Mark A Bialas (NPI# 1881012649, PAC ID# 2365740198) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1881012649 |
| PAC ID by PECOS | 2365740198 |
| Professional Enrollment ID | I20180410002007 |
| Full Name | Mark A Bialas |
| Organization Legal Name | 4M EMERGENCY SYSTEMS-ANDOVER, LLC |
| Address |
476 S Main St Andover OH 44003-9602 |
| Phone Number | 3308414000 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7719992478 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390036 | HERITAGE VALLEY BEAVER |
| 390037 | HERITAGE VALLEY SEWICKLEY |
| 360192 | UH GEAUGA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 476 S Main St, Andover, OH 44003-9602 | 3308414000 | 4M EMERGENCY SYSTEMS-ANDOVER, LLC |
| 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 7247287000 | VALLEY MEDICAL FACILITIES INC |
| 720 Blackburn Rd, Sewickley, PA 15143-1459 | 4127416600 | VALLEY MEDICAL FACILITIES INC |
| Organization Legal Name | 4M EMERGENCY SYSTEMS-ANDOVER, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Cook | Emergency Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| James Gordon Gregory | Family Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| William Jian | Emergency Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| John P Flaherty | Internal Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| Street Address |
476 S MAIN ST |
| City | ANDOVER |
| State | OH |
| Zip | 44003-9602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Cook | Emergency Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| James Gordon Gregory | Family Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| William Jian | Emergency Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| John P Flaherty | Internal Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill P Wilson | Physical Therapy | 10 Public Sq, Andover, OH 44003-9314 | |
| Louise V Sheridan | Occupational Therapy | Therapeutic Solutions LLC | 10 Public Sq, Andover, OH 44003-9314 |
| Samuel Joseph Daisley | Family Medicine | Upmc Community Medicine Inc | 149 E Main St, Andover, OH 44003-9479 |
| Henry Debiec | General Practice | Primary Health Network | 5594 State Route 7, Andover, OH 44003-9490 |
| Randy S Zelen | Internal Medicine | Meadville Medical Center | 486 S Main St, Route 7, Andover, OH 44003-9602 |
| City | ANDOVER |
| Zip Code | 44003 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ANDOVER + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mark A Bialas.
| 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.