Roberto Eduardo Medina (NPI# 1063850147, PAC ID# 4587950191) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1063850147 |
| PAC ID by PECOS | 4587950191 |
| Professional Enrollment ID | I20190807000790 |
| Full Name | Roberto Eduardo Medina |
| Organization Legal Name | ISLAND MEDICAL SP, LLC |
| Address |
309 Jackson St Emergency Department Monroe LA 71201-7407 |
| Phone Number | 3189664171 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2365690286 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190125 | ST FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 309 Jackson St, Emergency Department, Monroe, LA 71201-7407 | 3189664171 | ISLAND MEDICAL SP, LLC |
| Organization Legal Name | ISLAND MEDICAL SP, LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley A Walker | Emergency Medicine | Island Medical Sp, LLC | 309 Jackson St, Emergency Department, Monroe, LA 71201-7407 |
| Alexander Cruise | Emergency Medicine | Island Medical Sp, LLC | 309 Jackson St, Emergency Department, Monroe, LA 71201-7407 |
| Brandon P Smith | Emergency Medicine | Island Medical Sp, LLC | 309 Jackson St, Emergency Department, Monroe, LA 71201-7407 |
| Michael Rommen | Emergency Medicine | Island Medical Sp, LLC | 309 Jackson St, Emergency Department, Monroe, LA 71201-7407 |
| Damon L Nelson | Emergency Medicine | Island Medical Sp, LLC | 309 Jackson St, Emergency Department, Monroe, LA 71201-7407 |
| Amir Mollaei | Emergency Medicine | Island Medical Sp, LLC | 309 Jackson St, Emergency Department, Monroe, LA 71201-7407 |
| Aarti K Attreya | Emergency Medicine | Island Medical Sp, LLC | 309 Jackson St, Emergency Department, Monroe, LA 71201-7407 |
| Christopher J Najberg | Osteopathic Manipulative Medicine | Island Medical Sp, LLC | 309 Jackson St, Emergency Department, Monroe, LA 71201-7407 |
| Paul M Petty | Emergency Medicine | Island Medical Sp, LLC | 309 Jackson St, Emergency Department, Monroe, LA 71201-7407 |
| Street Address |
309 JACKSON ST EMERGENCY DEPARTMENT |
| City | MONROE |
| State | LA |
| Zip | 71201-7407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Smith | Pulmonary Disease | St Francis Medical Group LLC | 309 Jackson St, Monroe, LA 71201-7407 |
| Viktor Miro | Internal Medicine | St Francis Medical Group LLC | 309 Jackson St, Monroe, LA 71201-7407 |
| Pavana N Tirumanisetti | Family Medicine | St Francis Medical Group LLC | 309 Jackson St, Monroe, LA 71201-7407 |
| Rosetta D. Hixson | Internal Medicine | St Francis Medical Group LLC | 309 Jackson St, Monroe, LA 71201-7407 |
| Bradley A Walker | Emergency Medicine | Island Medical Sp, LLC | 309 Jackson St, Emergency Department, Monroe, LA 71201-7407 |
| Alexander Cruise | Emergency Medicine | Island Medical Sp, LLC | 309 Jackson St, Emergency Department, Monroe, LA 71201-7407 |
| Meagan C Uzee | Diagnostic Radiology | Radiology Associates A Professional Corporation | 309 Jackson St, Monroe, LA 71201-7407 |
| Brandon P Smith | Emergency Medicine | Island Medical Sp, LLC | 309 Jackson St, Emergency Department, Monroe, LA 71201-7407 |
| Michael Rommen | Emergency Medicine | Island Medical Sp, LLC | 309 Jackson St, Emergency Department, Monroe, LA 71201-7407 |
| Cynthia S Pippins | Nurse Practitioner | St Francis Medical Group LLC | 309 Jackson St, Suite 210, Monroe, LA 71201-7407 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula M Wallace | Physician Assistant | 212 Walnut, Suite 110, Monroe, LA 71201 | |
| Angela C Hamby | Nurse Practitioner | 5000 Forsythe Byp, Suite 118, Monroe, LA 71201-2168 | |
| Christopher Leblanc | Clinical Social Worker | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2963 |
| Jane Md Everist | Pediatric Medicine | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Monroe, LA 71201-2963 |
| Warren A Daniel Jr. | Family Practice | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Monroe, LA 71201-2963 |
| Loretta P Gremillion | Dermatology | 2409 Broadmoor Blvd, Monroe, LA 71201-2964 | |
| Aruna Gullapalli | Psychiatry | Aruna Gullapalli, Md Apmc | 2404 Duval Dr, Monroe, LA 71201-2986 |
| Venkat N Mallepalli | Internal Medicine | 2408 Duval Dr, Suite 2, Monroe, LA 71201-2986 | |
| Jorge E Alvernia- Silva | Neurosurgery | 2408 Duval Dr, Suite 2, Monroe, LA 71201-2986 | |
| Kitty Jon Kervin | Nurse Practitioner | Aruna Gullapalli, Md Apmc | 2404 Duval Dr, Monroe, LA 71201-2986 |
| Find all physicians in zip 71201 | |||
| City | MONROE |
| Zip Code | 71201 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MONROE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Roberto Eduardo Medina.
| 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.