Jonathan Baron (NPI# 1639542673, PAC ID# 5395046304) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1639542673 |
| PAC ID by PECOS | 5395046304 |
| Professional Enrollment ID | I20170605001326 |
| Full Name | Jonathan Baron |
| Organization Legal Name | ADVANCED UROLOGY INSTITUTE, LLC |
| Address |
240 Southpark Cir E Saint Augustine FL 32086-5137 |
| Phone Number | 9048241450 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2163653585 |
| Number of Group Practice Members | 92 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100090 | FLAGLER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3475 S Suncoast Blvd, Homosassa, FL 34448-2322 | 3526287671 | ADVANCED UROLOGY INSTITUTE, LLC |
| 1061 Medical Ctr Dr, Suite 300, Orange City, FL 32763-8227 | 3864279554 | ADVANCED UROLOGY INSTITUTE, LLC |
| 12109 County Rd, Suite 103, Oxford, FL 34484-2967 | 3523916494 | ADVANCED UROLOGY INSTITUTE, LLC |
| 240 Southpark Cir E, Saint Augustine, FL 32086-5137 | 9048241450 | 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 |
240 SOUTHPARK CIR E |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip | 32086-5137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard B Epstein | Urology | Advanced Urology Institute, LLC | 240 Southpark Cir E, Saint Augustine, FL 32086-5137 |
| Katherine Gardner | Nurse Practitioner | Advanced Urology Institute, LLC | 240 Southpark Cir E, Saint Augustine, FL 32086-5137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana D Reynolds | Nurse Practitioner | First City Hospitalists Group Pllc | 3 Rd, St Augustine, FL 32086 |
| Alexandra Gabrielle Feuer | Physician Assistant | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
| James Bernard | Dermatology | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
| Richard W Johnson | Podiatry | Coastal Foot and Ankle Wellness Center LLC | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 |
| Josep Genebriera-de Lamo | Dermatology | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
| Jose Concha | Podiatry | Coastal Foot and Ankle Wellness Center LLC | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 |
| David C Lomaglio | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
| Judith L Nichols | Nurse Practitioner | St Augustine Primary Care P L | 105 Mariner Health Way, Suite 203, St Augustine, FL 32086-3251 |
| Andrew Raymond Schreiner | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
| Hyacinth Wallace | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
| Find all physicians in zip 32086 | |||
| City | SAINT AUGUSTINE |
| Zip Code | 32086 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAINT AUGUSTINE + PHYSICIAN ASSISTANT |
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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.