DR. JONATHAN RUSSELL JAGID (NPI# 1699792119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699792119 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN RUSSELL JAGID |
| Credential | MD |
| Practice Address |
1475 Nw 12th Ave. Miami FL 33136 |
| Mailing Address |
1095 Nw 14th Terrace Miami FL 33136 |
| Practice Telephone | 3052436946 |
| Practice Fax Number | 3052433337 |
| Mailing Telephone | 3052436946 |
| Mailing Fax Number | 3052433337 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | ME70068 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2617366-00 | 05 | |
| FL | 261736600 | 05 |
| Street Address |
1475 NW 12TH AVE. |
| City | MIAMI |
| State | FL |
| Zip Code | 33136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245712207 | Joacir Graciolli Cordeiro | Neurological Surgery | 1095 Nw 14th Ter Fl 2, Miami, FL 33136-1060 | 2018-09-05 |
| 1477092898 | Fibers Neurological Institute, LLC | Neurological Surgery | 2601 Sw 37th Ave Ste 905, Miami, FL 33133-2751 | 2017-02-17 |
| 1457762221 | Ian Cote | Neurological Surgery | 1095 Nw 14th Terrace, Room 2-06, Miami, FL 33136 | 2014-05-15 |
| 1174818553 | Georgios Zenonos | Neurological Surgery | 1095 Nw 14th Ter Bldg, Miami, FL 33136 | 2011-06-14 |
| 1487803094 | Ricardo Jorge Komotar | Neurological Surgery | 1095 Nw 14th Ter Rm 2-06, Department of Neurosurgery, University of Miami, Miami, FL 33136-1060 | 2008-09-18 |
| 1952574774 | Howard Benjamin Levene | Neurological Surgery | 1095 Nw 14th Terrace #d4-6, Dept. Neuro Surgery: Lois Pope Life Center-2nd Floor, Miami, FL 33136-1060 | 2008-04-13 |
| 1407045834 | Raul Alberto Vasquez Castellanos | Neurological Surgery | 8950 N Kendall Dr Ste 407w, Miami, FL 33176-2132 | 2007-10-22 |
| 1346331386 | Jose L Joy Arriaga | Neurological Surgery | 8950 N Kendall Dr Ste 400, Miami, FL 33176-2131 | 2006-09-27 |
| 1912002437 | Cesar E. Guerrero Md Pa | Neurological Surgery | 3661 S Miami Ave Ste 709, Miami, FL 33133-4214 | 2006-09-13 |
| 1427093889 | Theodore Sarafoglu | Neurological Surgery | 6201 Sw 118th St, Miami, FL 33156-4823 | 2006-06-19 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.