NPIMap

Organization Active NPI

Kagan Jugan & Associates PA

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1861450827
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
KAGAN JUGAN & ASSOCIATES PA
Practice address
3210 Cleveland Avenue
Suite 100
Fort Myers, FL 33901-7182
Phone
(239) 936-6778
Fax
(239) 936-1246
NPI assigned
May 1, 2006
Last updated
Jul 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John C Kagan, M.D.NPI 1437110160
Title
M.D.
Phone
(239) 936-6778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X FL Primary

Addresses

Primary practice location

3210 Cleveland Avenue
Suite 100
Fort Myers, FL 33901-7182

Mailing address

3210 Cleveland Ave
Suite 100
Fort Myers, FL 33901-7182
Phone (239) 936-6778

Other identifiers 1

IdentifierTypeStateIssuer
40137OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040324000285 FL Part B Supplier - Clinic/Group Practice 5799676193 Receives reassigned benefits from 14 practitioners
Practice locations: Fort Myers, FL; Lehigh Acres, FL
O20100930082921 FL DME Supplier - Physician - Osteopathic Manipulative Medicine 5799676193 Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

2721 Del Prado Blvd S
Ste 250
Cape Coral, FL 33904
Phone (239) 471-9070

3210 Cleveland Ave
Ste 100
Fort Myers, FL 33901
Phone (239) 936-6778

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1861450827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 CLEVELAND AVE",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017182",
            "telephone_number": "239-936-6778",
            "fax_number": "239-936-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 CLEVELAND AVENUE",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017182",
            "telephone_number": "239-936-6778",
            "fax_number": "239-936-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAGAN JUGAN & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "239-936-6778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "40137",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.