Jeremiah J Moles (NPI# 1003067745, PAC ID# 4183755770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1003067745 |
| PAC ID by PECOS | 4183755770 |
| Professional Enrollment ID | I20100625000406 |
| Full Name | Jeremiah J Moles |
| Organization Legal Name | EAR NOSE AND THROAT ASSOCIATES OF SAN DIEGO A MEDICAL CORP |
| Address |
5565 Grossmont Ctr Dr Suite 101 La Mesa CA 91942-3021 |
| Phone Number | 6194643353 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 0345290094 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050026 | GROSSMONT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 | 6197406000 | EMERGENCY AND ACUTE CARE MEDICAL CORPORATION |
| 5565 Grossmont Ctr Dr, Suite 101, La Mesa, CA 91942-3021 | 6194643353 | EAR NOSE AND THROAT ASSOCIATES OF SAN DIEGO A MEDICAL CORP |
| Organization Legal Name | EAR NOSE AND THROAT ASSOCIATES OF SAN DIEGO A MEDICAL CORP |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean C Skelton | Otolaryngology | Ear Nose and Throat Associates of San Diego A Medical Corp | 5565 Grossmont Ctr Dr, Suite 101, La Mesa, CA 91942-3021 |
| Patrick G Mccallion | Otolaryngology | Ear Nose and Throat Associates of San Diego A Medical Corp | 5565 Grossmont Ctr Dr, Suite 101, La Mesa, CA 91942-3021 |
| Alexis Patsias | Otolaryngology | Ear Nose and Throat Associates of San Diego A Medical Corp | 5565 Grossmont Ctr Dr, Suite 101, La Mesa, CA 91942-3021 |
| Rowley S Busino | Otolaryngology | Ear Nose and Throat Associates of San Diego A Medical Corp | 5565 Grossmont Ctr Dr, Suite 101, La Mesa, CA 91942-3021 |
| Paul Schalch | Otolaryngology | Ear Nose and Throat Associates of San Diego A Medical Corp | 5565 Grossmont Ctr Dr, Suite 101, La Mesa, CA 91942-3021 |
| Michael J Rensink | Otolaryngology | Ear Nose and Throat Associates of San Diego A Medical Corp | 5565 Grossmont Ctr Dr, Suite 101, La Mesa, CA 91942-3021 |
| John Howard Taylor | Otolaryngology | Ear Nose and Throat Associates of San Diego A Medical Corp | 5565 Grossmont Ctr Dr, Suite 101, La Mesa, CA 91942-3021 |
| Amy Jo Keyes | Physician Assistant | Ear Nose and Throat Associates of San Diego A Medical Corp | 5565 Grossmont Ctr Dr, Suite 101, La Mesa, CA 91942-3021 |
| Geoffrey B Pitzer | Otolaryngology | Ear Nose and Throat Associates of San Diego A Medical Corp | 5565 Grossmont Ctr Dr, Suite 101, La Mesa, CA 91942-3021 |
| Gary R Chiswick Jr. | Physician Assistant | Ear Nose and Throat Associates of San Diego A Medical Corp | 5565 Grossmont Ctr Dr, Suite 101, La Mesa, CA 91942-3021 |
| Street Address |
5565 GROSSMONT CTR DR SUITE 101 |
| City | LA MESA |
| State | CA |
| Zip | 91942-3021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Simon Lavotshkin | General Surgery | Grossmont Surgical Associates Inc | 5565 Grossmont Ctr Dr, Suite 221, La Mesa, CA 91942-3022 |
| Sean C Skelton | Otolaryngology | Ear Nose and Throat Associates of San Diego A Medical Corp | 5565 Grossmont Ctr Dr, Suite 101, La Mesa, CA 91942-3021 |
| Scott H Barker | Physician Assistant | Steven R Allsing Md Inc | 5565 Grossmont Ctr Dr, Suite 112, La Mesa, CA 91942-3021 |
| Vincent S Hui | Physical Therapy | G.o.m.g A Medical Partnership | 5565 Grossmont Ctr Dr, Suite 256, La Mesa, CA 91942-3098 |
| Gary L Shasky | Qualified Audiologist | American Hearing Aid Center of The South Bay Inc | 5565 Grossmont Ctr Dr, Bldg 3 Suite 153, La Mesa, CA 91942-3021 |
| Patrick G Mccallion | Otolaryngology | Ear Nose and Throat Associates of San Diego A Medical Corp | 5565 Grossmont Ctr Dr, Suite 101, La Mesa, CA 91942-3021 |
| Hong-der Lin | General Surgery | Grossmont Surgical Associates Inc | 5565 Grossmont Ctr Dr, Suite 221, La Mesa, CA 91942-3022 |
| Tyrone L Hardy | Neurosurgery | 5565 Grossmont Ctr Dr, Suite 110, La Mesa, CA 91942-3021 | |
| Mohammed Miradi | Infectious Disease | 5565 Grossmont Ctr Dr, Suite 211, La Mesa, CA 91942-3022 | |
| Ronald K Goldberg | Cardiovascular Disease (cardiology) | La Mesa Cardiac Center, A Medical Group | 5565 Grossmont Ctr Dr, Suite 455, La Mesa, CA 91942-3073 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yu Cheng | Neurology | Er-kai Gao Md Inc. | 8851 Ctr Dr, Suite 603, La Mesa, CA 91942 |
| Ali Banaie | Gastroenterology | 8860 Ctr Dr, Suite 420, La Mesa, CA 91942 | |
| Alison P Anthony | Nurse Practitioner | Banaie Medical Corporation | 8860 Ctr Dr, Suite 420, La Mesa, CA 91942 |
| Carter C Gardner | Psychologist, Clinical | 4700 Spring St, La Mesa, CA 91942-0263 | |
| Martina Ann Clarke | Psychologist, Clinical | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Shirley J Lanyi | Psychologist, Clinical | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Cynthia A Thayer | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Loralisa Marie Rocca | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Judi Logan Winegar | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Lisa M. Wyneken | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Find all physicians in zip 91942 | |||
| City | LA MESA |
| Zip Code | 91942 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | LA MESA + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Jeremiah J Moles.
| 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.