Lawrence M Burgreen (NPI# 1134111420, PAC ID# 4981887320) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1134111420 |
| PAC ID by PECOS | 4981887320 |
| Professional Enrollment ID | I20110325000092 |
| Full Name | Lawrence M Burgreen |
| Organization Legal Name | MOHAWK GLEN RADIOLOGY ASSOCIATES OF CNY PLLC |
| Address |
91 Perimeter Rd Rome NY 13441-4018 |
| Phone Number | 3153349729 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8224215900 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 91 Perimeter Rd, Rome, NY 13441-4018 | 3153349729 | MOHAWK GLEN RADIOLOGY ASSOCIATES OF CNY PLLC |
| 91 Perimeter Rd, Suite 110, Rome, NY 13441-4018 | 3153349729 | MOHAWK GLEN RADIOLOGY ASSOCIATES OF CNY PLLC |
| Organization Legal Name | MOHAWK GLEN RADIOLOGY ASSOCIATES OF CNY PLLC |
| Physicians | 1 |
| Street Address |
91 PERIMETER RD |
| City | ROME |
| State | NY |
| Zip | 13441-4018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan R Mizgala | Nurse Practitioner | Rome Medical Group, P.C. | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Eugene M Casab | Physical Therapy | Fitness Forum Physical Therapy PC | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Samir Desai | Hematology/oncology | Atul Butala Physician PC | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Andrew Charles Bushnell | Emergency Medicine | Rome Medical Group, P.C. | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Windy G Mitchell | Physician Assistant | Atul Butala Physician PC | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Hamid J Obeid | Otolaryngology | 91 Perimeter Rd, Suite 180, Rome, NY 13441-4020 | |
| Vivienne E Taylor | Internal Medicine | Rome Medical Group, P.C. | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Patrice A Cianfrocco | Nurse Practitioner | Rome Medical Group, P.C. | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Matthew Daniel Sanchez | Nurse Practitioner | Rome Medical Group, P.C. | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas J Capuana | Ophthalmology | Costello Eye Physicians and Surgeons, Pllc | 255 Hill Rd, Rome, NY 13441-4203 |
| Julia Oliver Woodard | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of New York, P.C. | 105 Dart Cir, Rome, NY 13441-4229 |
| Jennifer L Fields | Nurse Practitioner | Pons Physician Services Pllc | 267 Hill Rd, Rome, NY 13441-4239 |
| Katherine M Freeman | Nurse Practitioner | Rome Medical Practice | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 |
| Renee A Ryan | Family Medicine | Pons Physician Services Pllc | 267 Hill Rd, Rome, NY 13441-4239 |
| Paula Pons | General Surgery | Pons Physician Services Pllc | 267 Hill Rd, Rome, NY 13441-4239 |
| Mohammed S Seedat | Pulmonary Disease | Rome Medical Practice | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 |
| Keneth N Hall | General Surgery | Rome Medical Practice | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 |
| Glady Jacob | Neurology | Rome Medical Practice | 267 Hill Rd, Suite 100, Rome, NY 13441-4239 |
| City | ROME |
| Zip Code | 13441 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ROME + 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.