Brian David Anderson (NPI# 1750510871, PAC ID# 7113166554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1750510871 |
| PAC ID by PECOS | 7113166554 |
| Professional Enrollment ID | I20130617000183 |
| Full Name | Brian David Anderson |
| Organization Legal Name | PARAGON EMERGENCY SERVICES LLC |
| Address |
11850 Atlantic Blvd Jacksonville FL 32225-2918 |
| Phone Number | 9049985000 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8628153087 |
| Number of Group Practice Members | 222 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100179 | MEMORIAL HOSPITAL JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 11850 Atlantic Blvd, Jacksonville, FL 32225-2918 | 9049985000 | PARAGON EMERGENCY SERVICES LLC |
| Organization Legal Name | PARAGON EMERGENCY SERVICES LLC |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Richard Fraley | Emergency Medicine | Paragon Emergency Services LLC | 42 Doctors Village Dr, Saint Johns, FL 32259-2245 |
| Forrest J King | General Practice | Paragon Emergency Services LLC | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
| Alex Mathai | Emergency Medicine | Paragon Emergency Services LLC | 6477 103rd St, Jacksonville, FL 32210-7129 |
| Otilia Capellan | Emergency Medicine | Paragon Emergency Services LLC | 5773 Normandy Blvd, Jacksonville, FL 32205-6250 |
| Franz J Plum | Emergency Medicine | Paragon Emergency Services LLC | 23186 Blue Star Hwy, Quincy, FL 32351-5173 |
| Brandon H Anderson | Emergency Medicine | Paragon Emergency Services LLC | 11850 Atlantic Blvd, Jacksonville, FL 32225-2918 |
| Elsye S Schrandt | Pediatric Medicine | Paragon Emergency Services LLC | 8383 N Davis Hwy, W Florida Hospital, Pensacola, FL 32514-6088 |
| Elana A Grier | Emergency Medicine | Paragon Emergency Services LLC | 600 E Dixie Ave, Leesburg, FL 34748-5925 |
| Holly E Klopfenstein | Family Medicine | Paragon Emergency Services LLC | 2626 Capital Medical Blvd, Tallahassee, FL 32308-4402 |
| Karin Elizabeth Zeaton | Emergency Medicine | Paragon Emergency Services LLC | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
| Street Address |
11850 ATLANTIC BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32225-2918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon H Anderson | Emergency Medicine | Paragon Emergency Services LLC | 11850 Atlantic Blvd, Jacksonville, FL 32225-2918 |
| Ryan D Lamond | Emergency Medicine | Paragon Emergency Services LLC | 11850 Atlantic Blvd, Jacksonville, FL 32225-2918 |
| Scott L Zager | Emergency Medicine | Paragon Emergency Services LLC | 11850 Atlantic Blvd, Jacksonville, FL 32225-2918 |
| Mohammed Quader | Emergency Medicine | Paragon Emergency Services LLC | 11850 Atlantic Blvd, Jacksonville, FL 32225-2918 |
| 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 | EMERGENCY MEDICINE |
| City + Specialty | JACKSONVILLE + EMERGENCY 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.