Chandler Mohan (NPI# 1629239561, PAC ID# 6406920362) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1629239561 |
| PAC ID by PECOS | 6406920362 |
| Professional Enrollment ID | I20110223001139 |
| Full Name | Chandler Mohan |
| Organization Legal Name | EMORY MEDICAL CORPORATION |
| Address |
4812w Us Hwy 90 Lake City FL 32055-5126 |
| Phone Number | 3864661106 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 2466633441 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100102 | SHANDS LAKE SHORE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4812w Us Hwy 90, Lake City, FL 32055-5126 | 3864661106 | EMORY MEDICAL CORPORATION |
| 609 5th Swst, Suite 3, Live Oak, FL 32064-2239 | 3864661106 | EMORY MEDICAL CORPORATION |
| Organization Legal Name | EMORY MEDICAL CORPORATION |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emad Atta | Obstetrics/gynecology | Emory Medical Corporation | 4812w Us Hwy 90, Lake City, FL 32055-5126 |
| Street Address |
4812W US HWY 90 |
| City | LAKE CITY |
| State | FL |
| Zip | 32055-5126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emad Atta | Obstetrics/gynecology | Emory Medical Corporation | 4812w Us Hwy 90, Lake City, FL 32055-5126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Matthew Zaenglein | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Caleb A Awoniyi | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Myroslav Harasym | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Mark Alan Dobbertien | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Anthony B Chillura | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Laurence Evan Reitman | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Bryce R Tiller | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Christopher Johnson | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Stanley W Janasiewicz | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Cimaron E Holt | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Find all physicians in zip 32055 | |||
| City | LAKE CITY |
| Zip Code | 32055 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LAKE CITY + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Chandler Mohan.
| 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.