Robert G Busch (NPI# 1063466811, PAC ID# 2769530450) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1063466811 |
| PAC ID by PECOS | 2769530450 |
| Professional Enrollment ID | I20090615000664 |
| Full Name | Robert G Busch |
| Organization Legal Name | ACKERMAN CANCER CENTER PA |
| Address |
10881 San Jose Blvd Jacksonville FL 32223-6612 |
| Phone Number | 9042603022 |
| Gender | M |
| Graduation Year | 1987 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3779541362 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100156 | LAKE CITY MEDICAL CENTER |
| 110016 | WEST GEORGIA MEDICAL CENTER, INC |
| 100134 | ED FRASER MEMORIAL HOSPITAL |
| 101301 | SHANDS LIVE OAK REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10881 San Jose Blvd, Jacksonville, FL 32223-6612 | 9042603022 | ACKERMAN CANCER CENTER PA |
| 4601 Us Hwy 90 W, Lake City, FL 32055-4880 | 3867524189 | UROLOGY MEDICAL INC. |
| 922 E Call St, Starke, FL 32091-3616 | 3867524189 | UROLOGY MEDICAL INC. |
| Organization Legal Name | ACKERMAN CANCER CENTER PA |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Clark | Clinical Social Worker | Ackerman Cancer Center Pa | 10881 San Jose Blvd, Jacksonville, FL 32223-6612 |
| William P Peters | Hematology/oncology | Ackerman Cancer Center Pa | 1340 S 18th St, Suite 103, Fernandina Beach, FL 32034-4733 |
| Ryan S Perkins | Radiation Oncology | Ackerman Cancer Center Pa | 1340 S 18th St, Suite 103, Fernandina Beach, FL 32034-4733 |
| Gaelyn E Scuderi | Diagnostic Radiology | Ackerman Cancer Center Pa | 10881 San Jose Blvd, Jacksonville, FL 32223-6612 |
| Babita Jyoti | Radiation Oncology | Ackerman Cancer Center Pa | 10881 San Jose Blvd, Jacksonville, FL 32223-6612 |
| Mary Ann Kenneson | Urology | Ackerman Cancer Center Pa | 10881 San Jose Blvd, Jacksonville, FL 32223-6612 |
| Eric Ordinario | Urology | Ackerman Cancer Center Pa | 10881 San Jose Blvd, Jacksonville, FL 32223-6612 |
| Sophia Drinis | Urology | Ackerman Cancer Center Pa | 1895 Kingsley Ave, Suite 903, Orange Park, FL 32073-4410 |
| Scot N Ackerman | Radiation Oncology | Ackerman Cancer Center Pa | 1340 S 18th St, Suite 103, Fernandina Beach, FL 32034-4733 |
| Paul B Ossi | Radiation Oncology | Ackerman Cancer Center Pa | 2 Shircliff Way, Jacksonville, FL 32204-4753 |
| Street Address |
10881 SAN JOSE BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32223-6612 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Clark | Clinical Social Worker | Ackerman Cancer Center Pa | 10881 San Jose Blvd, Jacksonville, FL 32223-6612 |
| Gaelyn E Scuderi | Diagnostic Radiology | Ackerman Cancer Center Pa | 10881 San Jose Blvd, Jacksonville, FL 32223-6612 |
| Babita Jyoti | Radiation Oncology | Ackerman Cancer Center Pa | 10881 San Jose Blvd, Jacksonville, FL 32223-6612 |
| Mary Ann Kenneson | Urology | Ackerman Cancer Center Pa | 10881 San Jose Blvd, Jacksonville, FL 32223-6612 |
| Eric Ordinario | Urology | Ackerman Cancer Center Pa | 10881 San Jose Blvd, Jacksonville, FL 32223-6612 |
| Mohamed H Antar | Urology | Ackerman Cancer Center Pa | 10881 San Jose Blvd, Jacksonville, FL 32223-6612 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Watts | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
| Brett D O'connor | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
| Steve M Pullen | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
| Nikkita L Wilkes | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Todd J Rasner | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Mitzi C Brock | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Sirlys Arcon Rios | Endocrinology | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
| Natasha Guerra Farrow | Nurse Practitioner | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Lananh Ly | Nurse Practitioner | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
| Melissa A Morgan | Endocrinology | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
| Find all physicians in zip 32223 | |||
| City | JACKSONVILLE |
| Zip Code | 32223 |
| Specialty | UROLOGY |
| City + Specialty | JACKSONVILLE + UROLOGY |
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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.