Imad George Koj
PROVIDENCE MEDICAL GROUP, LLC


Address: 3903 S 7th St, 2e, Terre Haute, IN 47802-5710
Phone: 8122357370

Imad George Koj (NPI# 1073503207, PAC ID# 0042237984) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1073503207
PAC ID by PECOS 0042237984
Professional Enrollment ID I20051029000112
Full Name Imad George Koj
Organization Legal Name PROVIDENCE MEDICAL GROUP, LLC
Address 3903 S 7th St
2e
Terre Haute
IN 47802-5710
Phone Number 8122357370
Gender M
Credential MD
Graduation Year 1991
Primary Specialty INTERNAL MEDICINE
Secondary Specialties INFECTIOUS DISEASE
Group Practice PAC ID 9335135995
Number of Group Practice Members 32
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150023 UNION HOSPITAL INC
150046 TERRE HAUTE REGIONAL HOSPITAL
151327 SULLIVAN COUNTY COMMUNITY HOSPITAL
151326 UNION HOSPITAL CLINTON
151309 ST. VINCENT CLAY HOSPITAL INC

Other Locations

Address Phone Organization
3903 S 7th St, 2e, Terre Haute, IN 47802-5710 8122357370 PROVIDENCE MEDICAL GROUP, LLC

Organization Information

Organization Legal Name PROVIDENCE MEDICAL GROUP, LLC
Physicians 34

Physicians with the same organization

Name Specialty Organization Address
Rhonda West Nurse Practitioner Providence Medical Group, LLC 2723 S 7th St C, Terre Haute, IN 47802-3558
Joseph Y Abdayem Family Medicine Providence Medical Group, LLC 2723 S 7th St L, Terre Haute, IN 47802-3558
Mohammad Saiful Alam Endocrinology Providence Medical Group, LLC 1600 N 3rd St, Terre Haute, IN 47804-4045
Isaiah Pittman Iv Endocrinology Providence Medical Group, LLC 3560 S 4th St, Terre Haute, IN 47802-5540
Tony K Nasser Cardiovascular Disease (cardiology) Providence Medical Group, LLC 2723 S 7th St A, Terre Haute, IN 47802-3558
Nawar F Mercho Cardiovascular Disease (cardiology) Providence Medical Group, LLC 2723 S 7th St A, Terre Haute, IN 47802-3558
Henry Johannes Davis Rheumatology Providence Medical Group, LLC 2723 S 7th St A, Terre Haute, IN 47802-3558
Neil G Kabous Cardiovascular Disease (cardiology) Providence Medical Group, LLC 2723 S 7th St A, Terre Haute, IN 47802-3558
Matthew H French Cardiovascular Disease (cardiology) Providence Medical Group, LLC 2723 S 7th St A, Terre Haute, IN 47802-3558
Christen Lee Schmidt Physician Assistant Providence Medical Group, LLC 2723 S 7th St A, Terre Haute, IN 47802-3558

Office Location

Street Address 3903 S 7TH ST
2E
City TERRE HAUTE
State IN
Zip 47802-5710

Physicians in the same location

Name Specialty Organization Address
Fatima Hina Obstetrics/gynecology 3903 S 7th St, Suite 2c, Terre Haute, IN 47802-5710
Rajasekhar Nalluri Plastic and Reconstructive Surgery 3903 S 7th St, Suite 1e, Terre Haute, IN 47802-5710
Shall Sheth Gastroenterology Regional Hospital Healthcare Partners LLC 3903 S 7th St, Suite 2f, Terre Haute, IN 47802-5710
Maranda R Mckinney Nurse Practitioner Regional Hospital Healthcare Partners LLC 3903 S 7th St, 2b Terre Haute Heart Lung Vascular, Terre Haute, IN 47802-5710
Carly Marie Oslin Optometry Eye Center LLC 3903 S 7th St, Terre Haute, IN 47802-5710
Jeffery A Bollenbacher Orthopedic Surgery 3903 S 7th St, 1a, Terre Haute, IN 47802-5710
Timothy M Bradley Plastic and Reconstructive Surgery Regional Hospital Healthcare Partners LLC 3903 S 7th St, 2f, Terre Haute, IN 47802-5710
Luke G Gutwein General Surgery Regional Hospital Healthcare Partners LLC 3903 S 7th St, 2f, Terre Haute, IN 47802-5710

Physicians in the same zip code

Name Specialty Organization Address
Kimberli Rae Pepelea Clinical Social Worker Life Changes Mental Health and Addictions LLC 1537 S 7th St, Terre Haute, IN 47802-1610
Wendy K Kennedy Podiatry 1543 S 7th St, Terre Haute, IN 47802-1610
Michael A Toney Chiropractic 1815 S 3rd St, Terre Haute, IN 47802-1919
Christopher S Yamamoto Chiropractic 2940 Professional Ln, Terre Haute, IN 47802-3300
Rhonda West Nurse Practitioner Providence Medical Group, LLC 2723 S 7th St C, Terre Haute, IN 47802-3558
Joseph Y Abdayem Family Medicine Providence Medical Group, LLC 2723 S 7th St L, Terre Haute, IN 47802-3558
Tony K Nasser Cardiovascular Disease (cardiology) Providence Medical Group, LLC 2723 S 7th St A, Terre Haute, IN 47802-3558
Nawar F Mercho Cardiovascular Disease (cardiology) Providence Medical Group, LLC 2723 S 7th St A, Terre Haute, IN 47802-3558
Henry Johannes Davis Rheumatology Providence Medical Group, LLC 2723 S 7th St A, Terre Haute, IN 47802-3558
Neil G Kabous Cardiovascular Disease (cardiology) Providence Medical Group, LLC 2723 S 7th St A, Terre Haute, IN 47802-3558
Find all physicians in zip 47802

Competitor

Search similar physicians

City TERRE HAUTE
Zip Code 47802
Specialty INTERNAL MEDICINE
City + Specialty TERRE HAUTE + INTERNAL MEDICINE

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Dataset Information

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.

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