Nidal Makhoul (NPI# 1063409282, PAC ID# 4284548819) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1063409282 |
| PAC ID by PECOS | 4284548819 |
| Professional Enrollment ID | I20070129000214 |
| Full Name | Nidal Makhoul |
| Organization Legal Name | LAKE CHAMPLAIN PHYSICIAN SERVICES |
| Address |
133 Park St Malone NY 12953-1243 |
| Phone Number | 5184833000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1981 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1355528738 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330250 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR |
| 330223 | MASSENA MEMORIAL HOSPITAL |
| 331302 | ELIZABETHTOWN COMMUNITY HOSPITAL |
| 330084 | ALICE HYDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 133 Park St, Malone, NY 12953-1243 | 5184833000 | LAKE CHAMPLAIN PHYSICIAN SERVICES |
| 1 Hospital Dr, Massena, NY 13662-1056 | 3157694200 | TOWN OF MASSENA |
| 214 Cornelia St, Plattsburgh, NY 12901-2306 | 5185627993 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER |
| 75 Beekman St, Plattsburgh, NY 12901-1438 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER | |
| 77 Beekman St, Plattsburgh, NY 12901-1438 | 5185627700 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER |
| 77 Plaza Blvd, Plattsburgh, NY 12901-6438 | 5185628800 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER |
| 91 Plaza Blvd, Plattsburgh, NY 12901-6438 | 5185615334 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER |
| Organization Legal Name | LAKE CHAMPLAIN PHYSICIAN SERVICES |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donielle F Sliwa | Hematology/oncology | Lake Champlain Physician Services | 75 Park St, Elizabethtown, NY 12932-2300 |
| Jan E Duus | Hematology/oncology | Lake Champlain Physician Services | 1019 Wicker St, Ticonderoga, NY 12883-1039 |
| Christopher S Palma | Cardiovascular Disease (cardiology) | Lake Champlain Physician Services | 133 Park St, Malone, NY 12953-1243 |
| William B Bunn | Pulmonary Disease | Lake Champlain Physician Services | 133 Park St, Malone, NY 12953-1243 |
| Aderonke O Adeniyi | Cardiovascular Disease (cardiology) | Lake Champlain Physician Services | 1 Hospital Dr, Massena, NY 13662-1056 |
| Hanna B Slim | Cardiovascular Disease (cardiology) | Lake Champlain Physician Services | 133 Park St, Malone, NY 12953-1243 |
| Seema A Lodha | Cardiovascular Disease (cardiology) | Lake Champlain Physician Services | 133 Park St, Malone, NY 12953-1243 |
| Albert M Imobersteg | Orthopedic Surgery | Lake Champlain Physician Services | 1019 Wicker St, Ticonderoga, NY 12883-1039 |
| Ann J Heywood | Nurse Practitioner | Lake Champlain Physician Services | 1 Hospital Dr, Massena, NY 13662-1056 |
| Joel M Wolkowicz | Cardiovascular Disease (cardiology) | Lake Champlain Physician Services | 133 Park St, Malone, NY 12953-1243 |
| Street Address |
133 PARK ST |
| City | MALONE |
| State | NY |
| Zip | 12953-1243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shafiu O Ololade | Hospitalist | Apogee Medical Group, New York, PC | 133 Park St, Malone, NY 12953-1244 |
| Gaboy Jupiter | Nurse Practitioner | Apogee Medical Group, New York, PC | 133 Park St, Malone, NY 12953-1244 |
| James E Tkacik | Physician Assistant | Apogee Medical Group, New York, PC | 133 Park St, Malone, NY 12953-1244 |
| Rajiv Pant | Internal Medicine | Apogee Medical Group, New York, PC | 133 Park St, Malone, NY 12953-1244 |
| Brinda Muthuswamy | Hospitalist | Apogee Medical Group, New York, PC | 133 Park St, Malone, NY 12953-1244 |
| Aiesha Clayton | Physician Assistant | Apogee Medical Group, New York, PC | 133 Park St, Malone, NY 12953-1244 |
| Christopher S Palma | Cardiovascular Disease (cardiology) | Lake Champlain Physician Services | 133 Park St, Malone, NY 12953-1243 |
| Anita N Lwanga | Hospitalist | Apogee Medical Group, New York, PC | 133 Park St, Malone, NY 12953-1244 |
| Rebecca R Snickles | Nurse Practitioner | Alice Hyde Medical Center | 133 Park St, Malone, NY 12953-1243 |
| Gurkaramjit S Khaira | Hospitalist | Apogee Medical Group, New York, PC | 133 Park St, Malone, NY 12953-1244 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel T Santy | Chiropractic | Adirondack Region Chiropractic PC | 9 Finney Blvd, Malone, NY 12953-1038 |
| Tracy A Trudel | Chiropractic | Adirondack Region Chiropractic PC | 9 Finney Blvd, Malone, NY 12953-1038 |
| Gary L Hanley | Optometry | 22 Finney Blvd, Malone, NY 12953-1039 | |
| Noni H Irish | Clinical Social Worker | Citizen Advocates, Inc | 209 Park St, Malone, NY 12953-1228 |
| Myrna A Sanchez | Internal Medicine | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| Marie W Haggarty | Physician Assistant | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| Vladimir Medved | Pain Management | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| David J Griffin | Physician Assistant | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| Steven Shamosh | Internal Medicine | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Derek J Reynolds | Nurse Practitioner | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Find all physicians in zip 12953 | |||
| City | MALONE |
| Zip Code | 12953 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | MALONE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Nidal Makhoul.
| 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.