Boris Nikolic (NPI# 1407869241, PAC ID# 1456369065) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1407869241 |
| PAC ID by PECOS | 1456369065 |
| Professional Enrollment ID | I20060929000449 |
| Full Name | Boris Nikolic |
| Organization Legal Name | RADIOLOGY ASSOCIATES OF WYOMING VALLEY INC |
| Address |
575 N River St Wilkes Barre PA 18702-2634 |
| Phone Number | 5705528378 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1995 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 2365355906 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220015 | COOLEY DICKINSON HOSPITAL INC,THE |
| 390137 | WILKES-BARRE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 30 Locust St, Northampton, MA 01060-2052 | 4135822330 | CD PRACTICE ASSOCIATES INC |
| 575 N River St, Wilkes Barre, PA 18702-2634 | 5705528378 | RADIOLOGY ASSOCIATES OF WYOMING VALLEY INC |
| Organization Legal Name | RADIOLOGY ASSOCIATES OF WYOMING VALLEY INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elena Motuzko | Diagnostic Radiology | Radiology Associates of Wyoming Valley Inc | 98 Sweet Grass Rd, Unit B, Carbondale, CO 81623-8655 |
| Cheryl Hicks | Diagnostic Radiology | Radiology Associates of Wyoming Valley Inc | 1707 Madero Dr, The Villages, FL 32159-9401 |
| Victor Bykov | Diagnostic Radiology | Radiology Associates of Wyoming Valley Inc | 3925 W Western Reserve Rd, Canfield, OH 44406-8111 |
| William Michael Mcgarry | Diagnostic Radiology | Radiology Associates of Wyoming Valley Inc | 575 N River St, Wilkes Barre, PA 18702-2634 |
| George Bolotin | Diagnostic Radiology | Radiology Associates of Wyoming Valley Inc | 575 N River St, Wilkes Barre, PA 18702-2634 |
| Joan Forgetta | Nuclear Medicine | Radiology Associates of Wyoming Valley Inc | 575 N River St, Wilkes Barre, PA 18702-2634 |
| Guenadi Amoachi | Diagnostic Radiology | Radiology Associates of Wyoming Valley Inc | 575 N River St, Wilkes Barre, PA 18764-0999 |
| Gil Hoang | Diagnostic Radiology | Radiology Associates of Wyoming Valley Inc | 575 N River St, Wilkes Barre, PA 18764-0999 |
| Satish D Patel | Diagnostic Radiology | Radiology Associates of Wyoming Valley Inc | 575 N River St, Wilkes Barre, PA 18764-0999 |
| Myron Y Prawak | Diagnostic Radiology | Radiology Associates of Wyoming Valley Inc | 575 N River St, Wilkes Barre, PA 18764-0999 |
| Street Address |
575 N RIVER ST |
| City | WILKES BARRE |
| State | PA |
| Zip | 18702-2634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph E Feistl | Physician Assistant | Advanced Inpatient Medicine Associates PC | 575 N River St, Wilkes Barre, PA 18764-0999 |
| William Michael Mcgarry | Diagnostic Radiology | Radiology Associates of Wyoming Valley Inc | 575 N River St, Wilkes Barre, PA 18702-2634 |
| Farook K Shroff | Cardiovascular Disease (cardiology) | Ekg Associates of Wyoming Valley LLP | 575 N River St, Wilkes Barre, PA 18702-2634 |
| Christopher Pisanchyn | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia, Pennsylvania, LLC | 575 N River St, Wilkes Barre General Hospital, Wilkes-barre, PA 18764-0001 |
| Barbara L Hoffman | Nurse Practitioner | Pennsylvania Physician Services, LLC | 575 N River St, Wilkes Barre, PA 18764-0001 |
| Wendy Kane | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia, Pennsylvania, LLC | 575 N River St, Wilkes Barre General Hospital, Wilkes-barre, PA 18764-0001 |
| Glenn Weaver | Anesthesiology | North American Partners In Anesthesia, Pennsylvania, LLC | 575 N River St, Wilkes Barre General Hospital, Wilkes-barre, PA 18764-0001 |
| Nestor Garcia | Pathology | Wyoming Valley Pathology Associates | 575 N River St, Wilkes Barre, PA 18702-2634 |
| Kim A Connors | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia, Pennsylvania, LLC | 575 N River St, Wilkes Barre General Hospital, Wilkes-barre, PA 18764-0001 |
| Aneesuddin S Hashmi | Hospitalist | Advanced Inpatient Medicine Associates PC | 575 N River St, Wilkes Barre, PA 18764-0999 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Elizabeth J Sokach | Family Practice | Rural Health Corporation of Northeastern Pennsylvania | 1084 Route 315, Wilkes Barre, PA 18702-1606 |
| Raymond J Joseph | Internal Medicine | 165 Carey Ave, Wilkes Barre, PA 18702-2112 | |
| Sharon Miller | Physical Therapy | Northeast Physical Therapy, PC | 216 N River St, Suite 101, Wilkes Barre, PA 18702-2517 |
| Marianne Turosky | Physical Therapy | Northeast Physical Therapy, PC | 216 N River St, Suite 101, Wilkes Barre, PA 18702-2517 |
| Elizabeth A Gernhardt | Family Medicine | 300 Courtright St, Wilkes Barre, PA 18702-2526 | |
| Alexis H Felsman | Obstetrics/gynecology | Ob-gyn Associates, LLC | 545 N River St, Wilkes Barre, PA 18702-2600 |
| Jaromir Kohout | General Surgery | Commonwealth Physician Network LLC | 545 N River St, Suite 130, Wilkes Barre, PA 18702-2600 |
| Maria C Escano | General Surgery | Commonwealth Physician Network LLC | 545 N River St, Suite 130, Wilkes Barre, PA 18702-2600 |
| Lori Delgaudio | Obstetrics/gynecology | Ob-gyn Associates, LLC | 545 N River St, Wilkes Barre, PA 18702-2600 |
| Akram Zalatimo | Obstetrics/gynecology | 545 N River St, Suite 110, Wilkes Barre, PA 18702-2600 | |
| Find all physicians in zip 18702 | |||
| City | WILKES BARRE |
| Zip Code | 18702 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WILKES BARRE + DIAGNOSTIC RADIOLOGY |
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| 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.