Ajay K Mangal (NPI# 1669706347, PAC ID# 4082507173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1669706347 |
| PAC ID by PECOS | 4082507173 |
| Professional Enrollment ID | I20111018000387 |
| Full Name | Ajay K Mangal |
| Organization Legal Name | OSCEOLA SURGICAL ASSOCIATES LLC |
| Address |
339 Cypress Pkwy Suite 210 Kissimmee FL 34759-3315 |
| Phone Number | 4073431825 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 0840366126 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100110 | OSCEOLA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 325 Cypress Pkwy, Kissimmee, FL 34759-3326 | 4075302000 | OSCEOLA SURGICAL ASSOCIATES LLC |
| 339 Cypress Pkwy, Suite 210, Kissimmee, FL 34759-3315 | 4073431825 | OSCEOLA SURGICAL ASSOCIATES LLC |
| Organization Legal Name | OSCEOLA SURGICAL ASSOCIATES LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wade L Fischer | Thoracic Surgery | Osceola Surgical Associates LLC | 720 W Oak St, Suite 150, Kissimmee, FL 34741-4990 |
| Harold D Neyra | General Surgery | Osceola Surgical Associates LLC | 8400 Red Bug Lake Rd, Suite 1010, Oviedo, FL 32765-6835 |
| Omar Qazi | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Fuad H Shahin | General Surgery | Osceola Surgical Associates LLC | 320 W Bass St, Kissimmee, FL 34741-5001 |
| Antonio J Ramirez | General Surgery | Osceola Surgical Associates LLC | 720 W Oak St, Kissimmee, FL 34741-4910 |
| Luis A Jaramillo | Plastic and Reconstructive Surgery | Osceola Surgical Associates LLC | 320 W Bass St, Kissimmee, FL 34741-5001 |
| Joshua Shultz | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Nicole Rachelle Brenner | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Christopher M Cooper | Internal Medicine | Osceola Surgical Associates LLC | 806 W Oak St, Kissimmee, FL 34741-6625 |
| Oral C James | Gastroenterology | Osceola Surgical Associates LLC | 339 Cypress Pkwy, Suite 210, Kissimmee, FL 34759-3315 |
| Street Address |
339 CYPRESS PKWY SUITE 210 |
| City | KISSIMMEE |
| State | FL |
| Zip | 34759-3315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hernan Gomez | Internal Medicine | Optumcare Florida, LLC | 339 Cypress Pkwy, Suite 100, Kissimmee, FL 34759-3315 |
| Gusev Gonzalez Campbell | Family Medicine | Optumcare Florida, LLC | 339 Cypress Pkwy, Suite 100, Kissimmee, FL 34759-3315 |
| Oral C James | Gastroenterology | Osceola Surgical Associates LLC | 339 Cypress Pkwy, Suite 210, Kissimmee, FL 34759-3315 |
| Miriam Rivera Irizarry | Internal Medicine | 339 Cypress Pkwy, Suite 110, Kissimmee, FL 34759-3315 | |
| Talha Shamim | Internal Medicine | 339 Cypress Pkwy, Suite 250, Kissimmee, FL 34759-3315 | |
| Cesare P Peraglie | Colorectal Surgery (proctology) | Osceola Surgical Associates LLC | 339 Cypress Pkwy, Suite 210, Kissimmee, FL 34759-3315 |
| Owen R Kieran | General Surgery | Osceola Surgical Associates LLC | 339 Cypress Pkwy, Suite 210, Kissimmee, FL 34759-3315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dianah Thelma Lake | Emergency Medicine | Eagle Peak Emergency Physicians LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Jared R Mueller | Chiropractic | 373 Cypress Pkwy, Kissimmee, FL 34759-3326 | |
| Luis S Rivera Gonzalez | Emergency Medicine | Eagle Peak Emergency Physicians LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Shari L Rowley | Emergency Medicine | Eagle Peak Emergency Physicians LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Srinivasa R Buggana | Internal Medicine | Mount Elbert Inpatient Services LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Mazen S Abusamaan | Internal Medicine | Mount Elbert Inpatient Services LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Yaritza Arriaga-oneill | Emergency Medicine | Eagle Peak Emergency Physicians LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Adam N Hertlein | Hospitalist | Mount Elbert Inpatient Services LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Janette M Robinson | Nurse Practitioner | Mount Elbert Inpatient Services LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Raul A Masing | Anesthesiology | Anesthesia Physician Solutions of North Florida LLC | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 |
| Find all physicians in zip 34759 | |||
| City | KISSIMMEE |
| Zip Code | 34759 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | KISSIMMEE + OTOLARYNGOLOGY |
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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.