Active NPI
William R. Ragan, PHD, MS
- Case Manager/Care Coordinator
- Gainesville, FL
National Provider Identifier
1972756799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 003443500
- Practice address
- 4600 NW 41St PL
Gainesville, FL 32606-4511 - Phone
- (352) 575-0362
- NPI assigned
- Oct 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 003443500 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | IMH11265 | FL | |
| Research Study Specialist | 1744R1102X |
Addresses
Primary practice location
4600 NW 41St PL
Gainesville, FL 32606-4511
Mailing address
4600 NW 41St PL
Gainesville, FL 32606-4511
Phone (352) 575-0362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003443500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003443500 | FL | MD | Case Manager/Care Coordinator |
| IMH11265 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Behavioral Consulting, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Gainesville, FL
- NPI 1235459199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1972756799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 NW 41ST PL",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326064511",
"telephone_number": "352-575-0362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 NW 41ST PL",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326064511",
"telephone_number": "352-575-0362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGAN",
"first_name": "WILLIAM",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PHD, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-23",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "003443500",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "IMH11265",
"primary": false
},
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003443500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.