Johnny Gurgen (NPI# 1962666966, PAC ID# 2264556331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1962666966 |
| PAC ID by PECOS | 2264556331 |
| Professional Enrollment ID | I20100825001007 |
| Full Name | Johnny Gurgen |
| Organization Legal Name | JOHNNY GURGEN DO PA |
| Address |
920 Rolling Acres Rd Suite 203 Lady Lake FL 32159-5029 |
| Phone Number | 3524357695 |
| Gender | M |
| Medical School | OAKLAND COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 2006 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1355504861 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 920 Rolling Acres Rd, Suite 203, Lady Lake, FL 32159-5029 | 3524357695 | JOHNNY GURGEN DO PA |
| 1340 Citizens Blvd, Leesburg, FL 34748-3924 | 3524357695 | JOHNNY GURGEN DO PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | JOHNNY GURGEN DO PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Murat Michael Gurgen | Nurse Practitioner | Johnny Gurgen Do Pa | 1340 Citizens Blvd, Leesburg, FL 34748-3924 |
| Street Address |
920 ROLLING ACRES RD SUITE 203 |
| City | LADY LAKE |
| State | FL |
| Zip | 32159-5029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrian J. Finol-hernandez | Thoracic Surgery | 920 Rolling Acres Rd, Unit 201, Lady Lake, FL 32159-5029 | |
| Michel Sedra Habashy | Endocrinology | 920 Rolling Acres Rd, Unit 208, Lady Lake, FL 32159-5029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirmanj Faraj | Cardiovascular Disease (cardiology) | Cardiac Specialty Institute, LLC | 510 W Cr, Suite 466, Lady Lake, FL 32159 |
| Danny J Soares | Otolaryngology | Mesos LLC | 757 County Rd, Suite 466, Lady Lake, FL 32159 |
| Vinay Gutti | Ophthalmology | Central Florida Premier Eye Associates | 801 County Rd 466 Unit, Suite 102, Lady Lake, FL 32159 |
| Natalia Alejandro | Obstetrics/gynecology | Florida Woman Care LLC | 741 Country Rd, Suite 466, Lady Lake, FL 32159 |
| Maria Theresa S De Jesus | Nephrology | Quintina B. Corteza Md Pa | 777 County Rd, Suite 466, Lady Lake, FL 32159 |
| Judith C Milstead | Otolaryngology | Milstead Vaught Madonna and Freedman Pa | 1501 Us Hwy 441 N, Suite 1402, The Villages, FL 32159 |
| Alexander Smirnoff | Neurology | 729 County Rd, Suite 1100, Lady Lake, FL 32159 | |
| Norman S Novis | Internal Medicine | Norman S Novis Md Pa | 801 Hwy 466 B101, Lady Lake, FL 32159 |
| Nelly Rivera Ortiz | Obstetrics/gynecology | Florida Woman Care LLC | 741 Country Rd, Suite 466, Lady Lake, FL 32159 |
| Skivakumar S Hanubal | Obstetrics/gynecology | Florida Woman Care LLC | 741 Country Rd, Suite 466, Lady Lake, FL 32159 |
| Find all physicians in zip 32159 | |||
| City | LADY LAKE |
| Zip Code | 32159 |
| Specialty | DERMATOLOGY |
| City + Specialty | LADY LAKE + DERMATOLOGY |
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| 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.