Thomas K Chacko (NPI# 1023224888, PAC ID# 0446302863) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1023224888 |
| PAC ID by PECOS | 0446302863 |
| Professional Enrollment ID | I20120703000488 |
| Full Name | Thomas K Chacko |
| Organization Legal Name | CROUSE RADIOLOGY ASSOCIATES LLP |
| Address |
4211 Medical Ctr Dr Fayetteville NY 13066-6637 |
| Phone Number | 3153297900 |
| Gender | M |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1850387648 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330203 | CROUSE HOSPITAL |
| 330218 | OSWEGO HOSPITAL |
| 331316 | COMMUNITY MEMORIAL HOSPITAL, INC |
| 330140 | ST JOSEPH'S HOSPITAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5008 Brittonfield Pkwy, Suite 100, E Syracuse, NY 13057-9248 | 3152347600 | MEDICAL IMAGING CENTER LLP |
| 5000 Brittonfield Pkwy, Suite A112, East Syracuse, NY 13057-9228 | 3152344680 | MEDICAL IMAGING CENTER LLP |
| 4211 Medical Ctr Dr, Fayetteville, NY 13066-6637 | 3153297900 | CROUSE RADIOLOGY ASSOCIATES LLP |
| 150 Broad St, Hamilton, NY 13346-9575 | 3158246180 | CROUSE RADIOLOGY ASSOCIATES LLP |
| 110 W 6th St, Oswego, NY 13126-2507 | 3153495511 | CROUSE RADIOLOGY ASSOCIATES LLP |
| 3858 State Route 13, Pulaski, NY 13142-2400 | 3152982273 | CROUSE RADIOLOGY ASSOCIATES LLP |
| 1226 E Water St, Syracuse, NY 13210-1155 | 3154784185 | CROUSE RADIOLOGY ASSOCIATES LLP |
| 4900 Broad Rd, 1c, Syracuse, NY 13215-2265 | 3154925495 | MAGNETIC DIAGNOSTIC RESOURCES OF CENTRAL NEW YORK LLP |
| 725 Irving Ave, Suite 209, Syracuse, NY 13210-1615 | 3154724364 | MAGNETIC DIAGNOSTIC RESOURCES OF CENTRAL NEW YORK LLP |
| 736 Irving Ave, Syracuse, NY 13210-1687 | 3154707551 | CROUSE RADIOLOGY ASSOCIATES LLP |
| Organization Legal Name | CROUSE RADIOLOGY ASSOCIATES LLP |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Sherwood | Diagnostic Radiology | Crouse Radiology Associates LLP | 3858 State Route 13, Pulaski, NY 13142-2400 |
| Jennifer N Taylor | Diagnostic Radiology | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Steven A Steer Ii | Diagnostic Radiology | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Scott C Buckingham | Diagnostic Radiology | Crouse Radiology Associates LLP | 4211 Medical Ctr Dr, Fayetteville, NY 13066-6637 |
| Matthew S Peckham | Diagnostic Radiology | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Terese M Santaro Gustke | Nurse Practitioner | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Annemarie Sullivan | Diagnostic Radiology | Crouse Radiology Associates LLP | 4211 Medical Ctr Dr, Fayetteville, NY 13066-6637 |
| David A Green | Diagnostic Radiology | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Amy L Marcinkowski | Diagnostic Radiology | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| David C Wang | Diagnostic Radiology | Crouse Radiology Associates LLP | 110 W 6th St, Oswego, NY 13126-2507 |
| Street Address |
4211 MEDICAL CTR DR |
| City | FAYETTEVILLE |
| State | NY |
| Zip | 13066-6637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott C Buckingham | Diagnostic Radiology | Crouse Radiology Associates LLP | 4211 Medical Ctr Dr, Fayetteville, NY 13066-6637 |
| Annemarie Sullivan | Diagnostic Radiology | Crouse Radiology Associates LLP | 4211 Medical Ctr Dr, Fayetteville, NY 13066-6637 |
| Susan Lipsy | Nurse Practitioner | Associated Medical Professionals of Ny Pllc | 4211 Medical Ctr Dr, Suite 211, Fayetteville, NY 13066-6637 |
| Farah Naim | Diagnostic Radiology | Crouse Radiology Associates LLP | 4211 Medical Ctr Dr, Fayetteville, NY 13066-6637 |
| Nicholas D Ambrosio | Diagnostic Radiology | Crouse Radiology Associates LLP | 4211 Medical Ctr Dr, Fayetteville, NY 13066-6637 |
| Jeffrey S Jones | Physician Assistant | Associated Medical Professionals of Ny Pllc | 4211 Medical Ctr Dr, Suite 211, Fayetteville, NY 13066-6637 |
| Aaron J Sharma | Diagnostic Radiology | Crouse Radiology Associates LLP | 4211 Medical Ctr Dr, Fayetteville, NY 13066-6637 |
| Guido M Scatorchia | Interventional Radiology | Crouse Radiology Associates LLP | 4211 Medical Ctr Dr, Fayetteville, NY 13066-6637 |
| Stuart J Singer | Diagnostic Radiology | Crouse Radiology Associates LLP | 4211 Medical Ctr Dr, Fayetteville, NY 13066-6637 |
| Andres M Madissoo | Urology | Associated Medical Professionals of Ny Pllc | 4211 Medical Ctr Dr, Suite 211, Fayetteville, NY 13066-6637 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Kellman | Otolaryngology | St Josephs Medical PC | 4100 Medical Ctr Dr, Suite 117, Fayetteville, NY 13066 |
| Francis J Durgin | Psychiatry | 6836 E Genesee St, Fayetteville, NY 13066-1024 | |
| Patricia G Barletta | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
| Alyssa Bovalino | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
| Jason E Falcone | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
| Glenn J Gilberg | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
| Joseph Novek | Podiatry | 6950 E Genesee St, Fayetteville, NY 13066-1036 | |
| Michael A Giordano | Chiropractic | 6858 E Genesee St, The Family Chiro Ctr, Fayetteville, NY 13066-1051 | |
| Stanton Tepfer | Optometry | Empire Vision Center Inc | 6859 E Genesee St, Fayetteville, NY 13066-1086 |
| Taryn A Bader | Physical Therapy | Onondaga Physical Therapy, LLC | 6800 E Genesee St, Fayetteville, NY 13066-1089 |
| Find all physicians in zip 13066 | |||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FAYETTEVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Thomas K Chacko.
| 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.