Michael W Chancellor (NPI# 1790893782, PAC ID# 6103817564) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1790893782 |
| PAC ID by PECOS | 6103817564 |
| Professional Enrollment ID | I20040524000477 |
| Full Name | Michael W Chancellor |
| Organization Legal Name | ADVANCED UROLOGY INSTITUTE, LLC |
| Address |
12109 County Rd Suite 103 Oxford FL 34484-2967 |
| Phone Number | 3523916494 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | RADIATION ONCOLOGY |
| Secondary Specialties | UROLOGY |
| Group Practice PAC ID | 2163653585 |
| Number of Group Practice Members | 92 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12109 County Rd, Suite 103, Oxford, FL 34484-2967 | 3523916494 | 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 |
12109 COUNTY RD SUITE 103 |
| City | OXFORD |
| State | FL |
| Zip | 34484-2967 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas A Maruniak | Pathology | Advanced Urology Institute, LLC | 12109 County Rd, Suite 103, Oxford, FL 34484-2967 |
| Carole L Gordon | Urology | Advanced Urology Institute, LLC | 12109 County Rd, Suite 103, Oxford, FL 34484-2967 |
| Richard M Roach | Urology | Advanced Urology Institute, LLC | 12109 County Rd, Suite 103, Oxford, FL 34484-2967 |
| Thomas J Sanders | Urology | Advanced Urology Institute, LLC | 12109 County Rd, Oxford, FL 34484-2967 |
| Burkhard Weppelmann | Radiation Oncology | Advanced Urology Institute, LLC | 12109 County Rd, Oxford, FL 34484-2967 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Stephenson | Internal Medicine | 5050 County Rd, Suite 472, Oxford, FL 34484 | |
| Mark Pilon | Physical Therapy | Encore Preakness, Inc | 10780 N Us Hwy 301, Oxford, FL 34484-3505 |
| Erika De La Cruz | Physical Therapy | Encore Preakness, Inc | 10780 N Us Hwy 301, Oxford, FL 34484-3505 |
| Ally Monheim | Occupational Therapy | Encore Preakness Inc | 10780 N Us Hwy 301, Oxford, FL 34484-3505 |
| Marisa Ann Gopaul | Physical Therapy | Encore Preakness Inc | 10780 N Us Hwy 301, Oxford, FL 34484-3505 |
| Brooke Wacker | Nurse Practitioner | Balanced Wellbeing LLC | 10840 N Us Hwy 301, Oxford, FL 34484-3558 |
| Lisa Sweeney | Nurse Practitioner | Balanced Wellbeing LLC | 10840 N Us Hwy 301, Oxford, FL 34484-3558 |
| Nasser Lavaud | Nurse Practitioner | Balanced Wellbeing LLC | 10840 N Us Hwy 301, Oxford, FL 34484-3558 |
| Roger L Gray | Physician Assistant | Balanced Wellbeing LLC | 10840 N Us Hwy 301, Oxford, FL 34484-3558 |
| Cynthia Marengo | Nurse Practitioner | Balanced Wellbeing LLC | 10840 N Us Hwy 301, Oxford, FL 34484-3558 |
| Find all physicians in zip 34484 | |||
| City | OXFORD |
| Zip Code | 34484 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | OXFORD + RADIATION ONCOLOGY |
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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.