Gamal H Eltabbakh (NPI# 1467448787, PAC ID# 5294649125) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GYNECOLOGICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1467448787 |
| PAC ID by PECOS | 5294649125 |
| Professional Enrollment ID | I20060217000211 |
| Full Name | Gamal H Eltabbakh |
| Organization Legal Name | LAKE CHAMPLAIN GYNECOLOGIC ONCOLOGY, PC |
| Address |
1060 Hinesburg Rd Suite 301 South Burlington VT 05403-7628 |
| Phone Number | 8028599500 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1986 |
| Primary Specialty | GYNECOLOGICAL ONCOLOGY |
| Group Practice PAC ID | 3476467309 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330250 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR |
| 470024 | NORTHWESTERN MEDICAL CENTER INC |
| 331302 | ELIZABETHTOWN COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 210 Cornelia St, Suite 406, Plattsburgh, NY 12901-2318 | 8028599500 | LAKE CHAMPLAIN GYNECOLOGIC ONCOLOGY, PC |
| 1060 Hinesburg Rd, Suite 301, South Burlington, VT 05403-7628 | 8028599500 | LAKE CHAMPLAIN GYNECOLOGIC ONCOLOGY, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | LAKE CHAMPLAIN GYNECOLOGIC ONCOLOGY, PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Georgia D Eltabbakh | Physician Assistant | Lake Champlain Gynecologic Oncology, PC | 210 Cornelia St, Suite 406, Plattsburgh, NY 12901-2318 |
| Street Address |
1060 HINESBURG RD SUITE 301 |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip | 05403-7628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Evans | Registered Dietitian Or Nutrition Professional | 366 Dorset St, Suite 10, South Burlington, VT 05403-4479 | |
| Valerie J Goldberg | Registered Dietitian Or Nutrition Professional | Whole Health Nutrition, LLC | 366 Dorset St, Suite 10, South Burlington, VT 05403-4479 |
| Alexandra L Jackson | Chiropractic | Back and Neck Center | 185 Tilley Dr, Suite 57, South Burlington, VT 05403-4484 |
| Erik W Hemmett | Chiropractic | Back and Neck Center | 185 Tilley Dr, Suite 57, South Burlington, VT 05403-4484 |
| Julie Wade | Obstetrics/gynecology | Maitri Health Care for Women PC | 185 Tilley Dr, Suite 57, South Burlington, VT 05403-4484 |
| Jane Lowell | Obstetrics/gynecology | Maitri Health Care for Women PC | 185 Tilley Dr, Suite 57, South Burlington, VT 05403-4484 |
| Amy Thibault | Obstetrics/gynecology | Maitri Health Care for Women PC | 185 Tilley Dr, Suite 57, South Burlington, VT 05403-4484 |
| Katherine Areson | Obstetrics/gynecology | Maitri Health Care for Women PC | 185 Tilley Dr, Suite 57, South Burlington, VT 05403-4484 |
| Vicki Hemmett | Chiropractic | Back and Neck Center | 185 Tilley Dr, Suite 57, South Burlington, VT 05403-4484 |
| Frank J Landry | Internal Medicine | 43 Timber Ln, South Burlington, VT 05403-5200 | |
| Find all physicians in zip 05403 | |||
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
| Specialty | GYNECOLOGICAL ONCOLOGY |
| City + Specialty | SOUTH BURLINGTON + GYNECOLOGICAL ONCOLOGY |
Please comment or provide details below to improve the information on Gamal H Eltabbakh.
| 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.