Mamoon Jarrah (NPI# 1699719468, PAC ID# 1759365232) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1699719468 |
| PAC ID by PECOS | 1759365232 |
| Professional Enrollment ID | I20040616000417 |
| Full Name | Mamoon Jarrah |
| Organization Legal Name | MAMOON JARRAH MD PA |
| Address |
2525 Harbor Blvd Suite 202 Port Charlotte FL 33952-5345 |
| Phone Number | 9416133773 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1971 |
| Primary Specialty | VASCULAR SURGERY |
| Secondary Specialties | THORACIC SURGERY |
| Group Practice PAC ID | 6204810781 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100236 | FAWCETT MEMORIAL HOSPITAL |
| 100077 | BAYFRONT HEALTH PORT CHARLOTTE |
| 100047 | BAYFRONT HEALTH PUNTA GORDA |
| Address | Phone | Organization |
|---|---|---|
| 2525 Harbor Blvd, Suite 202, Port Charlotte, FL 33952-5345 | 9416133773 | MAMOON JARRAH MD PA |
| Organization Legal Name | MAMOON JARRAH MD PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen L Rahman | Nurse Practitioner | Mamoon Jarrah Md Pa | 2525 Harbor Blvd, Suite 202, Port Charlotte, FL 33952-5345 |
| Street Address |
2525 HARBOR BLVD SUITE 202 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip | 33952-5345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis Gerardo Marmol | Otolaryngology | 2525 Harbor Blvd, Suite 303, Port Charlotte, FL 33952-5344 | |
| Jens C Carlsen | Urology | 2525 Harbor Blvd, Suite 301, Port Charlotte, FL 33952-5342 | |
| James S Amontree | Gastroenterology | Millennium Physician Group LLC | 2525 Harbor Blvd, Suite 104, Port Charlotte, FL 33952-5338 |
| Bennett W Mcallister | Psychiatry | 2525 Harbor Blvd, Suite 312, Port Charlotte, FL 33952-5345 | |
| Karen L Rahman | Nurse Practitioner | Mamoon Jarrah Md Pa | 2525 Harbor Blvd, Suite 202, Port Charlotte, FL 33952-5345 |
| David S Ballestas | Internal Medicine | 2525 Harbor Blvd, Suite 102, Pt Charlotte, FL 33952-5338 | |
| James P Bartek | Vascular Surgery | 2525 Harbor Blvd, 201b, Port Charlotte, FL 33952-5338 | |
| Franzuel B Pamittan | Internal Medicine | 2525 Harbor Blvd, Suite 308, Pt Charlotte, FL 33952-5317 | |
| Stephen Petrofsky | Podiatry | 2525 Harbor Blvd, Suite 206, Port Charlotte, FL 33952-5342 | |
| Eugene Ervin Gregush | Obstetrics/gynecology | 2525 Harbor Blvd, Suite 201a, Port Charlotte, FL 33952-5338 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Barrett | Clinical Social Worker | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Manuel F Gallego | Psychiatry | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Mason S Maulsby | Nurse Practitioner | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Kimberly M Huggard | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Rita F De Palma | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| David M Reilly | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Ewa A Bialikiewicz | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Gary B Jacobs | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Douglas G Henricks | Internal Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Joseph Piccolo | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Find all physicians in zip 33952 | |||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | PORT CHARLOTTE + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Mamoon Jarrah.
| 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.