Mandar Rajaram Jagtap (NPI# 1255560918, PAC ID# 4688966435) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1255560918 |
| PAC ID by PECOS | 4688966435 |
| Professional Enrollment ID | I20171003004454 |
| Full Name | Mandar Rajaram Jagtap |
| Organization Legal Name | MAGNOLIA CARDIOLOGY ASSOCIATES |
| Address |
100 Hospital St Booneville MS 38829-3354 |
| Phone Number | 6627205000 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8123295979 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250009 | MAGNOLIA REGIONAL HEALTH CENTER |
| 250044 | BAPTIST MEMORIAL HOSPITAL BOONEVILLE |
| 251337 | TIPPAH COUNTY HOSPITAL |
| 250002 | TISHOMINGO HEALTH SERVICES INC |
| 440109 | HARDIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 Hospital St, Booneville, MS 38829-3354 | 6627205000 | MAGNOLIA CARDIOLOGY ASSOCIATES |
| 611 Alcorn Dr, Suite 230, Corinth, MS 38834-9323 | 6622875218 | MAGNOLIA CARDIOLOGY ASSOCIATES |
| 611 Alcorn Dr, Corinth, MS 38834-9321 | MAGNOLIA REGIONAL HEALTH CENTER |
| Organization Legal Name | MAGNOLIA CARDIOLOGY ASSOCIATES |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Prather | Cardiovascular Disease (cardiology) | Magnolia Cardiology Associates | 611 Alcorn Dr, Suite 230, Corinth, MS 38834-9323 |
| Amanda S. Mccalla | Nurse Practitioner | Magnolia Cardiology Associates | 611 Alcorn Dr, Suite 230, Corinth, MS 38834-9323 |
| Kimberly K Marlar | Nurse Practitioner | Magnolia Cardiology Associates | 611 Alcorn Dr, Suite 230, Corinth, MS 38834-9323 |
| Street Address |
100 HOSPITAL ST |
| City | BOONEVILLE |
| State | MS |
| Zip | 38829-3354 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Putnam | Internal Medicine | 100 Hospital St, Suite 200, Booneville, MS 38829-3354 | |
| Nathan Ward Baldwin | Internal Medicine | 100 Hospital St, Suite 100, Booneville, MS 38829-3359 | |
| Janet E Strangi | Emergency Medicine | United Emergency Services Inc. | 100 Hospital St, Booneville, MS 38829-3354 |
| David G Chase Sr. | Pulmonary Disease | North Mississippi Pulmonology Clinic Inc | 100 Hospital St, Suite 300, Booneville, MS 38829-3354 |
| Clifton C Cartwright | Family Medicine | 100 Hospital St, Booneville, MS 38829-3354 | |
| David N Greenhaw | Internal Medicine | 100 Hospital St, Suite 200, Booneville, MS 38829-3354 | |
| Heather N Wright | Nurse Practitioner | North Mississippi Pulmonology Clinic Inc | 100 Hospital St, Suite 300, Booneville, MS 38829-3354 |
| Ronald L Perry | Emergency Medicine | United Emergency Services Inc. | 100 Hospital St, Booneville, MS 38829-3354 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ginger Mcmillan-buchanan | Nurse Practitioner | North Mississippi Medical Clinics Inc | 1301 N 2nd St, Booneville, MS 38829-1028 |
| Christoph S Reynolds | Family Medicine | North Mississippi Medical Clinics Inc | 1301 N 2nd St, Booneville, MS 38829-1028 |
| Bethany A Cummings | Nurse Practitioner | North Mississippi Medical Clinics Inc | 1301 N 2nd St, Booneville, MS 38829-1028 |
| Meagan Cherry | Nurse Practitioner | North Mississippi Medical Clinics Inc | 1301 N 2nd St, Booneville, MS 38829-1028 |
| Rebekah A Smith | Nurse Practitioner | North Mississippi Medical Clinics Inc | 1301 N 2nd St, Booneville, MS 38829-1028 |
| Bradley J Stephenson | Physical Therapy | 102 Ridgemont Villa, Booneville, MS 38829-1036 | |
| Jason P Yarber | Physical Therapy | 809 N 2nd St, Booneville, MS 38829-1309 | |
| Bobbie Vanslyke | Nurse Practitioner | Physicians Urgent Care of Corinth, P.a. | 1002 N 2nd St, Booneville, MS 38829-1314 |
| Jason Lloyd Martin | Nurse Practitioner | Physicians Urgent Care of Corinth, P.a. | 1002 N 2nd St, Booneville, MS 38829-1314 |
| Christina Williams | Nurse Practitioner | Physicians Urgent Care of Corinth, P.a. | 1002 N 2nd St, Booneville, MS 38829-1314 |
| Find all physicians in zip 38829 | |||
| City | BOONEVILLE |
| Zip Code | 38829 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BOONEVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mandar Rajaram Jagtap.
| 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.