Megan Minor (NPI# 1588916522, PAC ID# 1850542085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1588916522 |
| PAC ID by PECOS | 1850542085 |
| Professional Enrollment ID | I20121115000234 |
| Full Name | Megan Minor |
| Organization Legal Name | AVECINA MEDICAL PA |
| Address |
1633 Race Track Rd Suite 101 Saint Johns FL 32259-3237 |
| Phone Number | 9042306988 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3173547825 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100075 | ST JOSEPHS HOSPITAL |
| 100127 | MORTON PLANT HOSPITAL |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100032 | BAYFRONT HEALTH - ST PETERSBURG |
| Address | Phone | Organization |
|---|---|---|
| 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 | 9042306988 | AVECINA MEDICAL PA |
| 1633 Race Track Rd, Saint Johns, FL 32259-3237 | 9042306988 | AVECINA MEDICAL PA |
| 1955 1st Ave N, Suite 104, St Petersburg, FL 33713-8941 | 7276239913 | FLORIDA ENDOCRINOLOGY AND DIABETES CENTER LLC |
| 1955 1st Ave N, St Petersburg, FL 33713-8941 | 7276239913 | FLORIDA ENDOCRINOLOGY AND DIABETES CENTER LLC |
| Organization Legal Name | AVECINA MEDICAL PA |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerardo A Montanez | Nurse Practitioner | Avecina Medical Pa | 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 |
| Sohail A Khan | Physician Assistant | Avecina Medical Pa | 9580 Applecross Rd, Suite 106, Jacksonville, FL 32222-5843 |
| Kimberly M Wieringa | Physician Assistant | Avecina Medical Pa | 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 |
| Michael D Kight Jr. | Physician Assistant | Avecina Medical Pa | 9580 Applecross Rd, Suite 106, Jacksonville, FL 32222-5843 |
| Dmitriy B Model | Internal Medicine | Avecina Medical Pa | 9580 Applecross Rd, Suite 106, Jacksonville, FL 32222-5843 |
| Natasha Spencer | Nurse Practitioner | Avecina Medical Pa | 9580 Applecross Rd, Suite 106, Jacksonville, FL 32222-5843 |
| Nicole Fifer | Physician Assistant | Avecina Medical Pa | 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 |
| Amy A Haney | Physician Assistant | Avecina Medical Pa | 9580 Applecross Rd, Suite 106, Jacksonville, FL 32222-5843 |
| Sonila Musta- Kina | Physician Assistant | Avecina Medical Pa | 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 |
| Street Address |
1633 RACE TRACK RD SUITE 101 |
| City | SAINT JOHNS |
| State | FL |
| Zip | 32259-3237 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerardo A Montanez | Nurse Practitioner | Avecina Medical Pa | 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 |
| Kimberly M Wieringa | Physician Assistant | Avecina Medical Pa | 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 |
| Nicole Fifer | Physician Assistant | Avecina Medical Pa | 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 |
| Sonila Musta- Kina | Physician Assistant | Avecina Medical Pa | 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vassil I Valov | Chiropractic | 254 Everest Lane, Suite 2, St. Johns, FL 32259 | |
| Austin J Chaput | Family Medicine | St Vincent's Ambulatory Care Inc | 2001 County Rd 210, Saint Johns, FL 32259-2063 |
| Allison H Mabus | Family Medicine | St Vincent's Ambulatory Care Inc | 2001 County Rd 210, Saint Johns, FL 32259-2063 |
| Paul Richard Fraley | Emergency Medicine | Paragon Emergency Services LLC | 42 Doctors Village Dr, Saint Johns, FL 32259-2245 |
| Ronald John Brace | Emergency Medicine | Paragon Emergency Services LLC | 42 Doctors Village Dr, Saint Johns, FL 32259-2245 |
| James E Callan | Emergency Medicine | Paragon Emergency Services LLC | 42 Doctors Village Dr, Saint Johns, FL 32259-2245 |
| Glenn A Pederson | Nurse Practitioner | Paragon Emergency Services LLC | 42 Doctors Village Dr, Saint Johns, FL 32259-2245 |
| Leslie A Lynn | Chiropractic | 445 State Rd, 13 Suite 9, Jacksonville, FL 32259-2822 | |
| Gerald Fisher | Optometry | Gerald H Fisher and Erika L Fisher, Pa | 651 State Rd 13, St. Johns, FL 32259-2830 |
| Erika Fisher | Optometry | Gerald H Fisher and Erika L Fisher, Pa | 651 State Rd 13, St. Johns, FL 32259-2830 |
| Find all physicians in zip 32259 | |||
| City | SAINT JOHNS |
| Zip Code | 32259 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAINT JOHNS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Megan Minor.
| 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.