Kilsy Alexandra Cuello Pichardo (NPI# 1720407588, PAC ID# 7810253952) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1720407588 |
| PAC ID by PECOS | 7810253952 |
| Professional Enrollment ID | I20171107000546 |
| Full Name | Kilsy Alexandra Cuello Pichardo |
| Organization Legal Name | CARROLL COUNTY NEPHROLOGY PC |
| Address |
157 Clinic Ave Suite 203 Carrollton GA 30117-4454 |
| Phone Number | 7708320429 |
| Gender | F |
| Medical School | UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3476691510 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110011 | TANNER MEDICAL CENTER - CARROLLTON |
| 110015 | TANNER MEDICAL CENTER VILLA RICA |
| 111320 | HIGGINS GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 157 Clinic Ave, Suite 203, Carrollton, GA 30117-4454 | 7708320429 | CARROLL COUNTY NEPHROLOGY PC |
| Organization Legal Name | CARROLL COUNTY NEPHROLOGY PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria J Orig | Nephrology | Carroll County Nephrology PC | 108 Redding Dr, Bremen, GA 30110-2283 |
| Myriam C Vela-ortiz | Internal Medicine | Carroll County Nephrology PC | 157 Clinic Ave, Suite 203, Carrollton, GA 30117-4454 |
| Emily T Massey | Nurse Practitioner | Carroll County Nephrology PC | 108 Redding Dr, Bremen, GA 30110-2283 |
| Bryan D Quinn | Nephrology | Carroll County Nephrology PC | 108 Redding Dr, Bremen, GA 30110-2283 |
| Street Address |
157 CLINIC AVE SUITE 203 |
| City | CARROLLTON |
| State | GA |
| Zip | 30117-4454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin J Lewis | General Surgery | Tanner Medical Group Inc | 157 Clinic Ave, Suite 302, Carrollton, GA 30117-4454 |
| Alexander Mayer | Cardiovascular Disease (cardiology) | Tanner Medical Group Inc | 157 Clinic Ave, Carrollton, GA 30117-4454 |
| Virginia H Price | Family Medicine | Tanner Medical Group Inc | 157 Clinic Ave, Carrollton, GA 30117-4454 |
| David Eric Schoenfeld | Dermatology | 157 Clinic Ave, Suite 301, Carrollton, GA 30117-4113 | |
| Amber Bedley | Nurse Practitioner | West Georgia Gastroenterology Associates,pc | 157 Clinic Ave, Suite 201, Carrollton, GA 30117-4454 |
| Alisha Goodrum | Internal Medicine | Tanner Medical Group Inc | 157 Clinic Ave, Carrollton, GA 30117-4454 |
| Myriam C Vela-ortiz | Internal Medicine | Carroll County Nephrology PC | 157 Clinic Ave, Suite 203, Carrollton, GA 30117-4454 |
| Yuesheng Qu | Hematology/oncology | Northwest Georgia Oncology Centers, PC | 157 Clinic Ave, Suite 101, Carrollton, GA 30117-4413 |
| Amber Beth Allen | Nurse Practitioner | Tanner Medical Group Inc | 157 Clinic Ave, Carrollton, GA 30117-4454 |
| Jose E Espinel | General Surgery | Tanner Medical Group Inc | 157 Clinic Ave, Suite 302, Carrollton, GA 30117-4454 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hermogenes B Pagsisihan | Family Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Lindsey B Roenigk | Critical Care (intensivists) | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Lauren Holcombe | Nurse Practitioner | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Savannah Bryanna Jackson | Nurse Practitioner | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Jeffrey S Reid | Internal Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Joseph M Jellicorse | Family Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Elizabeth K Scholl | Physician Assistant | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Mandi C Fowler | Physician Assistant | Primary Care Group of West Georgia | 100 Professional Park, Carrollton, GA 30117 |
| James C Huff | Optometry | 702 Bankhead Hwy, Carrollton, GA 30117-1962 | |
| James Charnitski | Chiropractic | 1223 N Park St, Carrollton, GA 30117-2261 | |
| Find all physicians in zip 30117 | |||
| City | CARROLLTON |
| Zip Code | 30117 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CARROLLTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kilsy Alexandra Cuello Pichardo.
| 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.