Petra Danielisz (NPI# 1376655456, PAC ID# 6406896869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1376655456 |
| PAC ID by PECOS | 6406896869 |
| Professional Enrollment ID | I20050505000496 |
| Full Name | Petra Danielisz |
| Organization Legal Name | OLEAN GENERAL HOSPITAL |
| Address |
406 Franklin St Smethport PA 16749-1277 |
| Phone Number | 8148875655 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9133111784 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330103 | OLEAN GENERAL HOSPITAL |
| 391313 | CHARLES COLE MEMORIAL HOSPITAL |
| 391315 | PENN HIGHLANDS ELK |
| 390104 | KANE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 406 Franklin St, Smethport, PA 16749-1277 | 8148875655 | OLEAN GENERAL HOSPITAL |
| Organization Legal Name | OLEAN GENERAL HOSPITAL |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Asim Makhdom | Orthopedic Surgery | Olean General Hospital | 159 Interstate Pkwy, Bradford, PA 16701-1013 |
| Vaijayantee K Belle | Neurology | Olean General Hospital | 500 Main St, Olean, NY 14760-1514 |
| Jonathan E Tannebaum | General Surgery | Olean General Hospital | 623 Main St, Olean, NY 14760-1532 |
| Courtney L Snow | Physician Assistant | Olean General Hospital | 122 W Main St, Bradford Regional Medical Center, Mt Jewett, PA 16740-0400 |
| Arthur Martin Goldstein | Undersea and Hyperbaric Medicine | Olean General Hospital | 2666 W State St, Olean, NY 14760-1825 |
| Richard D Scott | Pathology | Olean General Hospital | 4039 Route 219, Suite 101, Salamanca, NY 14779-9625 |
| Mary E Smith | Nurse Practitioner | Olean General Hospital | 515 Main St, Olean, NY 14760-1513 |
| Zafar K Mirza | Internal Medicine | Olean General Hospital | 4039 Route 219, Suite 101, Salamanca, NY 14779-9625 |
| Donald E Higgs | Pathology | Olean General Hospital | 515 Main St, Olean, NY 14760-1513 |
| Michele M Wooten | Nurse Practitioner | Olean General Hospital | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Street Address |
406 FRANKLIN ST |
| City | SMETHPORT |
| State | PA |
| Zip | 16749-1277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bonnie Scanlan | Nurse Practitioner | Olean General Hospital | 406 Franklin St, Smethport, PA 16749-1277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annemarie Woodruff | Clinical Social Worker | 203 W Main St, Smethport, PA 16749-1259 | |
| Dennis Ray Harris | Chiropractic | 201 W Main St, Smethport, PA 16749-1291 |
| City | SMETHPORT |
| Zip Code | 16749 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SMETHPORT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Petra Danielisz.
| 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.