Kalyan C Mantha (NPI# 1124232822, PAC ID# 6901084383) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1124232822 |
| PAC ID by PECOS | 6901084383 |
| Professional Enrollment ID | I20151123001446 |
| Full Name | Kalyan C Mantha |
| Organization Legal Name | EMERGENCY MEDICAL SPECIALISTS OF JACKSONVILLE |
| Address |
1 Shircliff Way Jacksonville FL 32204-4748 |
| Phone Number | 9043877300 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2668361080 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100226 | ORANGE PARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Shircliff Way, Jacksonville, FL 32204-4748 | 9043877300 | EMERGENCY MEDICAL SPECIALISTS OF JACKSONVILLE |
| 6477 103rd St, Jacksonville, FL 32210-7129 | 9047723300 | PARAGON EMERGENCY SERVICES LLC |
| Organization Legal Name | EMERGENCY MEDICAL SPECIALISTS OF JACKSONVILLE |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erik Myhrer | Emergency Medicine | Emergency Medical Specialists of Jacksonville | 1580 Branan Field Rd, Middleburg, FL 32068-8427 |
| Paul Lucey | Emergency Medicine | Emergency Medical Specialists of Jacksonville | 1580 Branan Field Rd, Middleburg, FL 32068-8427 |
| W Augenstein | Emergency Medicine | Emergency Medical Specialists of Jacksonville | 1580 Branan Field Rd, Middleburg, FL 32068-8427 |
| James J Aiello | Emergency Medicine | Emergency Medical Specialists of Jacksonville | 1580 Branan Field Rd, Middleburg, FL 32068-8427 |
| Bradley Berger | Emergency Medicine | Emergency Medical Specialists of Jacksonville | 1580 Branan Field Rd, Middleburg, FL 32068-8427 |
| David George Sterka Jr. | Emergency Medicine | Emergency Medical Specialists of Jacksonville | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Isaac Kinman | Family Medicine | Emergency Medical Specialists of Jacksonville | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Michael Shah | Emergency Medicine | Emergency Medical Specialists of Jacksonville | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Andrew Schare | Emergency Medicine | Emergency Medical Specialists of Jacksonville | 1580 Branan Field Rd, Middleburg, FL 32068-8427 |
| Danielle Reznicsek | Pediatric Medicine | Emergency Medical Specialists of Jacksonville | 1580 Branan Field Rd, Middleburg, FL 32068-8427 |
| Street Address |
1 SHIRCLIFF WAY |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32204-4748 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Binh Quoc Doan | Internal Medicine | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Zelia Yanique Archibald | Internal Medicine | Hni Medical Services | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Jason Bernard Allen | Nurse Practitioner | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Mihir R Faldu | Internal Medicine | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Daniel L Miller | Certified Registered Nurse Anesthetist (crna) | University of Florida Jacksonville Physicians, Inc. | 1 Shircliff Way, St Vincents Medical Center, Jacksonville, FL 32204-4748 |
| Cynthia Rizk | Family Medicine | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Sura Jermanus | Internal Medicine | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Khirstin Michelle Mcafee | Obstetrics/gynecology | Ob Hospitalist Group LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Rajesh Mali | Internal Medicine | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Ashley Starkweather | Anesthesiology Assistant | North Florida Anesthesia Consultants Inc | 1 Shircliff Way, St. Vincent's Medical Center Rivers, Jacksonville, FL 32204-4748 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Walsh | Physician Assistant | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| William M Mentz | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Elizabeth Lee Gatch | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kayela Faye Moore | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Mitchell S Rothstein | Pulmonary Disease | 425 N Lee St, Suite 202, Jacksonville, FL 32204-1128 | |
| Eyad S Kawar | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Diana I Mercado | Infectious Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Jose M Soto Soto | Internal Medicine | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| Joseph P Orallo | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kasey E Treger | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Find all physicians in zip 32204 | |||
| City | JACKSONVILLE |
| Zip Code | 32204 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | JACKSONVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Kalyan C Mantha.
| 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.