Michael Rucker Ii (NPI# 1083107965, PAC ID# 9032453709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1083107965 |
| PAC ID by PECOS | 9032453709 |
| Professional Enrollment ID | I20181206001899 |
| Full Name | Michael Rucker Ii |
| Organization Legal Name | CARDIOTHORACIC AND VASCULAR SURGICAL ASSOCIATES PA |
| Address |
1824 King St Suite 200 Jacksonville FL 32204-4735 |
| Phone Number | 9043843343 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5395725188 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100226 | ORANGE PARK MEDICAL CENTER |
| 100179 | MEMORIAL HOSPITAL JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1824 King St, Suite 200, Jacksonville, FL 32204-4735 | 9043843343 | CARDIOTHORACIC AND VASCULAR SURGICAL ASSOCIATES PA |
| Organization Legal Name | CARDIOTHORACIC AND VASCULAR SURGICAL ASSOCIATES PA |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Moore | Vascular Surgery | Cardiothoracic and Vascular Surgical Associates Pa | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 |
| Mark Alexander Mostovych | Thoracic Surgery | Cardiothoracic and Vascular Surgical Associates Pa | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 |
| Christelle Genis | Physician Assistant | Cardiothoracic and Vascular Surgical Associates Pa | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 |
| Dorcas S Ogle | Physician Assistant | Cardiothoracic and Vascular Surgical Associates Pa | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 |
| Jennifer Nicole Card | Physician Assistant | Cardiothoracic and Vascular Surgical Associates Pa | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 |
| Bryn Allison Murphy | Physician Assistant | Cardiothoracic and Vascular Surgical Associates Pa | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 |
| Nathan R Bates | Cardiovascular Disease (cardiology) | Cardiothoracic and Vascular Surgical Associates Pa | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 |
| Raymond Lee | Cardiac Surgery | Cardiothoracic and Vascular Surgical Associates Pa | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 |
| Amy Jo Lykins | Nurse Practitioner | Cardiothoracic and Vascular Surgical Associates Pa | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 |
| Adil Arshad Khan | Vascular Surgery | Cardiothoracic and Vascular Surgical Associates Pa | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 |
| Street Address |
1824 KING ST SUITE 200 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32204-4735 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Moore | Vascular Surgery | Cardiothoracic and Vascular Surgical Associates Pa | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 |
| Mark Alexander Mostovych | Thoracic Surgery | Cardiothoracic and Vascular Surgical Associates Pa | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 |
| Nicholas Skiadas | Cardiovascular Disease (cardiology) | St Vincent's Ambulatory Care Inc | 1824 King St, Suite 300, Jacksonville, FL 32204-4736 |
| Marciann Harris | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1824 King St, Suite 300, Jacksonville, FL 32204-4736 |
| Christelle Genis | Physician Assistant | Cardiothoracic and Vascular Surgical Associates Pa | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 |
| Dorcas S Ogle | Physician Assistant | Cardiothoracic and Vascular Surgical Associates Pa | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 |
| Jennifer Nicole Card | Physician Assistant | Cardiothoracic and Vascular Surgical Associates Pa | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 |
| Bryn Allison Murphy | Physician Assistant | Cardiothoracic and Vascular Surgical Associates Pa | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 |
| Paul A Bednarzyk | Cardiovascular Disease (cardiology) | St Vincent's Ambulatory Care Inc | 1824 King St, Suite 300, Jacksonville, FL 32204-4736 |
| Simi Kumar | Cardiovascular Disease (cardiology) | St Vincent's Ambulatory Care Inc | 1824 King St, Suite 300, Jacksonville, FL 32204-4736 |
| 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 | PHYSICIAN ASSISTANT |
| City + Specialty | JACKSONVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Michael Rucker Ii.
| 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.