Katherine J Southall (NPI# 1811949662, PAC ID# 6800083916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1811949662 |
| PAC ID by PECOS | 6800083916 |
| Professional Enrollment ID | I20101214001241 |
| Full Name | Katherine J Southall |
| Organization Legal Name | NORTH HALEDON MEDICAL, PC |
| Address |
510 Hamburg Tpke Wayne NJ 07470-2025 |
| Phone Number | 9739426005 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0345299947 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310012 | VALLEY HOSPITAL |
| 310017 | CHILTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 510 Hamburg Tpke, Wayne, NJ 07470-2025 | 9739426005 | NORTH HALEDON MEDICAL, PC |
| Organization Legal Name | NORTH HALEDON MEDICAL, PC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael H. Leonardo | Internal Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Anthony Barravecchio | Family Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Ellen Garfing | Nurse Practitioner | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Craig N Eichner | Internal Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Jeanette Biller | Family Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Christopher K Ho | Internal Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Sanjay C Raval | Nurse Practitioner | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Thalia Vasiliades | Family Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Allyson G Luski | Nurse Practitioner | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Paul Defranco | Internal Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Street Address |
510 HAMBURG TPKE |
| City | WAYNE |
| State | NJ |
| Zip | 07470-2025 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael H. Leonardo | Internal Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Chris Obiarinze Jr. | Podiatry | Podiatry Center of New Jersey LLC | 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470-2033 |
| Anthony Barravecchio | Family Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Victor A Abdy | Internal Medicine | 510 Hamburg Tpke, Suite 201, Wayne, NJ 07470-2033 | |
| Cyrus R Vosough | Physical Medicine and Rehabilitation | 510 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2033 | |
| Nafeesa Siddiqui | Psychiatry | 510 Hamburg Tpke, Suite E106, Wayne, NJ 07470-2025 | |
| Magdalena Marcinek | Podiatry | Podiatry Center of New Jersey LLC | 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470-2033 |
| Edwin P Teehan | General Surgery | 510 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2033 | |
| Ellen Garfing | Nurse Practitioner | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Ayman E Eraiba | Internal Medicine | 510 Hamburg Tpke, Suite 208, Wayne, NJ 07470-2033 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Svetlana Grintsvayg | Clinical Social Worker | 1680 Route 23 N 310, Psychotherapy for All Ages, Wayne, NJ 07470 | |
| Paul T Staunton | Podiatry | 11 Windsor Pl, Wayne, NJ 07470-1923 | |
| Greg Steven Trentacosta | Chiropractic | 1565 Ratzer Rd, Wayne, NJ 07470-1930 | |
| Susanna N Ho | Occupational Therapy | 504 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2011 | |
| Lisa A Dragone | Nurse Practitioner | Integrated Hospital Medicine LLC | 820 Hamburg Tpke, Wayne, NJ 07470-2019 |
| Cherrielyn B Escono-quiambao | Nurse Practitioner | Integrated Hospital Medicine LLC | 820 Hamburg Tpke, Wayne, NJ 07470-2019 |
| Beatrice Carrillo | Nurse Practitioner | Integrated Hospital Medicine LLC | 820 Hamburg Tpke, Wayne, NJ 07470-2019 |
| Craig N Eichner | Internal Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Jeanette Biller | Family Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Christopher K Ho | Internal Medicine | North Haledon Medical, PC | 510 Hamburg Tpke, Wayne, NJ 07470-2025 |
| Find all physicians in zip 07470 | |||
| City | WAYNE |
| Zip Code | 07470 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WAYNE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Katherine J Southall.
| 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.