Sagar R Shah (NPI# 1770604548, PAC ID# 3577689348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1770604548 |
| PAC ID by PECOS | 3577689348 |
| Professional Enrollment ID | I20100929000912 |
| Full Name | Sagar R Shah |
| Organization Legal Name | FLORIDA PHYSICIAN SPECIALISTS LLC |
| Address |
710 Lomax St Jacksonville FL 32204-4004 |
| Phone Number | 9043556583 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2008 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 4486806213 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 100179 | MEMORIAL HOSPITAL JACKSONVILLE |
| 100117 | BAPTIST MEDICAL CENTER BEACHES |
| 100307 | ST VINCENT'S MEDICAL CENTER SOUTHSIDE |
| Address | Phone | Organization |
|---|---|---|
| 14540 Old Saint Augustine Rd, Suite 2401, Jacksonville, FL 32258-7418 | 9048804054 | FLORIDA PHYSICIAN SPECIALISTS LLC |
| 710 Lomax St, Jacksonville, FL 32204-4004 | 9043556583 | FLORIDA PHYSICIAN SPECIALISTS LLC |
| 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004 | 9044832310 | FLORIDA PHYSICIAN SPECIALISTS LLC |
| Organization Legal Name | FLORIDA PHYSICIAN SPECIALISTS LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alberto J Duboy | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
| David Scott Bargnesi | Urology | Florida Physician Specialists LLC | 1715 Village Way, Orange Park, FL 32073-5263 |
| Charles G Cobb | Urology | Florida Physician Specialists LLC | 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004 |
| Douglas A Swartz | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
| Julia Han | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
| Richard H Lewis | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
| John C Williams | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
| Charles M Homra | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
| Ali Kasraeian | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
| Mitchell D Terk | Radiation Oncology | Florida Physician Specialists LLC | 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004 |
| Street Address |
710 LOMAX ST |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32204-4004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alberto J Duboy | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
| Charles G Cobb | Urology | Florida Physician Specialists LLC | 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004 |
| Douglas A Swartz | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
| Julia Han | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
| Richard H Lewis | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
| John C Williams | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
| Charles M Homra | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
| Ali Kasraeian | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
| Mitchell D Terk | Radiation Oncology | Florida Physician Specialists LLC | 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004 |
| Mohammed N Mona | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Walsh | Physician Assistant | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| William M Mentz | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Elizabeth Lee Gatch | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kayela Faye Moore | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Mitchell S Rothstein | Pulmonary Disease | 425 N Lee St, Suite 202, Jacksonville, FL 32204-1128 | |
| Eyad S Kawar | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Diana I Mercado | Infectious Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Jose M Soto Soto | Internal Medicine | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| Joseph P Orallo | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kasey E Treger | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Find all physicians in zip 32204 | |||
| City | JACKSONVILLE |
| Zip Code | 32204 |
| Specialty | UROLOGY |
| City + Specialty | JACKSONVILLE + UROLOGY |
Please comment or provide details below to improve the information on Sagar R Shah.
| 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.