Jesus O Agomaa (NPI# 1700982188, PAC ID# 9032201256) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1700982188 |
| PAC ID by PECOS | 9032201256 |
| Professional Enrollment ID | I20070817000275 |
| Full Name | Jesus O Agomaa |
| Organization Legal Name | FAMILY MEDICAL SPECIALTY CLINIC |
| Address |
12 Jackson Hts Jackson KY 41339-6500 |
| Phone Number | 6066930199 |
| Gender | M |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0941102305 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180139 | KENTUCKY RIVER MEDICAL CENTER |
| 180029 | HAZARD ARH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12 Jackson Hts, Jackson, KY 41339-6500 | 6066930199 | FAMILY MEDICAL SPECIALTY CLINIC |
| Organization Legal Name | FAMILY MEDICAL SPECIALTY CLINIC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| June Samonte Abadilla | Internal Medicine | Family Medical Specialty Clinic | 95 Jackson Hts, Jackson, KY 41339-6500 |
| Melecio Abordo Jr. | Cardiovascular Disease (cardiology) | Family Medical Specialty Clinic | 95 Jackson Hts, Jackson, KY 41339-6500 |
| Street Address |
12 JACKSON HTS |
| City | JACKSON |
| State | KY |
| Zip | 41339-6500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrina Bostron | Physical Therapy | 695 Ky Hwy 15n 3, Jackson, KY 41339 | |
| Cesar O Agtarap | Internal Medicine | 1550 Hwy 15 S, Suite 80, Jackson, KY 41339-0707 | |
| Susan Steitz | Nurse Practitioner | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| Tiffany N Wright | Nurse Practitioner | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| Maudella G Jones | Nurse Practitioner | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| John T Small | Emergency Medicine | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| Paul Smith Iii | Emergency Medicine | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| Jessica Ann Neace | Nurse Practitioner | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| Martin Acevedo Barrios | General Surgery | Advanced Surgical Specialists of Ky Pllc | 1550 Hwy 15 S, Jackson, KY 41339-0717 |
| June Samonte Abadilla | Internal Medicine | Family Medical Specialty Clinic | 95 Jackson Hts, Jackson, KY 41339-6500 |
| Find all physicians in zip 41339 | |||
| City | JACKSON |
| Zip Code | 41339 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JACKSON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jesus O Agomaa.
| 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.