Isaiah Pittman Iv (NPI# 1588638928, PAC ID# 5597724641) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1588638928 |
| PAC ID by PECOS | 5597724641 |
| Professional Enrollment ID | I20041005001096 |
| Full Name | Isaiah Pittman Iv |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP, LLC |
| Address |
3560 S 4th St Terre Haute IN 47802-5540 |
| Phone Number | 8122358496 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 9335135995 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150023 | UNION HOSPITAL INC |
| 151327 | SULLIVAN COUNTY COMMUNITY HOSPITAL |
| 151317 | GREENE COUNTY GENERAL HOSPITAL |
| 151328 | INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL |
| 151326 | UNION HOSPITAL CLINTON |
| Address | Phone | Organization |
|---|---|---|
| 3560 S 4th St, Terre Haute, IN 47802-5540 | 8122358496 | PROVIDENCE MEDICAL GROUP, LLC |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP, LLC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda West | Nurse Practitioner | Providence Medical Group, LLC | 2723 S 7th St C, Terre Haute, IN 47802-3558 |
| Joseph Y Abdayem | Family Medicine | Providence Medical Group, LLC | 2723 S 7th St L, Terre Haute, IN 47802-3558 |
| Imad George Koj | Internal Medicine | Providence Medical Group, LLC | 3903 S 7th St, 2e, Terre Haute, IN 47802-5710 |
| Mohammad Saiful Alam | Endocrinology | Providence Medical Group, LLC | 1600 N 3rd St, Terre Haute, IN 47804-4045 |
| Tony K Nasser | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Nawar F Mercho | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Henry Johannes Davis | Rheumatology | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Neil G Kabous | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Matthew H French | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Christen Lee Schmidt | Physician Assistant | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Street Address |
3560 S 4TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip | 47802-5540 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany E Terhune | Nurse Practitioner | Providence Medical Group, LLC | 3560 S 4th St, Terre Haute, IN 47802-5540 |
| Kellie Dunkin | Nurse Practitioner | Providence Medical Group, LLC | 3560 S 4th St, Terre Haute, IN 47802-5540 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberli Rae Pepelea | Clinical Social Worker | Life Changes Mental Health and Addictions LLC | 1537 S 7th St, Terre Haute, IN 47802-1610 |
| Wendy K Kennedy | Podiatry | 1543 S 7th St, Terre Haute, IN 47802-1610 | |
| Michael A Toney | Chiropractic | 1815 S 3rd St, Terre Haute, IN 47802-1919 | |
| Christopher S Yamamoto | Chiropractic | 2940 Professional Ln, Terre Haute, IN 47802-3300 | |
| Rhonda West | Nurse Practitioner | Providence Medical Group, LLC | 2723 S 7th St C, Terre Haute, IN 47802-3558 |
| Joseph Y Abdayem | Family Medicine | Providence Medical Group, LLC | 2723 S 7th St L, Terre Haute, IN 47802-3558 |
| Tony K Nasser | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Nawar F Mercho | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Henry Johannes Davis | Rheumatology | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Neil G Kabous | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Find all physicians in zip 47802 | |||
| City | TERRE HAUTE |
| Zip Code | 47802 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | TERRE HAUTE + ENDOCRINOLOGY |
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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.