Michael G Desautel (NPI# 1831161660, PAC ID# 3971665860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1831161660 |
| PAC ID by PECOS | 3971665860 |
| Professional Enrollment ID | I20090110000168 |
| Full Name | Michael G Desautel |
| Organization Legal Name | ADVANCED UROLOGY INSTITUTE, LLC |
| Address |
609 W Highland Blvd Inverness FL 34452-4638 |
| Phone Number | 3527269707 |
| Gender | M |
| Medical School | MOUNT SINAI SCHOOL OF MEDICINE OF CITY UNIVERSITY OF NEW YORK |
| Graduation Year | 1992 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 2163653585 |
| Number of Group Practice Members | 92 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100023 | CITRUS MEMORIAL HOSPITAL |
| 100249 | SEVEN RIVERS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 609 W Highland Blvd, Inverness, FL 34452-4638 | 3527269707 | ADVANCED UROLOGY INSTITUTE, LLC |
| Organization Legal Name | ADVANCED UROLOGY INSTITUTE, LLC |
| Physicians | 99 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajinikanth Ayyathurai | Urology | Advanced Urology Institute, LLC | 609 W Highland Blvd, Inverness, FL 34452-4638 |
| Michael Earl Galloway | Radiation Oncology | Advanced Urology Institute, LLC | 2560 Enterprise Rd E, Clearwater, FL 33759-1010 |
| Mikhail Lezhak | Physician Assistant | Advanced Urology Institute, LLC | 545 Health Blvd, Daytona Beach, FL 32114-1493 |
| Joseph L Camps | Urology | Advanced Urology Institute, LLC | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 |
| Robert C Youngman | Urology | Advanced Urology Institute, LLC | 506 Palmetto St, New Smyrna Beach, FL 32168-7325 |
| Stephen G Weiss | Urology | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Howard B Epstein | Urology | Advanced Urology Institute, LLC | 240 Southpark Cir E, Saint Augustine, FL 32086-5137 |
| David S Harris | Urology | Advanced Urology Institute, LLC | 13681 Doctors Way, Gulf Coast Medical Center, Fort Myers, FL 33912-4300 |
| Dinesh S Rao | Urology | Advanced Urology Institute, LLC | 1901 Se 18th Ave Bldg, Suite 300, Ocala, FL 34471-8214 |
| Sean Heron | Urology | Advanced Urology Institute, LLC | 1401 Pasadena Ave S, South Pasadena, FL 33707-3715 |
| Street Address |
609 W HIGHLAND BLVD |
| City | INVERNESS |
| State | FL |
| Zip | 34452-4638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajinikanth Ayyathurai | Urology | Advanced Urology Institute, LLC | 609 W Highland Blvd, Inverness, FL 34452-4638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meena R Nathan | Internal Medicine | 840 S Bea Ave, Inverness, FL 34452-3603 | |
| Rama V Nathan | Otolaryngology | 820 S Bea Ave, Inverness, FL 34452-3603 | |
| Vikas G Kamat | Internal Medicine | Meena R Nathan Md Pa | 840 S Bea Ave, Inverness, FL 34452-3603 |
| Charles K Zachar | Diagnostic Radiology | Inverness Medical Imaging, LLC | 2105 Hwy 44 W, Inverness, FL 34452-3805 |
| Mark D Jacobson | Diagnostic Radiology | Inverness Medical Imaging, LLC | 2105 Hwy 44 W, Inverness, FL 34452-3805 |
| Riccardo M De Girolami | Diagnostic Radiology | Inverness Medical Imaging, LLC | 2105 Hwy 44 W, Inverness, FL 34452-3805 |
| Derek D Benthusen | Physical Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Laura Mae Mazelis | Occupational Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Sherrie Kearse Ramsay | Occupational Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Kristina Shipman | Occupational Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Find all physicians in zip 34452 | |||
| City | INVERNESS |
| Zip Code | 34452 |
| Specialty | UROLOGY |
| City + Specialty | INVERNESS + UROLOGY |
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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.