Susan Fralick-ball (NPI# 1053696161, PAC ID# 2769657600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1053696161 |
| PAC ID by PECOS | 2769657600 |
| Professional Enrollment ID | I20111206000079 |
| Full Name | Susan Fralick-ball |
| Organization Legal Name | VISTA MEDICAL SERVICES INC |
| Address |
1001 Wallace St Tucker Nursing Home Philadelphia PA 19123-2599 |
| Phone Number | 2152351600 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 5597743344 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599 | 2152351600 | VISTA MEDICAL SERVICES INC |
| 2600 Belmont Ave, Philadelphia, PA 19131-2799 | 2155810710 | VISTA MEDICAL SERVICES INC |
| Organization Legal Name | VISTA MEDICAL SERVICES INC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marquita Y Johniken | Nurse Practitioner | Vista Medical Services Inc | 5651 Limestone Rd, Wilmington, DE 19808-1217 |
| John M Uveges | Psychologist, Clinical | Vista Medical Services Inc | 231 S Washington St, Atlantic Shores and Rehab, Millsboro, DE 19966-1236 |
| Lori A Ruskin | Nurse Practitioner | Vista Medical Services Inc | 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599 |
| Jill C Ballenger | Nurse Practitioner | Vista Medical Services Inc | 449 S Pennsville-auburn Rd, Southgate Health Care Center, Carneys Point, NJ 08069-2691 |
| Jenika L Miles | Nurse Practitioner | Vista Medical Services Inc | 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599 |
| Ernest B Tamajong | Nurse Practitioner | Vista Medical Services Inc | 5651 Limestone Rd, Wilmington, DE 19808-1217 |
| Matthew P Richmond | Psychologist, Clinical | Vista Medical Services Inc | 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599 |
| Eric Cole | Psychologist, Clinical | Vista Medical Services Inc | 5651 Limestone Rd, Wilmington, DE 19808-1217 |
| Ruth Sampson Pilgrim | Nurse Practitioner | Vista Medical Services Inc | 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599 |
| Kathleen Lazar | Psychologist, Clinical | Vista Medical Services Inc | 700 Foulk Rd, Wilmington, DE 19803-3708 |
| Street Address |
1001 WALLACE ST TUCKER NURSING HOME |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19123-2599 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori A Ruskin | Nurse Practitioner | Vista Medical Services Inc | 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599 |
| Jenika L Miles | Nurse Practitioner | Vista Medical Services Inc | 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599 |
| Matthew P Richmond | Psychologist, Clinical | Vista Medical Services Inc | 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599 |
| Ruth Sampson Pilgrim | Nurse Practitioner | Vista Medical Services Inc | 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599 |
| Deborah J Buck | Nurse Practitioner | Vista Medical Services Inc | 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599 |
| John C Devine | Nurse Practitioner | Vista Medical Services Inc | 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599 |
| Isabella A Tembe | Nurse Practitioner | Vista Medical Services Inc | 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599 |
| Katrina K Dennison | Nurse Practitioner | Vista Medical Services Inc | 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599 |
| Birgit A Collier | Nurse Practitioner | Vista Medical Services Inc | 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599 |
| Larry Durlofsky | Geriatric Psychiatry | Vista Medical Services Inc | 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosilyn T Smith | Psychiatry | Centralized Comprehensive Human Services, Inc. | 907 N Broad St, Durg Treatment/methadone Clinic, Philadelphia, PA 19123-1013 |
| Howard N Brooks | Family Medicine | Centralized Comprehensive Human Services, Inc. | 907 N Broad St, Durg Treatment/methadone Clinic, Philadelphia, PA 19123-1013 |
| James J Nocks | Psychiatry | Centralized Comprehensive Human Services, Inc. | 907 N Broad St, Philadelphia, PA 19123-1013 |
| Sunny F Ekwunife | Family Practice | Centralized Comprehensive Human Services, Inc. | 907 N Broad St, Durg Treatment/methadone Clinic, Philadelphia, PA 19123-1013 |
| Edith Senyumba | General Practice | Centralized Comprehensive Human Services, Inc. | 907 N Broad St, Durg Treatment/methadone Clinic, Philadelphia, PA 19123-1013 |
| Arun K Mohanty | Internal Medicine | 445 W Girard Ave, Philadelphia, PA 19123-1427 | |
| Nasira Y Majid | Family Medicine | 445 W Girard Ave, Philadelphia, PA 19123-1427 | |
| Manoj George Oommen | General Practice | Excel Medical Center | 521 W Girard Ave, Philadelphia, PA 19123-1428 |
| Margaret Oduro | Nurse Practitioner | Excel Medical Center | 521 W Girard Ave, Philadelphia, PA 19123-1428 |
| Christine Supplee | Nurse Practitioner | Excel Medical Center | 521 W Girard Ave, Philadelphia, PA 19123-1428 |
| Find all physicians in zip 19123 | |||
| City | PHILADELPHIA |
| Zip Code | 19123 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | PHILADELPHIA + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Susan Fralick-ball.
| 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.