160 Ewing Crawfis Circle, Bellefontaine, OH 43311-9042 |
| Alene K Yeater | Obstetrics/gynecology | Mary Rutan Hospital | 1880 E Us Hwy 36, Urbana, OH 43078-9600 |
| Megan B Arbogast | Nurse Practitioner | Mary Rutan Hospital | 2231 Timber Trl, Bellefontaine, OH 43311-9036 |
| Cheryl Ann Mann | Family Medicine | Mary Rutan Hospital | 805 E Pike St, Jackson Center, OH 45334-6001 |
| Deron Lee Horman | Family Medicine | Mary Rutan Hospital | 205 Palmer Ave, Bellefontaine, OH 43311-2281 |
| Janet L Zurovchak | Obstetrics/gynecology | Mary Rutan Hospital | 205 Palmer Ave, Bellefontaine, OH 43311-2281 |
| Lisa S Gaines | Anesthesiology | Mary Rutan Hospital | 205 Palmer Ave, Bellefontaine, OH 43311-2281 |
| Linette Mejias Badillo | Pathology | Mary Rutan Hospital | 205 Palmer Ave, Bellefontaine, OH 43311-2281 |
| Street Address |
1880 E US HWY 36 |
| City | URBANA |
| State | OH |
| Zip | 43078-9600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alene K Yeater | Obstetrics/gynecology | Mary Rutan Hospital | 1880 E Us Hwy 36, Urbana, OH 43078-9600 |
| Anna M Clem-badhwar | Family Medicine | Mary Rutan Hospital | 1880 E Us Hwy 36, Urbana, OH 43078-9600 |
| Andrea K Young | Nurse Practitioner | Mary Rutan Hospital | 1880 E Us Hwy 36, Urbana, OH 43078-9600 |
| Karena C Hager | Nurse Practitioner | Mary Rutan Hospital | 1880 E Us Hwy 36, Urbana, OH 43078-9600 |
| Marie Barth | Nurse Practitioner | Mary Rutan Hospital | 1880 E Us Hwy 36, Urbana, OH 43078-9600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean M Shoemaker | Clinical Social Worker | Consolidated Care Inc | 1522e Route 36 A, Urbana, OH 43078 |
| Jillian Shellabarger | Psychiatry | Consolidated Care Inc | 1522e Route 36 A, Urbana, OH 43078 |
| Hannah R Auck | Clinical Social Worker | Consolidated Care Inc | 1522e Route 36 A, Urbana, OH 43078 |
| Jill A Mccool | Clinical Social Worker | Consolidated Care Inc | 1522e Route 36 A, Urbana, OH 43078 |
| Erica Morrow | Clinical Social Worker | Consolidated Care Inc | 1522e Route 36 A, Urbana, OH 43078 |
| Scott C Kayatin | Chiropractic | Donay Life-wellness Center Inc | 330 W Twain Ave, Urbana, OH 43078-1061 |
| Jeffrey L Donay | Chiropractic | Donay Life-wellness Center Inc | 330 W Twain Ave, Urbana, OH 43078-1061 |
| James D Grove | Optometry | 303 N Main St, Urbana, OH 43078-1605 | |
| Bethany Merri Bloemhard | Optometry | James Grove and Associates, LLC | 303 N Main St, Urbana, OH 43078-1605 |
| John R Collins | Optometry | James Grove and Associates, LLC | 303 N Main St, Urbana, OH 43078-1605 |
| Find all physicians in zip 43078 | |||
| City | URBANA |
| Zip Code | 43078 |
| Specialty | UROLOGY |
| City + Specialty | URBANA + UROLOGY |
Please comment or provide details below to improve the information on Roger Gustavo Amigo.
| 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.