Michael Ukaegbu (NPI# 1427254283, PAC ID# 1052592128) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1427254283 |
| PAC ID by PECOS | 1052592128 |
| Professional Enrollment ID | I20140801001019 |
| Full Name | Michael Ukaegbu |
| Organization Legal Name | LAKE SHORE HMA MEDICAL GROUP LLC |
| Address |
221 Sw Stonegate Ter Suite 101 Lake City FL 32024-3463 |
| Phone Number | 3862928220 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0941334841 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100102 | SHANDS LAKE SHORE REGIONAL MEDICAL CENTER |
| 101301 | SHANDS LIVE OAK REGIONAL MEDICAL CENTER |
| 100113 | UF HEALTH SHANDS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 221 Sw Stonegate Ter, Suite 101, Lake City, FL 32024-3463 | 3862928220 | LAKE SHORE HMA MEDICAL GROUP LLC |
| 368 Ne Franklin St, Lake City, FL 32055-3088 | 3862928000 | LAKE SHORE HMA MEDICAL GROUP LLC |
| 4241 Nw American Ln, Lake City, FL 32055-4881 | 3867522246 | LAKE SHORE HMA MEDICAL GROUP LLC |
| 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 | 3867548000 | LAKE SHORE HMA MEDICAL GROUP LLC |
| Organization Legal Name | LAKE SHORE HMA MEDICAL GROUP LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Salvucci | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Chi Lai | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Ines Rodriguez | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 221 Sw Stonegate Ter, Suite 101, Lake City, FL 32024-3463 |
| Edwin Gonzalez Navedo | General Surgery | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Jennifer Scott | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Stephanie K Finnell | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Eric Marquez | Obstetrics/gynecology | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Shelley Rose Perry | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Carlos Reyes | Internal Medicine | Lake Shore Hma Medical Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| David G Fanney | Family Practice | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Street Address |
221 SW STONEGATE TER SUITE 101 |
| City | LAKE CITY |
| State | FL |
| Zip | 32024-3463 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ines Rodriguez | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 221 Sw Stonegate Ter, Suite 101, Lake City, FL 32024-3463 |
| Don Esprit | Nephrology | Nephrology Medical Associates of Georgia, LLC | 221 Sw Stonegate Ter, Suite 105, Lake City, FL 32024-3463 |
| Fernando A Lopez Osma | Nephrology | Nephrology Medical Associates of Georgia, LLC | 221 Sw Stonegate Ter, Suite 105, Lake City, FL 32024-3463 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tristan Andrew Altbuch | Orthopedic Surgery | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Arthur M Sharkey | Hand Surgery | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Michael V Owens | Nurse Practitioner | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Frank D Ellis | Orthopedic Surgery | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Jeffrey P Borkoski | Neurology | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Adrienne M Clemons | Occupational Therapy | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Jessica Womack | Occupational Therapy | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Michelle S Maddux | Occupational Therapy | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Edward J Sambey | General Practice | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Vidya S Jain | Hand Surgery | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Find all physicians in zip 32024 | |||
| City | LAKE CITY |
| Zip Code | 32024 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LAKE CITY + INTERNAL MEDICINE |
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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.