Matthew R Bagan (NPI# 1407819295, PAC ID# 1254324411) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1407819295 |
| PAC ID by PECOS | 1254324411 |
| Professional Enrollment ID | I20101109000393 |
| Full Name | Matthew R Bagan |
| Organization Legal Name | 21ST CENTURY ONCOLOGY, LLC |
| Address |
571 Medical Dr Englewood FL 34223-3996 |
| Phone Number | 9416251550 |
| Gender | M |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1994 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9830082882 |
| Number of Group Practice Members | 297 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100236 | FAWCETT MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 571 Medical Dr, Englewood, FL 34223-3996 | 9416251550 | 21ST CENTURY ONCOLOGY, LLC |
| Organization Legal Name | 21ST CENTURY ONCOLOGY, LLC |
| Physicians | 306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra E Marrero Ortiz | General Surgery | 21st Century Oncology, LLC | 720 Doctors Dr, Englewood, FL 34223-3992 |
| Eihab Akary | Urology | 21st Century Oncology, LLC | 3325 S Tamiami Trl, Suite 200, Sarasota, FL 34239-5114 |
| Aimiee Michelle Cruz | Nurse Practitioner | 21st Century Oncology, LLC | 16420 Healthpark Commons Dr, Suite 100, Fort Myers, FL 33908-9621 |
| Staci Lin Mitchell | Nurse Practitioner | 21st Century Oncology, LLC | 842 Sunset Lake Blvd, Suite 403, Venice, FL 34292-7553 |
| Nicole B Houle | Nurse Practitioner | 21st Century Oncology, LLC | 1419 Se 8th Ter, Cape Coral, FL 33990-3213 |
| Geoffrey Alan Geiger | Radiation Oncology | 21st Century Oncology, LLC | 3426 N Roosevelt Blvd, Key West, FL 33040-4224 |
| Ashok V.s. Kumar | Hematology/oncology | 21st Century Oncology, LLC | 12741 Miramar Pkwy, Suite 306, Miramar, FL 33027-2905 |
| Donna L Irving | Nurse Practitioner | 21st Century Oncology, LLC | 28930 Trails Edge Boulevard, Suite 200, Bonita Springs, FL 34134-7582 |
| Aurora Y Luna | Diagnostic Radiology | 21st Century Oncology, LLC | 1311 N University Dr, Coral Springs, FL 33071-6622 |
| Elizabeth A Arguelles | General Surgery | 21st Century Oncology, LLC | 733 4th Ave N, Naples, FL 34102-5731 |
| Street Address |
571 MEDICAL DR |
| City | ENGLEWOOD |
| State | FL |
| Zip | 34223-3996 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Winston E Barzell | Urology | 21st Century Oncology, LLC | 571 Medical Dr, Englewood, FL 34223-3996 |
| Thomas J Ruane | Urology | 21st Century Oncology, LLC | 571 Medical Dr, Englewood, FL 34223-3996 |
| Alfred J Bilik Jr. | Urology | 21st Century Oncology, LLC | 571 Medical Dr, Englewood, FL 34223-3996 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy Birbeck | Obstetrics/gynecology | 2061 Englewood Rd, Suite 4, Englewood, FL 34223-1747 | |
| Cynthia Kay Davis | Obstetrics/gynecology | 2061 Englewood Rd, Suite 1, Englewood, FL 34223-1747 | |
| Scott T Martz | Urology | 2061 Englewood Rd, Suite 3a, Englewood, FL 34223-1747 | |
| Anthony Ditomaso | Gastroenterology | Florida Digestive Health Specialists, LLP | 2061 Englewood Rd, Suite 5, Englewood, FL 34223-1749 |
| Kathleen M Russo | Nurse Practitioner | Florida Digestive Health Specialists, LLP | 2061 Englewood Rd, Suite 5, Englewood, FL 34223-1749 |
| Curtis Mason | Physical Therapy | Svpt LLC | 1600 Englewood Rd, Englewood, FL 34223-1819 |
| Julie K Smajdor | Physical Therapy | Svpt LLC | 1600 Englewood Rd, Englewood, FL 34223-1819 |
| Dong P Tran | Anesthesiology | Gcsc Anesthesia LLC | 1750 Englewood Rd, Englewood, FL 34223-1821 |
| Karen Bassetti | Family Medicine | Millennium Physician Group LLC | 1885 Englewood Rd, Englewood, FL 34223-1822 |
| Om Dutt Sharma | Internal Medicine | 1885 Englewood Rd, Englewood, FL 34223-1822 | |
| Find all physicians in zip 34223 | |||
| City | ENGLEWOOD |
| Zip Code | 34223 |
| Specialty | GENERAL SURGERY |
| City + Specialty | ENGLEWOOD + GENERAL SURGERY |
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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.