Judson Daniell Rackley (NPI# 1578583829, PAC ID# 4880791433) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1578583829 |
| PAC ID by PECOS | 4880791433 |
| Professional Enrollment ID | I20070516000469 |
| Full Name | Judson Daniell Rackley |
| Organization Legal Name | ADVANCED UROLOGY INSTITUTE, LLC |
| Address |
2000 Centre Pointe Blvd Tallahassee FL 32308-4894 |
| Phone Number | 8503090400 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2001 |
| 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 |
|---|---|
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| 340148 | NOVANT HEALTH MEDICAL PARK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1061 Medical Ctr Dr, Suite 300, Orange City, FL 32763-8227 | 3864279554 | ADVANCED UROLOGY INSTITUTE, LLC |
| 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 8503090400 | ADVANCED UROLOGY INSTITUTE, LLC |
| 140 Kimel Park Dr, Suite 100, Winston Salem, NC 27103-6160 | 3362452100 | FORSYTH MEMORIAL HOSPITAL INC |
| 1907 S Hawthorne Rd, Winston-salem, NC 27103-3916 | 3367656373 | PIEDMONT STONE CENTER PLLC |
| 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 |
2000 CENTRE POINTE BLVD |
| City | TALLAHASSEE |
| State | FL |
| Zip | 32308-4894 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph L Camps | Urology | Advanced Urology Institute, LLC | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 |
| Harold Jackson Jr. | Nurse Practitioner | Advanced Urology Institute, LLC | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 |
| Jolan M Cruzado | Nurse Practitioner | Advanced Urology Institute, LLC | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 |
| Stephanie Derouin | Nurse Practitioner | Advanced Urology Institute, LLC | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 |
| Scott A Lewis | Physician Assistant | Advanced Urology Institute, LLC | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 |
| David E Burday | Urology | Advanced Urology Institute, LLC | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 |
| Kenneth Jackson Delay | Urology | Advanced Urology Institute, LLC | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 |
| Scott B Sellinger | Urology | Advanced Urology Institute, LLC | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 |
| Gregory E Lamendola | Physician Assistant | Advanced Urology Institute, LLC | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 |
| Robert S Bradford | Urology | Advanced Urology Institute, LLC | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Carlquist | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
| Vatsal Patel | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
| Eileen Venable | Psychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jeffrey T Ferraro | Neuropsychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Donna S Kitch | Psychologist, Clinical | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jessica D Shrum | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jonathan E Johnson | Physician Assistant | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jennifer Beaupied | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Cynthia S Whitaker | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Kelly E Sunshine | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Find all physicians in zip 32308 | |||
| City | TALLAHASSEE |
| Zip Code | 32308 |
| Specialty | UROLOGY |
| City + Specialty | TALLAHASSEE + UROLOGY |
Please comment or provide details below to improve the information on Judson Daniell Rackley.
| 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.