Zeeshan Khan (NPI# 1144668864, PAC ID# 2769778299) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1144668864 |
| PAC ID by PECOS | 2769778299 |
| Professional Enrollment ID | I20160909001795 |
| Full Name | Zeeshan Khan |
| Organization Legal Name | HEALTHSOURCE MEDICAL SERVICES MEDFORD, PLLC |
| Address |
1743 N Ocean Ave Medford NY 11763-2649 |
| Phone Number | 6317583100 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0143413344 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330401 | ST CATHERINE OF SIENA HOSPITAL |
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 558 Larkfield Rd, East Northport, NY 11731-4204 | 6314867459 | EXCEL URGENT CARE OF EAST NORTHPORT PLLC |
| 15740 Crossbay Blvd, Howard Beach, NY 11414-2747 | 8455653700 | EXCEL URGENT CARE OF ASTORIA PLLC |
| 3001 Express Dr N, Suite 104, Islandia, NY 11749-5301 | 6314350110 | HEALTHSOURCE MEDICAL SERVICES, PLLC |
| 1743 N Ocean Ave, Medford, NY 11763-2649 | 6317583100 | HEALTHSOURCE MEDICAL SERVICES MEDFORD, PLLC |
| 465 Smithtown Blvd, Nesconset, NY 11767-2421 | 6316766700 | EXCEL URGENT CARE OF NESCONSET PLLC |
| 900 Hillside Ave, New Hyde Park, NY 11040-2522 | 5165198400 | EXCEL URGENT CARE OF NHP PLLC |
| 3430 Sunrise Hwy, Wantagh, NY 11793-4028 | 5169001600 | EXCEL URGENT CARE OF WANTAGH PLLC |
| Organization Legal Name | HEALTHSOURCE MEDICAL SERVICES MEDFORD, PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna Carroll | Nurse Practitioner | Healthsource Medical Services Medford, Pllc | 1743 N Ocean Ave, Medford, NY 11763-2649 |
| Michael Ryder | Family Medicine | Healthsource Medical Services Medford, Pllc | 1743 N Ocean Ave, Medford, NY 11763-2649 |
| Kristan Elaina Probeck | Nurse Practitioner | Healthsource Medical Services Medford, Pllc | 1743 N Ocean Ave, Medford, NY 11763-2649 |
| Joan A Scalera | Nurse Practitioner | Healthsource Medical Services Medford, Pllc | 1743 N Ocean Ave, Medford, NY 11763-2649 |
| Annmarie Badagliacca | Physician Assistant | Healthsource Medical Services Medford, Pllc | 1743 N Ocean Ave, Medford, NY 11763-2649 |
| Christine M Aiello | Nurse Practitioner | Healthsource Medical Services Medford, Pllc | 1743 N Ocean Ave, Medford, NY 11763-2649 |
| Street Address |
1743 N OCEAN AVE |
| City | MEDFORD |
| State | NY |
| Zip | 11763-2649 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna Carroll | Nurse Practitioner | Healthsource Medical Services Medford, Pllc | 1743 N Ocean Ave, Medford, NY 11763-2649 |
| Michael Ryder | Family Medicine | Healthsource Medical Services Medford, Pllc | 1743 N Ocean Ave, Medford, NY 11763-2649 |
| Kristan Elaina Probeck | Nurse Practitioner | Healthsource Medical Services Medford, Pllc | 1743 N Ocean Ave, Medford, NY 11763-2649 |
| Joan A Scalera | Nurse Practitioner | Healthsource Medical Services Medford, Pllc | 1743 N Ocean Ave, Medford, NY 11763-2649 |
| Annmarie Badagliacca | Physician Assistant | Healthsource Medical Services Medford, Pllc | 1743 N Ocean Ave, Medford, NY 11763-2649 |
| Christine M Aiello | Nurse Practitioner | Healthsource Medical Services Medford, Pllc | 1743 N Ocean Ave, Medford, NY 11763-2649 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily F Chappell | Clinical Social Worker | 3239 Route 112 5, Medford, NY 11763-1432 | |
| Raj D Tolat | Physical Medicine and Rehabilitation | 2920 Route 112, Medford, NY 11763-1451 | |
| Isaac J Alamuri | Family Medicine | 23 Bloomington St, Medford, NY 11763-1579 | |
| Sang H Song | Physical Medicine and Rehabilitation | 700 Patchogue Yaphank Rd, Suite 49, Medford, NY 11763-2239 | |
| Muhammad Imran | Physical Therapy | 700 Patchogue Yaphank Rd, Suite 49, Medford, NY 11763-2239 | |
| Jennifer L Wellman | Occupational Therapy | Home Advantage Occupational Therapy, P.C. | 12 Platinum Court, Medford, NY 11763-2247 |
| Cydney E Taylor | Physician Assistant | Prince Medicine PC | 12 Platinum Ct, Medford, NY 11763-2247 |
| Randy Lee Parr | Physician Assistant | Prince Medicine PC | 12 Platinum Ct, Medford, NY 11763-2247 |
| Scott Richard Lindsay | Physical Therapy | Evolution Home Physical Therapy, P.C. | 12 Platinum Ct, Medford, NY 11763-2247 |
| David Nieves | Physical Therapy | Evolution Home Physical Therapy, P.C. | 12 Platinum Ct, Medford, NY 11763-2247 |
| Find all physicians in zip 11763 | |||
| City | MEDFORD |
| Zip Code | 11763 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MEDFORD + FAMILY MEDICINE |
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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.