Anita Magoon (NPI# 1992786057, PAC ID# 3476577917) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1992786057 |
| PAC ID by PECOS | 3476577917 |
| Professional Enrollment ID | I20080219000646 |
| Full Name | Anita Magoon |
| Organization Legal Name | INTENSIVE CARE CONSORTIUM INC |
| Address |
2001 Kingsley Ave Orange Park FL 32073-5156 |
| Phone Number | 9042768500 |
| Gender | F |
| Credential | MD |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1999 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0244269413 |
| Number of Group Practice Members | 173 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100204 | NORTH FLORIDA REGIONAL MEDICAL CENTER |
| 100156 | LAKE CITY MEDICAL CENTER |
| 100232 | PUTNAM COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2001 Kingsley Ave, Orange Park, FL 32073-5156 | 9042768500 | INTENSIVE CARE CONSORTIUM INC |
| Organization Legal Name | INTENSIVE CARE CONSORTIUM INC |
| Physicians | 219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soowhan Lah | Critical Care (intensivists) | Intensive Care Consortium Inc | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Disha Awasthi | Pulmonary Disease | Intensive Care Consortium Inc | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 |
| Jacklyn Reyes Pancrudo | Internal Medicine | Intensive Care Consortium Inc | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Ali Ashraf | Pulmonary Disease | Intensive Care Consortium Inc | 700 W Oak St, Kissimmee, FL 34741-4996 |
| Christine D Lallos | Anesthesiology | Intensive Care Consortium Inc | 350 Hospital Dr, Macon, GA 31217-3838 |
| Shawn W Blouin | Nurse Practitioner | Intensive Care Consortium Inc | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Gina Marie Iacovella | Critical Care (intensivists) | Intensive Care Consortium Inc | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Rajiv Malhotra | Pulmonary Disease | Intensive Care Consortium Inc | 7101 Jahnke Rd, Richmond, VA 23225-4017 |
| Azzat Abdulghani Ali | Critical Care (intensivists) | Intensive Care Consortium Inc | 9330 State Rd, Suite 54, Trinity, FL 34655-1808 |
| Geoffrey Andrew Loh | Critical Care (intensivists) | Intensive Care Consortium Inc | 3651 Wheeler Rd, Augusta, GA 30909-6521 |
| Street Address |
2001 KINGSLEY AVE |
| City | ORANGE PARK |
| State | FL |
| Zip | 32073-5156 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Forrest J King | General Practice | Paragon Emergency Services LLC | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
| Henry F Patalinghug | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of Florida, LLC | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
| Diana Lynn Bridges | Nurse Practitioner | Inpatient Consultants of Florida, Inc | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
| Sonja M Attebery | Nurse Practitioner | Inpatient Consultants of Florida, Inc | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
| Sarah G Bodin | Anesthesiology | Anesthesia Physician Solutions of Florida, LLC | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
| Theresa J Cumpstone | Anesthesiology | Anesthesia Physician Solutions of Florida, LLC | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
| Anthony Valachovic | Anesthesiology | Anesthesia Physician Solutions of Florida, LLC | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
| Jeffrey G House | Internal Medicine | University of Florida Jacksonville Physicians, Inc. | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
| Phuc Tran | Internal Medicine | Inpatient Consultants of Florida, Inc | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
| Karin Elizabeth Zeaton | Emergency Medicine | Paragon Emergency Services LLC | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rahman Karimi | Internal Medicine | Mcci Group Holdings LLC | 8 Blanding Blvd, Suite 20, Orange Park, FL 32073-2202 |
| Carlos R Villa | Optometry | Myeyedr Optometry of Florida, LLC | 28 Blanding Blvd, Orange Park, FL 32073-2202 |
| Robert Morris | Chiropractic | 1871 Wells Rd, Orange Park, FL 32073-2351 | |
| Ali Tabatabai | Optometry | Family First Vision Care Pllc | 1911 Wells Rd, Suite 6, Orange Park, FL 32073-2372 |
| Darren R Blom | Optometry | Family First Vision Care Pllc | 1911 Wells Rd, Suite 6, Orange Park, FL 32073-2372 |
| Shaila N Williston | Family Practice | 1700 Wells Rd, Suite 27, Orange Park, FL 32073-2374 | |
| Joseph N Salameh | Chiropractic | Jns Physicians Group LLC | 1700 Wells Rd, Orange Park, FL 32073-2374 |
| Marcus Decarvalho | Psychiatry | 1677 Wells Rd, Suite A, Orange Park, FL 32073-2383 | |
| Blake Bazel | Psychologist, Clinical | 1677 Wells Rd, Suite A, Orange Park, FL 32073-2383 | |
| Hewell B Eaves | Optometry | Mack Eye Care Pa | 88 Blanding Blvd, Orange Park, FL 32073-2601 |
| Find all physicians in zip 32073 | |||
| City | ORANGE PARK |
| Zip Code | 32073 |
| Specialty | GENERAL SURGERY |
| City + Specialty | ORANGE PARK + GENERAL SURGERY |
Please comment or provide details below to improve the information on Anita Magoon.
| 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.