Edward J Kruse (NPI# 1093746984, PAC ID# 5294748935) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SURGICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1093746984 |
| PAC ID by PECOS | 5294748935 |
| Professional Enrollment ID | I20060724000184 |
| Full Name | Edward J Kruse |
| Organization Legal Name | AU MEDICAL ASSOCIATES INC |
| Address |
120 Gordon St Washington GA 30673-1602 |
| Phone Number | 7066782151 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1994 |
| Primary Specialty | SURGICAL ONCOLOGY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 9931013513 |
| Number of Group Practice Members | 423 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110034 | GEORGIA HEALTH SCIENCES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1120 15th St, Augusta, GA 30912-0004 | 7067246100 | AU MEDICAL ASSOCIATES INC |
| 120 Gordon St, Washington, GA 30673-1602 | 7066782151 | AU MEDICAL ASSOCIATES INC |
| Organization Legal Name | AU MEDICAL ASSOCIATES INC |
| Physicians | 385 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Machli Adrien | Podiatry | Au Medical Associates Inc | 901 Magnolia Dr, Aiken, SC 29803-7309 |
| Joseph Peter Hernandez Iii | Psychiatry | Au Medical Associates Inc | 997 Saint Sebastian Way, Augusta, GA 30912-2613 |
| Mrinal Shukla | Vascular Surgery | Au Medical Associates Inc | 1003 Chafee Ave, Augusta, GA 30904-5867 |
| Hamer Manning Titus | Obstetrics/gynecology | Au Medical Associates Inc | 4300 University Pkwy, Evans, GA 30809-3063 |
| Kenneth John Vega | Gastroenterology | Au Medical Associates Inc | 604 Riverside Ave, Waycross, GA 31501-5323 |
| Jennifer Lanzer | Obstetrics/gynecology | Au Medical Associates Inc | 2824 Hillcreek Dr, Augusta, GA 30909-5628 |
| Jack Ellis | Internal Medicine | Au Medical Associates Inc | 1120 15th St, Augusta, GA 30912-0004 |
| Soumia Brakta | Obstetrics/gynecology | Au Medical Associates Inc | 810 Chafee Ave, Augusta, GA 30904-5806 |
| Humberto Sifuentes | Gastroenterology | Au Medical Associates Inc | 2011 Westend Dr, Greensboro, GA 30642-5146 |
| Charlton Pickett | Family Medicine | Au Medical Associates Inc | 1417 Pendleton Rd, Augusta, GA 30904-4837 |
| Street Address |
120 GORDON ST |
| City | WASHINGTON |
| State | GA |
| Zip | 30673-1602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haitham Mahmoud Hreibe | Cardiac Electrophysiology | Au Medical Associates Inc | 120 Gordon St, Washington, GA 30673-1602 |
| Joshua Stauffer | Nurse Practitioner | Wills Memorial Emergency Medical Services, LLC | 120 Gordon St, Washington, GA 30673-1602 |
| Gyanendra Kumar Sharma | Cardiovascular Disease (cardiology) | Au Medical Associates Inc | 120 Gordon St, Washington, GA 30673-1602 |
| Deepak Kapoor | Interventional Cardiology | Au Medical Associates Inc | 120 Gordon St, Washington, GA 30673-1602 |
| Zachary William Abraham Klaassen | Urology | Au Medical Associates Inc | 120 Gordon St, Washington, GA 30673-1602 |
| Barry M Parker | Diagnostic Radiology | South Georgia Radiology Associates LLC | 120 Gordon St, Washington, GA 30673-1602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jorge Francisco Perezvelasco | Optometry | Wilkes Eye Care | 23 E Square, Washington, GA 30673-1517 |
| Dilip A Thomas | Ophthalmology | Au Medical Associates Inc | 23 E Square, Washington, GA 30673-1517 |
| William W Robinson | Optometry | Wilkes Eye Care | 23 E Square, Washington, GA 30673-1517 |
| Kirkland T Dodson | Internal Medicine | 119 Gordon St, Washington, GA 30673-1601 | |
| Katherine W Sanders | General Practice | 124 Gordon St, Washington, GA 30673-1602 | |
| Kevin W Townsend | Chiropractic | 21 W Robert Toombs Ave, Washington, GA 30673-1661 | |
| Lester T Johnston Jr. | Internal Medicine | Hospital Authority of Wilkes County | 212 Hospital Dr, Washington, GA 30673-5619 |
| David Kirk | Family Medicine | 206 Hospital Dr, Washington, GA 30673-5619 | |
| Michael G Molitor | Emergency Medicine | Hospital Authority of Wilkes County | 212 Hospital Dr, Washington, GA 30673-5619 |
| City | WASHINGTON |
| Zip Code | 30673 |
| Specialty | SURGICAL ONCOLOGY |
| City + Specialty | WASHINGTON + SURGICAL ONCOLOGY |
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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.