Jacob C Abraham (NPI# 1144271800, PAC ID# 4587623475) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1144271800 |
| PAC ID by PECOS | 4587623475 |
| Professional Enrollment ID | I20050728000283 |
| Full Name | Jacob C Abraham |
| Organization Legal Name | PROGRESSIVE PHYSICIAN ASSOCIATES INC |
| Address |
5061 Gallatree Ln Norcross GA 30092-1219 |
| Phone Number | 6108681100 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1355243809 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390049 | ST LUKE'S HOSPITAL BETHLEHEM |
| 390330 | ST LUKE'S HOSPITAL - MONROE CAMPUS |
| 390326 | ST LUKE'S HOSPITAL - ANDERSON CAMPUS |
| 310060 | ST. LUKE'S WARREN HOSPITAL |
| 390183 | ST LUKE'S MINERS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5061 Gallatree Ln, Norcross, GA 30092-1219 | 6108681100 | PROGRESSIVE PHYSICIAN ASSOCIATES INC |
| Organization Legal Name | PROGRESSIVE PHYSICIAN ASSOCIATES INC |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terence J O Loughlin | Diagnostic Radiology | Progressive Physician Associates Inc | 29 Conant St, Suite 3, Provincetown, MA 02657-1352 |
| Neil Kapadia | Diagnostic Radiology | Progressive Physician Associates Inc | 95 Highland Ave, Suite 130, Bethlehem, PA 18017-9483 |
| Ali Saleem | Diagnostic Radiology | Progressive Physician Associates Inc | 144 N 8th St, 3c, Brooklyn, NY 11249-2008 |
| Lisa M Fedullo | Interventional Radiology | Progressive Physician Associates Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Janet Elaine Durick | Diagnostic Radiology | Progressive Physician Associates Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| William W Woodruff | Diagnostic Radiology | Progressive Physician Associates Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Karl N Yaeger | Diagnostic Radiology | Progressive Physician Associates Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Melissa J Graule | Diagnostic Radiology | Progressive Physician Associates Inc | 185 Roseberry St, Phillipsburg, NJ 08865-1690 |
| Bassam Al-mamoori | Diagnostic Radiology | Progressive Physician Associates Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Farid Dahi | Diagnostic Radiology | Progressive Physician Associates Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Street Address |
5061 GALLATREE LN |
| City | NORCROSS |
| State | GA |
| Zip | 30092-1219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason W Mitchell | Interventional Radiology | Radiology Physician Solutions of North Florida LLC | 4250 Frank Neely Rd, Peachtree Corners, GA 30092-1307 |
| George L Aubley | Internal Medicine | 6460 Spalding Dr A, Norcross, GA 30092-1805 | |
| Craig K Petek | Chiropractic | Craig K Petek Dc PC | 6470 Spalding Dr, Suite J, Norcross, GA 30092-1826 |
| Neha Khurana | Psychiatry | 3965 Holcomb Bridge Rd, Suite 102, Norcross, GA 30092-2203 | |
| Patricia W Morris | Podiatry | Village Podiatry Group, LLC. | 3949 Holcomb Bridge Rd, Suite 100, Norcross, GA 30092-2208 |
| Jon Zarett | Podiatry | Village Podiatry Group, LLC. | 3949 Holcomb Bridge Rd, Suite 100, Norcross, GA 30092-2208 |
| Craig I Rich | Psychologist, Clinical | 3949 Holcomb Bridge Rd, Suite 200, Norcross, GA 30092-2208 | |
| Robert I Schwartz | Podiatry | Village Podiatry Group, LLC. | 3949 Holcomb Bridge Rd, Suite 100, Norcross, GA 30092-2208 |
| Fredrick R Neal | Chiropractic | 3949 Holcomb Bridge Rd, Suite 201, Norcross, GA 30092-2208 | |
| Olugbemiga A Osoba | Psychiatry | 3937 Holcomb Bridge Rd, Peachtree Corners, GA 30092-2290 | |
| Find all physicians in zip 30092 | |||
| City | NORCROSS |
| Zip Code | 30092 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | NORCROSS + DIAGNOSTIC RADIOLOGY |
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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.