Yan G Makeyev (NPI# 1386812253, PAC ID# 6406099134) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1386812253 |
| PAC ID by PECOS | 6406099134 |
| Professional Enrollment ID | I20130828000840 |
| Full Name | Yan G Makeyev |
| Organization Legal Name | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| Address |
1670 St Vincents Way St. Vincents Medical Center Clay Co Middleburg FL 32068-8447 |
| Phone Number | 9042443477 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2004 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 2365456258 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100001 | SHANDS JACKSONVILLE |
| 100226 | ORANGE PARK MEDICAL CENTER |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1 Shircliff Way, St. Vincents Medical Center Riversi, Jacksonville, FL 32204-4748 | 9042443477 | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| 7751 Baymeadows Rd E, 205 Uf Health Oncology Baymeadows, Jacksonville, FL 32256-5836 | 9044271050 | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| 800 Prudential Dr, Jacksonville, FL 32207-8202 | 9042443477 | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| 1670 St Vincents Way, St. Vincents Medical Center Clay Co, Middleburg, FL 32068-8447 | 9042443477 | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| 2001 Kingsley Ave, Orange Park, FL 32073-5148 | 9042443477 | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| 2141 Loch Rane Blvd, Suite 117, Orange Park, FL 32073-4239 | 9044271270 | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| Organization Legal Name | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Troy Guthrie | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Joseph Mignone | Medical Oncology | Shands Jacksonville Medical Center Inc | 1699 S 14th St, 2 Uf Health Oncology Fernandina, Fernandina Beach, FL 32034-1964 |
| Jeffrey M Harris | Medical Oncology | Shands Jacksonville Medical Center Inc | 1699 S 14th St, 2 Uf Health Oncology Fernandina, Fernandina Beach, FL 32034-1964 |
| Mohammad Asif Khan | Medical Oncology | Shands Jacksonville Medical Center Inc | 1 Shircliff Way, St. Vincents Medical Center Riversi, Jacksonville, FL 32204-4748 |
| Dimitrios P Agaliotis | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Mathew Luke | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Zhen Hou | Internal Medicine | Shands Jacksonville Medical Center Inc | 1 Shircliff Way, St. Vincents Medical Center Riversi, Jacksonville, FL 32204-4748 |
| Carlos M Castillo | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Peter W Komatz | Nurse Practitioner | Shands Jacksonville Medical Center Inc | 7751 Baymeadows Rd E, 205 Uf Health Oncology Baymeadows, Jacksonville, FL 32256-5836 |
| Street Address |
1670 ST VINCENTS WAY ST. VINCENTS MEDICAL CENTER CLAY CO |
| City | MIDDLEBURG |
| State | FL |
| Zip | 32068-8447 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary E Brown | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Christopher D Roman | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Vanessa Seiglie Quinones | Internal Medicine | Mcci Group Holdings LLC | 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804 |
| Elizabeth A Bathala | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| James Wesley Carter | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| James M Russell | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Alicia M Rivera | Nurse Practitioner | Mcci Group Holdings LLC | 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804 |
| Paul Byra | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Kardelina Diaz | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Michelle N Waters | Nurse Practitioner | Mcci Group Holdings LLC | 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804 |
| Find all physicians in zip 32068 | |||
| City | MIDDLEBURG |
| Zip Code | 32068 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | MIDDLEBURG + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Yan G Makeyev.
| 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.