Harry T Madhanagopal (NPI# 1740568278, PAC ID# 5890928899) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1740568278 |
| PAC ID by PECOS | 5890928899 |
| Professional Enrollment ID | I20181019002151 |
| Full Name | Harry T Madhanagopal |
| Organization Legal Name | ST VINCENT'S FULL SERVICE URGENT CARE, LLC |
| Address |
858 Monument Rd Suite A Jacksonville FL 32225-6671 |
| Phone Number | 9044506600 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4183879364 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 6699 Gate Pkwy, Suite A, Jacksonville, FL 32256-8078 | 9044508100 | ST VINCENT'S FULL SERVICE URGENT CARE, LLC |
| 858 Monument Rd, Suite A, Jacksonville, FL 32225-6671 | 9044506600 | ST VINCENT'S FULL SERVICE URGENT CARE, LLC |
| Organization Legal Name | ST VINCENT'S FULL SERVICE URGENT CARE, LLC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krystle Williams Swain | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 615 Pendleton St, Waycross, GA 31501-4724 |
| Lauren W Bell | Nurse Practitioner | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Robert Weber | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 5501 Roosevelt Blvd, Jacksonville, FL 32244-2345 |
| Jessica M Johnson | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 6488 103rd St, Suite A, Jacksonville, FL 32210-7130 |
| Farid Ahmed | Family Medicine | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Ralph Badanowski | Emergency Medicine | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Sarah Katherine Curtis | Nurse Practitioner | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Thomas Williams | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Michael L Cordova | Family Medicine | St Vincent's Full Service Urgent Care, LLC | 10503 San Jose Blvd, Jacksonville, FL 32257-6295 |
| Andrea Janan Albritton | Nurse Practitioner | St Vincent's Full Service Urgent Care, LLC | 615 Pendleton St, Waycross, GA 31501-4724 |
| Street Address |
858 MONUMENT RD SUITE A |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32225-6671 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christa W Lehman | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 858 Monument Rd, Suite B, Jacksonville, FL 32225-6670 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Delia Glisette Toledo | Psychiatry | Pacifica Care Pllc | 13121 Atlantic Blvd, Suite 100, Jacksonville, FL 32225-0102 |
| James L Lounsbury | Clinical Social Worker | 13121 Atlantic Blvd, Suite 100, Jacksonville, FL 32225-0102 | |
| Atul M Shah | Psychiatry | Pacifica Care Pllc | 13121 Atlantic Blvd, Suite 100, Jacksonville, FL 32225-0102 |
| Ghassan Ju Ghata | General Practice | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Girija Chandran | Family Medicine | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Erica C Bilalovic | Nurse Practitioner | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Morgan Sanders | Physician Assistant | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Peter Kimball | Physician Assistant | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Keisha D Pugh | Nurse Practitioner | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Stephanie Kinsey | Physician Assistant | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Find all physicians in zip 32225 | |||
| City | JACKSONVILLE |
| Zip Code | 32225 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSONVILLE + FAMILY MEDICINE |
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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.