Michael Medina (NPI# 1548815731, PAC ID# 5991033813) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1548815731 |
| PAC ID by PECOS | 5991033813 |
| Professional Enrollment ID | I20190829002766 |
| Full Name | Michael Medina |
| Organization Legal Name | DIVINITY MEDICAL SERVICES PLLC |
| Address |
332 E 149th St Bronx NY 10451-5627 |
| Phone Number | 3473294010 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5193030245 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 332 E 149th St, Bronx, NY 10451-5627 | 3473294010 | DIVINITY MEDICAL SERVICES PLLC |
| 5546 Broadway, Bronx, NY 10463-5250 | 9176884590 | DIVINITY MEDICAL SERVICES PLLC |
| 3379 Crompond Rd, Yorktown Heights, NY 10598-3605 | 9149305550 | DIVINITY MEDICAL SERVICES PLLC |
| Organization Legal Name | DIVINITY MEDICAL SERVICES PLLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry M Baquiran | General Practice | Divinity Medical Services Pllc | 3379 Crompond Rd, Yorktown Heights, NY 10598-3605 |
| Esther M Cohen | Physician Assistant | Divinity Medical Services Pllc | 332 E 149th St, Bronx, NY 10451-5627 |
| George J Dirago | Emergency Medicine | Divinity Medical Services Pllc | 359 N Central Ave, Hartsdale, NY 10530-1811 |
| Tecshana Nicola Blackwood | Physician Assistant | Divinity Medical Services Pllc | 332 E 149th St, Bronx, NY 10451-5627 |
| Waqas Ali | Physician Assistant | Divinity Medical Services Pllc | 3379 Crompond Rd, Yorktown Heights, NY 10598-3605 |
| Anupam Singh Boparai | Family Medicine | Divinity Medical Services Pllc | 332 E 149th St, Bronx, NY 10451-5627 |
| Andrew M Pietris | Physician Assistant | Divinity Medical Services Pllc | 3379 Crompond Rd, Yorktown Heights, NY 10598-3605 |
| Karen M Tam | Family Medicine | Divinity Medical Services Pllc | 359 N Central Ave, Hartsdale, NY 10530-1811 |
| Reginald D Hughes | Family Medicine | Divinity Medical Services Pllc | 3379 Crompond Rd, Yorktown Heights, NY 10598-3605 |
| Larry Moy | Family Medicine | Divinity Medical Services Pllc | 3379 Crompond Rd, Yorktown Heights, NY 10598-3605 |
| Street Address |
332 E 149TH ST |
| City | BRONX |
| State | NY |
| Zip | 10451-5627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esther M Cohen | Physician Assistant | Divinity Medical Services Pllc | 332 E 149th St, Bronx, NY 10451-5627 |
| Tecshana Nicola Blackwood | Physician Assistant | Divinity Medical Services Pllc | 332 E 149th St, Bronx, NY 10451-5627 |
| Anupam Singh Boparai | Family Medicine | Divinity Medical Services Pllc | 332 E 149th St, Bronx, NY 10451-5627 |
| Mathew A Mani | Internal Medicine | Divinity Medical Services Pllc | 332 E 149th St, Bronx, NY 10451-5627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amir Hedayati | Diagnostic Radiology | 237 E 149th St, Bronx, NY 10451-1863 | |
| David S Shenker | Emergency Medicine | City Medical of Upper East Side Pllc | 68 E 161st St, Bronx, NY 10451-2207 |
| Michael S Soliman | Hospitalist | City Medical of Upper East Side Pllc | 68 E 161st St, Bronx, NY 10451-2207 |
| Bernard D Sokolowski | Podiatry | 825 Walton Ave, Doctor's Office, Bronx, NY 10451-2306 | |
| Madan Bhatia Paul | Geriatric Medicine | 825 Walton Ave, Bronx, NY 10451-2306 | |
| Michael Kristian T Mangubat | Physical Therapy | 825 Walton Ave, Bronx, NY 10451-2306 | |
| Rosie Pettway | Clinical Social Worker | 1020 Grand Concourse, Apt 8s, Bronx, NY 10451-2609 | |
| Aline A Shehigian | Nurse Practitioner | 930 Grand Concourse, Apt 1k, Bronx, NY 10451-2706 | |
| Osafradu A Opam | Neurology | 930 Grand Concourse, Apt 1j, Bronx, NY 10451-2706 | |
| Jean Yves Dastain | General Practice | Denny Martin Md PC | 930 Grand Concourse, Apt 1k, Bronx, NY 10451-2706 |
| Find all physicians in zip 10451 | |||
| City | BRONX |
| Zip Code | 10451 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BRONX + PHYSICIAN ASSISTANT |
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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.