Anup Krishna Gangavalli (NPI# 1790049013, PAC ID# 3971874801) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
Nation Provider ID (NPI) | 1790049013 |
PAC ID by PECOS | 3971874801 |
Professional Enrollment ID | I20181204000133 |
Full Name | Anup Krishna Gangavalli |
Organization Legal Name | NEUROSPINE INSTITUTE LLC |
Address |
983 N Univiersity Dr Coral Springs FL 33071 |
Phone Number | 5615499090 |
Gender | M |
Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
Graduation Year | 2012 |
Primary Specialty | ORTHOPEDIC SURGERY |
Group Practice PAC ID | 6608094792 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100189 | NORTHWEST MEDICAL CENTER |
100086 | BROWARD HEALTH NORTH |
100268 | WEST BOCA MEDICAL CENTER |
100276 | BROWARD HEALTH CORAL SPRINGS |
Address | Phone | Organization |
---|---|---|
983 N Univiersity Dr, Coral Springs, FL 33071 | 5615499090 | NEUROSPINE INSTITUTE LLC |
280 Natura Ave, Deerfield Beach, FL 33441-3026 | 5615499090 | NEUROSPINE INSTITUTE LLC |
Organization Legal Name | NEUROSPINE INSTITUTE LLC |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Raina A Diedrick | Physician Assistant | Neurospine Institute LLC | 8430 W Broward Blvd, Suite 200, Plantation, FL 33324-2700 |
Thomas Riley | Orthopedic Surgery | Neurospine Institute LLC | 983 N Univiersity Dr, Coral Springs, FL 33071 |
Jeffrey E Balazsy | Orthopedic Surgery | Neurospine Institute LLC | 280 Natura Ave, Deerfield Beach, FL 33441-3026 |
Alan A Macgill | Podiatry | Neurospine Institute LLC | 8430 W Broward Blvd, Suite 200, Plantation, FL 33324-2700 |
Ashish K Sahai | Orthopedic Surgery | Neurospine Institute LLC | 201 E Sample Rd, North Broward Medical Center, Pompano Beach, FL 33064-3502 |
Kendally Guardia | Physician Assistant | Neurospine Institute LLC | 2801 N State Rd, 7 Northwest Medical Center, Margate, FL 33063-5727 |
Hicham S Merheb | Anesthesiology | Neurospine Institute LLC | 8430 W Broward Blvd, Suite 200, Plantation, FL 33324-2700 |
Sergio Chacin Romero | Physical Medicine and Rehabilitation | Neurospine Institute LLC | 280 Natura Ave, Deerfield Beach, FL 33441-3026 |
Street Address |
983 N UNIVIERSITY DR |
City | CORAL SPRINGS |
State | FL |
Zip | 33071 |
Name | Specialty | Organization | Address |
---|---|---|---|
Thomas Riley | Orthopedic Surgery | Neurospine Institute LLC | 983 N Univiersity Dr, Coral Springs, FL 33071 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey M Feiler | Chiropractic | 1240 University Dr, Coral Springs, FL 33071 | |
Doris A Hamawy | Family Medicine | 10230 W Sample Rd, Coral Springs, FL 33071-3940 | |
Francesann Ford | Ophthalmology | 12462 W Atlantic Blvd, Coral Springs, FL 33071-4086 | |
Norman Kline | Ophthalmology | Eye Physicians of Florida LLP | 1801 N University Dr, Suite 102, Coral Springs, FL 33071-4105 |
Jason C Levitre | Podiatry | Certified Foot and Ankle Specialists | 817 Coral Ridge Dr, Coral Springs, FL 33071-4180 |
Steven J Svabek | Orthopedic Surgery | 821 Coral Ridge Dr, Coral Springs, FL 33071-4180 | |
Alan A Jaffe | Psychologist, Clinical | 807 Coral Ridge Dr, Coral Springs, FL 33071-4180 | |
Malcolm G Goldsmith | General Surgery | Iv Infusion Treatment Center LLC | 831 Coral Ridge Dr, Coral Springs, FL 33071-4180 |
Jessica E Taub | Podiatry | Certified Foot and Ankle Specialists | 817 Coral Ridge Dr, Coral Springs, FL 33071-4180 |
Anita B Fischler | Psychologist, Clinical | 1881 University Dr, Suite 202, Coral Springs, FL 33071-5000 | |
Find all physicians in zip 33071 |
City | CORAL SPRINGS |
Zip Code | 33071 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | CORAL SPRINGS + ORTHOPEDIC 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.