Bryan S Evanczyk (NPI# 1528151461, PAC ID# 2668473372) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1528151461 |
| PAC ID by PECOS | 2668473372 |
| Professional Enrollment ID | I20070124000089 |
| Full Name | Bryan S Evanczyk |
| Organization Legal Name | AURELIA OSBORN FOX MEMORIAL HOSPITAL SOCIETY |
| Address |
438 Main St Oneonta NY 13820-2058 |
| Phone Number | 6074322437 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 1967 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8325937006 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330085 | AURELIA OSBORN FOX MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 438 Main St, Oneonta, NY 13820-2058 | 6074322437 | AURELIA OSBORN FOX MEMORIAL HOSPITAL SOCIETY |
| Organization Legal Name | AURELIA OSBORN FOX MEMORIAL HOSPITAL SOCIETY |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Loretta A Obi | Internal Medicine | Aurelia Osborn Fox Memorial Hospital Society | 1 Norton Ave, Oneonta, NY 13820-2629 |
| Jennifer D Kite | Nurse Practitioner | Aurelia Osborn Fox Memorial Hospital Society | 438 Main St, Oneonta, NY 13820-2058 |
| Nanette L Treadwell | Physician Assistant | Aurelia Osborn Fox Memorial Hospital Society | 438 Main St, Oneonta, NY 13820-2058 |
| Prudencio G Tablang | Anesthesiology | Aurelia Osborn Fox Memorial Hospital Society | 1 Foxcare Dr, Oneonta, NY 13820-2681 |
| Street Address |
438 MAIN ST |
| City | ONEONTA |
| State | NY |
| Zip | 13820-2058 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard S Schoenfeldt | Neurology | 438 Main St, Oneonta, NY 13820-2058 | |
| Gregory J Xanthaky | Internal Medicine | 438 Main St, Oneonta, NY 13820-2058 | |
| Jennifer D Kite | Nurse Practitioner | Aurelia Osborn Fox Memorial Hospital Society | 438 Main St, Oneonta, NY 13820-2058 |
| Nanette L Treadwell | Physician Assistant | Aurelia Osborn Fox Memorial Hospital Society | 438 Main St, Oneonta, NY 13820-2058 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony P Cammilleri | Cardiovascular Disease (cardiology) | 48 Dietz St F, Oneonta, NY 13820-1827 | |
| Marie Helene Hegeman | Clinical Social Worker | 8 -12 Dietz St, Suite 201, Oneonta, NY 13820-1849 | |
| Kim Evelyn Halaquist | Nurse Practitioner | Otsego Medical Services P.C. | 41 -45 Dietz St, Oneonta, NY 13820-1855 |
| Reynaldo P Lazaro | Neurology | 41 -45 Dietz St, Oneonta, NY 13820-1855 | |
| Eric A Dohner | Family Medicine | Otsego Medical Services P.C. | 41 -45 Dietz St, Oneonta, NY 13820-1855 |
| Stanley A Anderson Jr. | Physician Assistant | Otsego Medical Services P.C. | 41 -45 Dietz St, Oneonta, NY 13820-1855 |
| Michael H Weinberg | Physician Assistant | Otsego Medical Services P.C. | 41 -45 Dietz St, Oneonta, NY 13820-1855 |
| William G Carentz Sr. | Clinical Social Worker | 48 Dietz St, Oneonta, NY 13820-1866 | |
| Sura M Page | Clinical Social Worker | 48 Dietz St, Oneonta, NY 13820-1866 | |
| David Allen Joseph | Podiatry | 43 Walnut St, Oneonta, NY 13820-1937 | |
| Find all physicians in zip 13820 | |||
| City | ONEONTA |
| Zip Code | 13820 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ONEONTA + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Bryan S Evanczyk.
| 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.