Saka R Disu (NPI# 1972780781, PAC ID# 3971650151) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1972780781 |
| PAC ID by PECOS | 3971650151 |
| Professional Enrollment ID | I20090403000193 |
| Full Name | Saka R Disu |
| Organization Legal Name | CONCORD MEDICAL GROUP OF KENTUCKY PLLC |
| Address |
1011 Old Hwy 60 Hardinsburg KY 40143-2519 |
| Phone Number | 2707567000 |
| Gender | M |
| Graduation Year | 1990 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | EMERGENCY MEDICINE, INTERNAL MEDICINE, PREVENTATIVE MEDICINE |
| Group Practice PAC ID | 9133483894 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181319 | BRECKINRIDGE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 | 2707567000 | CONCORD MEDICAL GROUP OF KENTUCKY PLLC |
| Organization Legal Name | CONCORD MEDICAL GROUP OF KENTUCKY PLLC |
| Physicians | 1 |
| Street Address |
1011 OLD HWY 60 |
| City | HARDINSBURG |
| State | KY |
| Zip | 40143-2519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rotimi A Iluyomade | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Ray Charles Kennedy | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Kerry C Gusler | Family Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Nicholls W Nelson | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Mandy Jo Butler | Nurse Practitioner | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Roger L Gelperin | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Jose M Rodriguez-maldonado | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| David M Faber | General Surgery | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| James P Flanagan | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Danielle E Kamenec | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Knox | Otolaryngology | Breckinridge Health, Inc. | 107 Old Hwy 60, Hardinsburg, KY 40143-2501 |
| Kent R Ruskowski | Chiropractic | 143a Old Hwy 60, Hardinsburg, KY 40143-2501 | |
| Benjamin S Smith | Family Medicine | Breckinridge Health, Inc. | 107 Old Hwy 60, Hardinsburg, KY 40143-2501 |
| Brian Thomas Odonoghue | Family Medicine | Breckinridge Health, Inc. | 107 Old Hwy 60, Hardinsburg, KY 40143-2501 |
| Lauren K Willis | Nurse Practitioner | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Daniel G Bercu | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Edward T Wilson | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Christa K Dowell | Nurse Practitioner | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Uzma Uppal | Internal Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Catherine Marie Lewis | Nurse Practitioner | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Find all physicians in zip 40143 | |||
| City | HARDINSBURG |
| Zip Code | 40143 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | HARDINSBURG + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Saka R Disu.
| 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.