Christian X Cruz Pico (NPI# 1659514263, PAC ID# 1355585852) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1659514263 |
| PAC ID by PECOS | 1355585852 |
| Professional Enrollment ID | I20130924000531 |
| Full Name | Christian X Cruz Pico |
| Organization Legal Name | GEORGIA SURGICARE |
| Address |
367 Athens Hwy Loganville GA 30052-2207 |
| Phone Number | 6764666760 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8325217714 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110087 | GWINNETT MEDICAL CENTER |
| 110046 | CLEARVIEW REGIONAL MEDICAL CENTER |
| 110045 | BARROW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 367 Athens Hwy, Loganville, GA 30052-2207 | 6764666760 | GEORGIA SURGICARE |
| 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 | 6764666760 | GEORGIA SURGICARE |
| Organization Legal Name | GEORGIA SURGICARE |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelina Postoev | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
| Christopher Alade Ibikunle | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
| Angel F Farinas | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
| Street Address |
367 ATHENS HWY |
| City | LOGANVILLE |
| State | GA |
| Zip | 30052-2207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberto Norniella | Psychiatry | Neuro Behavioral Health Associates, LLC | 367 Athens Hwy, Suite 1800, Loganville, GA 30052-8293 |
| Angelina Postoev | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
| Olufunke Adewunmi | Nurse Practitioner | Neuro Behavioral Health Associates, LLC | 367 Athens Hwy, Suite 1800, Loganville, GA 30052-8293 |
| Christopher Alade Ibikunle | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
| Angel F Farinas | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
| Muntzra K Qadri | Psychiatry | Neuro Behavioral Health Associates, LLC | 367 Athens Hwy, Loganville, GA 30052-8293 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Z Mikrut | Internal Medicine | 902 Athens Hwy, Loganville, GA 30052 | |
| Germaine D Cummings | Family Medicine | 4480 Atlanta Hwy, Loganville, GA 30052 | |
| Harrison C Ojimma | Certified Registered Nurse Anesthetist (crna) | 367 Athens Hwy 100, Loganville, GA 30052-2207 | |
| Jean Cadet | Nurse Practitioner | Neuro Behavioral Health Associates, LLC | 367 Athens Hwy 1050, Loganville, GA 30052-2270 |
| Kenyatta Merriweather | Nurse Practitioner | Neuro Behavioral Health Associates, LLC | 367 Athens Hwy 1050, Loganville, GA 30052-2270 |
| Mandy Michelle Miller | Clinical Social Worker | 125 Lee Byrd Rd, Loganville, GA 30052-2310 | |
| Kirk D Saddler | Dermatology | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
| Amy K Goodman | Physician Assistant | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
| Jessica J Mercer | Pathology | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
| Keith Wright | Dermatology | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
| Find all physicians in zip 30052 | |||
| City | LOGANVILLE |
| Zip Code | 30052 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LOGANVILLE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Christian X Cruz Pico.
| 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.