Vito J Bagnato (NPI# 1508853219, PAC ID# 8729188081) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1508853219 |
PAC ID by PECOS | 8729188081 |
Professional Enrollment ID | I20070726000403 |
Full Name | Vito J Bagnato |
Address |
420 Charter Blvd Suite 103 Macon GA 31210-4854 |
Gender | M |
Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 1982 |
Primary Specialty | GENERAL SURGERY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110201 | COLISEUM NORTHSIDE HOSPITAL |
110164 | COLISEUM MEDICAL CENTERS, LLC, DBA |
Address | Phone | Organization |
---|---|---|
420 Charter Blvd, Suite 103, Macon, GA 31210-4854 |
Street Address |
420 CHARTER BLVD SUITE 103 |
City | MACON |
State | GA |
Zip | 31210-4854 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph J Burnette | General Surgery | 420 Charter Blvd, Suite 302, Macon, GA 31210-0720 | |
Valerie Jones-freeman | Internal Medicine | 420 Charter Blvd, Suite 306, Macon, GA 31210-0715 | |
Laurie G Johnson | Nurse Practitioner | Peter O. Holliday IIi, Md, PC | 420 Charter Blvd, Suite 402, Macon, GA 31210-0722 |
Name | Specialty | Organization | Address |
---|---|---|---|
William S Hutchings | Family Medicine | Hutchings Health Care | 3096 Riverside Dr, Suite D, Macon, GA 31210-0420 |
Dusty W Large | Chiropractic | 3040 Riverside Dr, Suite B3, Macon, GA 31210-0470 | |
Billie L Jackson | Dermatology | 440 Charter Blvd, Ste. 2201, Macon, GA 31210-0706 | |
Hyunji Choi | Dermatology | Dermatology Affiliates LLC | 440 Charter Blvd, Suite 2201, Macon, GA 31210-0706 |
Pamela Onderko | Podiatry | 5223 Riverside Dr, Suite 104, Macon, GA 31210-0889 | |
William J Woods | Internal Medicine | 220 N Macon St, Macon, GA 31210-1111 | |
Torrence T Drakeford | Nurse Practitioner | Navicare LLC | 4795 Riverside Dr, Macon, GA 31210-1115 |
Shamita M Williams | Family Practice | Navicare LLC | 4795 Riverside Dr, Macon, GA 31210-1115 |
Pierre K Vinh | Optometry | 5080 Riverside Dr, Suite 400, Macon, GA 31210-1172 | |
Irma N Wejuli | Podiatry | 3990 Riverside Park Blvd, Apt 601, Macon, GA 31210-1224 | |
Find all physicians in zip 31210 |
City | MACON |
Zip Code | 31210 |
Specialty | GENERAL SURGERY |
City + Specialty | MACON + GENERAL SURGERY |
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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.