Ivan G Proano (NPI# 1972535706, PAC ID# 6507887866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1972535706 |
| PAC ID by PECOS | 6507887866 |
| Professional Enrollment ID | I20101104001379 |
| Full Name | Ivan G Proano |
| Organization Legal Name | IVAN G PROANO MD PLLC |
| Address |
15 Bronson St Oswego NY 13126-1004 |
| Phone Number | 3153426176 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 1985 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 4789605049 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330218 | OSWEGO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 15 Bronson St, Oswego, NY 13126-1004 | 3153426176 | IVAN G PROANO MD PLLC |
| 5792 Widewaters Pkwy, Syracuse, NY 13214-1847 | 3154224412 | EYE CONSULTANTS OF SYRACUSE, PC |
| Organization Legal Name | IVAN G PROANO MD PLLC |
| Physicians | 1 |
| Street Address |
15 BRONSON ST |
| City | OSWEGO |
| State | NY |
| Zip | 13126-1004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Liepke | Internal Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Corliss A Varnum | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Joan Newell | Internal Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Christina M Liepke | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Theresa Check | Certified Nurse Midwife (cnm) | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Raj K Mahajan | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Megan Rae Irland | Physician Assistant | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Daniel G Coty | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Ayesha Lauren Turner | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Judith A Dimarco | Nurse Practitioner | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Find all physicians in zip 13126 | |||
| City | OSWEGO |
| Zip Code | 13126 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | OSWEGO + OPHTHALMOLOGY |
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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.