Sydney Fabian Fussell (NPI# 1477925196, PAC ID# 6709147770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1477925196 |
| PAC ID by PECOS | 6709147770 |
| Professional Enrollment ID | I20180308000944 |
| Full Name | Sydney Fabian Fussell |
| Organization Legal Name | NORTHSHORE ONCOLOGY ASSOCIATES LLC |
| Address |
1203 S Tyler St Suite 100 Covington LA 70433-2353 |
| Phone Number | 9858929090 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0648454603 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190045 | ST TAMMANY PARISH HOSPITAL |
| 190036 | OCHSNER MEDICAL CENTER NEW ORLEANS |
| 191313 | RIVERSIDE MEDICAL CENTER |
| 190040 | SLIDELL MEMORIAL HOSPITAL |
| 190312 | OUR LADY OF THE ANGELS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1203 S Tyler St, Suite 100, Covington, LA 70433-2353 | 9858929090 | NORTHSHORE ONCOLOGY ASSOCIATES LLC |
| Organization Legal Name | NORTHSHORE ONCOLOGY ASSOCIATES LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kellee R Swider | Physician Assistant | Northshore Oncology Associates LLC | 1203 S Tyler St, Suite 100, Covington, LA 70433-2353 |
| Nacole Diaz | Nurse Practitioner | Northshore Oncology Associates LLC | 1203 S Tyler St, Suite 100, Covington, LA 70433-2353 |
| James Carinder | Hematology/oncology | Northshore Oncology Associates LLC | 1203 S Tyler St, Suite 100, Covington, LA 70433-2353 |
| Jack E Saux Iii | Hematology/oncology | Northshore Oncology Associates LLC | 1203 S Tyler St, Suite 100, Covington, LA 70433-2353 |
| Street Address |
1203 S TYLER ST SUITE 100 |
| City | COVINGTON |
| State | LA |
| Zip | 70433-2353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shaun Xiao | Hematology/oncology | Ochsner Clinic LLC | 1203 S Tyler St, Ochsner Specialty Health Center Northshore, Covington, LA 70433-2353 |
| Wendy A Pratt | Nurse Practitioner | Northlake Pulmonary Associates Inc. | 1203 S Tyler St, Suite 200, Covington, LA 70433-2353 |
| Chad Benjamin Vanasselberg | Pulmonary Disease | Northlake Pulmonary Associates Inc. | 1203 S Tyler St, Suite 200, Covington, LA 70433-2353 |
| Kellee R Swider | Physician Assistant | Northshore Oncology Associates LLC | 1203 S Tyler St, Suite 100, Covington, LA 70433-2353 |
| Richard Casey | Pulmonary Disease | Northlake Pulmonary Associates Inc. | 1203 S Tyler St, Suite 200, Covington, LA 70433-2353 |
| Ricardo E Blanco | Pulmonary Disease | Northlake Pulmonary Associates Inc. | 1203 S Tyler St, Suite 200, Covington, LA 70433-2353 |
| Nacole Diaz | Nurse Practitioner | Northshore Oncology Associates LLC | 1203 S Tyler St, Suite 100, Covington, LA 70433-2353 |
| David S Cressy Jr. | Pulmonary Disease | Northlake Pulmonary Associates Inc. | 1203 S Tyler St, Suite 200, Covington, LA 70433-2353 |
| James Carinder | Hematology/oncology | Northshore Oncology Associates LLC | 1203 S Tyler St, Suite 100, Covington, LA 70433-2353 |
| Jack E Saux Iii | Hematology/oncology | Northshore Oncology Associates LLC | 1203 S Tyler St, Suite 100, Covington, LA 70433-2353 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy Pechon | Clinical Social Worker | 5001 U S Hwy 190 D4, Covington, LA 70433 | |
| Richard B Drude | Gastroenterology | Richard B. Drude, Jr., M.d., Apmc | 69150 Hwy 190, Covington, LA 70433 |
| Bruce S Samuels | Internal Medicine | 189 Greenbriar Blvd, Suite C, Covington, LA 70433 | |
| Nicholas J Viviano | Dermatology | 7031 Hwy 190, Covington, LA 70433 | |
| Thomas W Nielsen Jr. | Clinical Social Worker | 5001 Hwy 190, Suite B 1, Covington, LA 70433 | |
| Glenn D Hedgpeth | Gastroenterology | Dr. Bruce S. Samuels, LLC | 189 Greenbriar Blvd, Covington, LA 70433 |
| Brian C Cochran | Physical Therapy | Covington Physical Therapy Center | 129 Corporate Dr, Covington, LA 70433-1057 |
| Jonathan S Mitchell | Physical Therapy | Covington Physical Therapy Center | 129 Corporate Dr, Covington, LA 70433-1057 |
| Charles Balette | Family Medicine | 1119 S Tyler St, Covington, LA 70433-2327 | |
| Roy C Saguiguit | Internal Medicine | 1113 S Tyler St, Covington, LA 70433-2327 | |
| Find all physicians in zip 70433 | |||
| City | COVINGTON |
| Zip Code | 70433 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COVINGTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Sydney Fabian Fussell.
| 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.