Ekundayo A Falase (NPI# 1053314823, PAC ID# 1153214036) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1053314823 |
| PAC ID by PECOS | 1153214036 |
| Professional Enrollment ID | I20040204000850 |
| Full Name | Ekundayo A Falase |
| Organization Legal Name | EASTSIDE PREMIER NEPHROLOGY AND HYPERTENSION PC |
| Address |
1612 Milstead Rd Suite A Conyers GA 30012-3738 |
| Phone Number | 6784133261 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1979 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 5991735037 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110046 | CLEARVIEW REGIONAL MEDICAL CENTER |
| 110018 | PIEDMONT NEWTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 | 6784133261 | EASTSIDE PREMIER NEPHROLOGY AND HYPERTENSION PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | EASTSIDE PREMIER NEPHROLOGY AND HYPERTENSION PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sitharam Chowdary Nandigam | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Yilikal Tassew Kassa | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Nardos Ketema Belayneh | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Street Address |
1612 MILSTEAD RD SUITE A |
| City | CONYERS |
| State | GA |
| Zip | 30012-3738 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sitharam Chowdary Nandigam | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Yilikal Tassew Kassa | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Nardos Ketema Belayneh | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Wilder | Chiropractic | 1091 W Ave Sw, Conyers, GA 30012 | |
| Neil A Trossevin | Physician Assistant | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Allen A Futral | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Bert T Chen | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Froylan C Gonzales | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Kisha Adderley | Nurse Practitioner | Rockdale Physician Practices LLC | 1301 Sigman Rd Ne, Suite 125, Conyers, GA 30012-3812 |
| George Isshak | Vascular Surgery | Rockdale Physician Practices LLC | 1301 Sigman Rd Ne, Conyers, GA 30012-3812 |
| Erikaa L Mann | Physician Assistant | Rockdale Physician Practices LLC | 1301 Sigman Rd Ne, Suite 125, Conyers, GA 30012-3812 |
| Erin C Mayfield | Obstetrics/gynecology | Rockdale Physician Practices LLC | 1301 Sigman Rd Ne, Suite 125, Conyers, GA 30012-3812 |
| Thomas Lyons | Obstetrics/gynecology | Rockdale Physician Practices LLC | 1301 Sigman Rd Ne, Suite 125, Conyers, GA 30012-3812 |
| Find all physicians in zip 30012 | |||
| City | CONYERS |
| Zip Code | 30012 |
| Specialty | NEPHROLOGY |
| City + Specialty | CONYERS + NEPHROLOGY |
Please comment or provide details below to improve the information on Ekundayo A Falase.
| 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.