Provider Demographics
NPI:1437110160
Name:KAGAN, JOHN CURRY (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CURRY
Last Name:KAGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 CLEVELAND AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-7182
Mailing Address - Country:US
Mailing Address - Phone:239-936-6778
Mailing Address - Fax:239-277-3273
Practice Address - Street 1:3210 CLEVELAND AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-7182
Practice Address - Country:US
Practice Address - Phone:239-936-6778
Practice Address - Fax:239-277-3273
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME30691207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0664623OtherAETNA PPO
FL592207264OtherCIGNA PPO
FL592207264EOtherHUMANA
FL0599681OtherGHI PPO
FL0905258OtherUHC
FL4130734OtherAETNA HMO
FL36291OtherBCBS
FL1716925002OtherCIGNA HMO
FL065642900Medicaid
FLD54464Medicare UPIN
FL0626040002Medicare NSC
FL36291XMedicare PIN
FL592207264OtherCIGNA PPO
FL200011467Medicare PIN