Russell Wenacur (NPI# 1760421127, PAC ID# 5294918645) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1760421127 |
PAC ID by PECOS | 5294918645 |
Professional Enrollment ID | I20110328000698 |
Full Name | Russell Wenacur |
Organization Legal Name | TROY FAMILY PHYSICIANS, PC |
Address |
200 Northern Dr Troy NY 12182-1821 |
Phone Number | 5182377363 |
Gender | M |
Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
Graduation Year | 1994 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 9931382371 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330180 | SAMARITAN HOSPITAL |
Address | Phone | Organization |
---|---|---|
200 Northern Dr, Troy, NY 12182-1821 | 5182377363 | TROY FAMILY PHYSICIANS, PC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | TROY FAMILY PHYSICIANS, PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
John Joseph Obryan | Family Medicine | Troy Family Physicians, PC | 200 Northern Dr, Troy, NY 12182-1821 |
Street Address |
200 NORTHERN DR |
City | TROY |
State | NY |
Zip | 12182-1821 |
Name | Specialty | Organization | Address |
---|---|---|---|
John Joseph Obryan | Family Medicine | Troy Family Physicians, PC | 200 Northern Dr, Troy, NY 12182-1821 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joel L Nichols | Podiatry | 177 Oakwood Ave, Troy, NY 12182-1620 | |
Jennifer Lieberman | Nurse Practitioner | Whitney M. Young, Jr. Health Center, Inc. | 849 2nd Ave, Troy, NY 12182-2085 |
Robert Weissberg | Family Medicine | Whitney M. Young, Jr. Health Center, Inc. | 849 2nd Ave, Troy, NY 12182-2085 |
Molly Ward | Registered Dietitian Or Nutrition Professional | Whitney M. Young, Jr. Health Center, Inc. | 849 2nd Ave, Troy, NY 12182-2085 |
Sally Delory | Nurse Practitioner | Whitney M. Young, Jr. Health Center, Inc. | 849 2nd Ave, Troy, NY 12182-2085 |
Adetutu B Adetona | Family Medicine | 595 5th Ave, Troy, NY 12182-2501 | |
Janet Campanella | Physical Therapy | Prn Physical, Occupational and Speech Therapy Network, Pllc | 59 Harris Rd, Troy, NY 12182-3406 |
Lauren Sprague | Occupational Therapy | Prn Physical, Occupational and Speech Therapy Network, Pllc | 59 Harris Rd, Troy, NY 12182-3406 |
Jillian Aileen Schwab | Physical Therapy | Prn Physical, Occupational and Speech Therapy Network, Pllc | 59 Harris Rd, Troy, NY 12182-3406 |
City | TROY |
Zip Code | 12182 |
Specialty | FAMILY MEDICINE |
City + Specialty | TROY + FAMILY MEDICINE |
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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.