Mark L Mudano (NPI# 1487759650, PAC ID# 1355306119) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1487759650 |
| PAC ID by PECOS | 1355306119 |
| Professional Enrollment ID | I20041208000871 |
| Full Name | Mark L Mudano |
| Organization Legal Name | EMANUEL COUNTY HOSPITAL AUTHORITY |
| Address |
117 Kite Rd Swainsboro GA 30401-3231 |
| Phone Number | 4782891341 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1984 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3577473040 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110086 | WASHINGTON COUNTY REGIONAL MEDICAL CENTER |
| 100211 | BAYFRONT HEALTH DADE CITY |
| Address | Phone | Organization |
|---|---|---|
| 12880 Us Hwy 301, Dade City, FL 33525-5801 | 3525673325 | FLORIDA HOSPITAL PHYSICIAN GROUP INC |
| 610 Sparta Rd, Sandersville, GA 31082-1860 | 4785523901 | WASHINGTON COUNTY REGIONAL MEDICAL CENTER |
| 117 Kite Rd, Swainsboro, GA 30401-3231 | 4782891341 | EMANUEL COUNTY HOSPITAL AUTHORITY |
| 2700 Healing Way, Wesley Chapel, FL 33543-5453 | FLORIDA HOSPITAL PHYSICIAN GROUP INC |
| Organization Legal Name | EMANUEL COUNTY HOSPITAL AUTHORITY |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip G Boatright Jr. | Physician Assistant | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Anna H Williams | Physician Assistant | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Cedric Elmer Porter | Family Medicine | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Amanda S Jarriel | Nurse Practitioner | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Mary J Greenway | Nurse Practitioner | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Anthony L Howard Sr. | Internal Medicine | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| William B Headley | General Surgery | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Nicholas Luecke | Nurse Practitioner | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| James D Clifton | Family Medicine | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| James L Ray | Family Medicine | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Street Address |
117 KITE RD |
| City | SWAINSBORO |
| State | GA |
| Zip | 30401-3231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Seward | Family Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Thomas M Meadows | Diagnostic Radiology | South Georgia Radiology Associates LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Phillip G Boatright Jr. | Physician Assistant | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Anna H Williams | Physician Assistant | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Wiley Wilson | Pediatric Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Cedric Elmer Porter | Family Medicine | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Amanda S Jarriel | Nurse Practitioner | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Mary J Greenway | Nurse Practitioner | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Anthony L Howard Sr. | Internal Medicine | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Mark A Foppe | Emergency Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Davis Iii | Chiropractic | 120 Jackson St, Suite C, Swainsboro, GA 30401-3160 | |
| Vijitha P Prasad | Internal Medicine | South Georgia Internal Medicine,pc | 544 W Church St, Swainsboro, GA 30401-3230 |
| Megan C Kight | Nurse Practitioner | South Georgia Internal Medicine,pc | 544 W Church St, Swainsboro, GA 30401-3230 |
| Pamela R Love | Nurse Practitioner | South Georgia Internal Medicine,pc | 544 W Church St, Swainsboro, GA 30401-3230 |
| William B Headley | General Surgery | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Nicholas Luecke | Nurse Practitioner | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Vijay K Mahathre | Emergency Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| James D Clifton | Family Medicine | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| David L Turfler | Emergency Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Cindy A Holt | Certified Registered Nurse Anesthetist (crna) | Sentry Anesthesia Management, LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Find all physicians in zip 30401 | |||
| City | SWAINSBORO |
| Zip Code | 30401 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SWAINSBORO + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Mark L Mudano.
| 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.