Sathavaram Aravind Reddy (NPI# 1376954594, PAC ID# 9830314095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1376954594 |
| PAC ID by PECOS | 9830314095 |
| Professional Enrollment ID | I20190806002900 |
| Full Name | Sathavaram Aravind Reddy |
| Organization Legal Name | JACKSONVILLE SPINE CENTER PA |
| Address |
2349 Village Square Pkwy Suite 107 Fleming Island FL 32003-4319 |
| Phone Number | 9042233321 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 6901890300 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100090 | FLAGLER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2349 Village Square Pkwy, Suite 107, Fleming Island, FL 32003-4319 | 9042233321 | JACKSONVILLE SPINE CENTER PA |
| 10475 Centurion Pkwy N, Suite 201, Jacksonville, FL 32256-5004 | 9042233321 | JACKSONVILLE SPINE CENTER PA |
| Organization Legal Name | JACKSONVILLE SPINE CENTER PA |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renee K Garrett | Physician Assistant | Jacksonville Spine Center Pa | 15255 Max Leggett Pkwy, Suite 5500, Jacksonville, FL 32218-7273 |
| Hares Akbary | Pain Management | Jacksonville Spine Center Pa | 15255 Max Leggett Pkwy, Suite 5500, Jacksonville, FL 32218-7273 |
| Claudio E Vincenty | Anesthesiology | Jacksonville Spine Center Pa | 10475 Centurion Pkwy N, Suite 201, Jacksonville, FL 32256-5004 |
| Janell L Miller | Nurse Practitioner | Jacksonville Spine Center Pa | 2349 Village Square Pkwy, Suite 107, Fleming Island, FL 32003-4319 |
| Joshua B Massey | Physician Assistant | Jacksonville Spine Center Pa | 1100 Plantation Island Dr S, Suite 220, St Augustine, FL 32080-5174 |
| Michael C Hanes | Anesthesiology | Jacksonville Spine Center Pa | 10475 Centurion Pkwy N, Suite 201, Jacksonville, FL 32256-5004 |
| Justin Mann | Pain Management | Jacksonville Spine Center Pa | 10475 Centurion Pkwy N, Suite 201, Jacksonville, FL 32256-5004 |
| John E Carey | Interventional Pain Management | Jacksonville Spine Center Pa | 10475 Centurion Pkwy N, Suite 201, Jacksonville, FL 32256-5004 |
| Christopher Roberts | Anesthesiology | Jacksonville Spine Center Pa | 10475 Centurion Pkwy N, Suite 201, Jacksonville, FL 32256-5004 |
| Daniel G Wilson | Physician Assistant | Jacksonville Spine Center Pa | 10475 Centurion Pkwy N, Suite 201, Jacksonville, FL 32256-5004 |
| Street Address |
2349 VILLAGE SQUARE PKWY SUITE 107 |
| City | FLEMING ISLAND |
| State | FL |
| Zip | 32003-4319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janell L Miller | Nurse Practitioner | Jacksonville Spine Center Pa | 2349 Village Square Pkwy, Suite 107, Fleming Island, FL 32003-4319 |
| Danisha Laquise Stevenson | Family Medicine | Baptist Primary Care Inc | 2349 Village Square Pkwy, Suite 110, Fleming Island, FL 32003-4319 |
| Peter C Jansen | Family Medicine | Baptist Primary Care Inc | 2349 Village Square Pkwy, Suite 110, Fleming Island, FL 32003-4319 |
| Justin R Keeton | Nurse Practitioner | Baptist Primary Care Inc | 2349 Village Square Pkwy, Suite 110, Fleming Island, FL 32003-4319 |
| Takaya L Jones | Family Practice | Baptist Primary Care Inc | 2349 Village Square Pkwy, Suite 110, Fleming Island, FL 32003-4319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karlee Butler Norell | Physical Therapy | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Barbara J Mcdougall | Psychologist, Clinical | 4609 Hwy 17 1, Fleming Island, FL 32003 | |
| Jeffrey Blake Burnette | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Emily D Benn | Physical Therapy | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Paul Baldwin | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Mark Thomas Gould | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Vanessa J Embry | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 1125 Fleming Plantation Blvd, Fleming Island, FL 32003-3389 |
| Murren Hill | Psychologist, Clinical | 414 Old Hard Rd, Suite 108, Fleming Island, FL 32003-3407 | |
| Richard D Curtis | Orthopedic Surgery | North Florida Surgeons Pa | 1715 Eagle Harbour Pkwy, Suite A, Fleming Island, FL 32003-4324 |
| Jose A Baez Lorenzo | Hand Surgery | North Florida Surgeons Pa | 1715 Eagle Harbour Pkwy, Suite A, Fleming Island, FL 32003-4324 |
| Find all physicians in zip 32003 | |||
| City | FLEMING ISLAND |
| Zip Code | 32003 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | FLEMING ISLAND + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Sathavaram Aravind Reddy.
| 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.