Philip J Fraccola (NPI# 1699767707, PAC ID# 8123923596) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
Nation Provider ID (NPI) | 1699767707 |
PAC ID by PECOS | 8123923596 |
Professional Enrollment ID | I20110209000418 |
Full Name | Philip J Fraccola |
Organization Legal Name | ST. JOSEPHS IMAGING ASSOCIATES PLLC |
Address |
5100 W Taft Rd Suite 2a Liverpool NY 13088-4841 |
Phone Number | 3154522555 |
Gender | M |
Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
Graduation Year | 1986 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Group Practice PAC ID | 5991775553 |
Number of Group Practice Members | 41 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330140 | ST JOSEPH'S HOSPITAL HEALTH CENTER |
330218 | OSWEGO HOSPITAL |
Address | Phone | Organization |
---|---|---|
5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-4841 | 3154522555 | ST. JOSEPHS IMAGING ASSOCIATES PLLC |
91 Perimeter Rd, Suite 110, Rome, NY 13441-4018 | 3153349729 | MOHAWK GLEN RADIOLOGY ASSOCIATES OF CNY PLLC |
301 Prospect Ave, Syracuse, NY 13203-1807 | 3154485274 | PROSPECT HILL RADIOLOGY GROUP PC |
Organization Legal Name | ST. JOSEPHS IMAGING ASSOCIATES PLLC |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rajan Murthy | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 109 Pine St, Syracuse, NY 13210-1149 |
Scott G Channels | Physician Assistant | St. Josephs Imaging Associates Pllc | 4109 Medical Ctr Dr, Fayetteville, NY 13066-6600 |
Jonathan M Jacobs | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 1259 Fisher Ave, Cortland, NY 13045-1012 |
John P Teixeira Iii | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-4841 |
Juno Lee | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 1259 Fisher Ave, Cortland, NY 13045-1012 |
Shain S Wallis | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-4841 |
Mary T Kapfer | Nurse Practitioner | St. Josephs Imaging Associates Pllc | 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-4841 |
Lawrence C Calabrese | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 1259 Fisher Ave, Cortland, NY 13045-1012 |
Street Address |
5100 W TAFT RD SUITE 2A |
City | LIVERPOOL |
State | NY |
Zip | 13088-4841 |
Name | Specialty | Organization | Address |
---|---|---|---|
Megan M Wolfe | Nurse Practitioner | St Josephs Medical PC | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3808 |
Aaron G Jannetti | Physician Assistant | St Josephs Medical PC | 5100 W Taft Rd, Liverpool, NY 13088-4841 |
Leslie D Woodcock Jr. | Ophthalmology | Leslie D. Woodcock, Jr., M.d., Pllc | 5100 W Taft Rd, Suite 3l, Liverpool, NY 13088-3809 |
Anthony Vigliotti | Hospice/palliative Care | St Josephs Medical PC | 5100 W Taft Rd, Liverpool, NY 13088-3807 |
Douglas M Fetterman | Anesthesiology | St Josephs Medical PC | 5100 W Taft Rd, Liverpool, NY 13088-3807 |
Dianne M Vitkus | Physician Assistant | St Josephs Medical PC | 5100 W Taft Rd, Liverpool, NY 13088-3807 |
Robert J Weiss | General Surgery | 5100 W Taft Rd, Suite 2r, Liverpool, NY 13088-4841 | |
David W Wormuth | Thoracic Surgery | St Josephs Medical PC | 5100 W Taft Rd, Liverpool, NY 13088-3807 |
Kimberly S Trent | Physician Assistant | St Josephs Medical PC | 5100 W Taft Rd, Liverpool, NY 13088-3807 |
Muhammad M Abdel Migeed | Cardiac Electrophysiology | St Josephs Medical PC | 5100 W Taft Rd, Liverpool, NY 13088-3807 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelly M Finn | Nurse Practitioner | Familycare Medical Group PC | 4820 W Taft Rd, Suite 108, Liverpool, NY 13088-2800 |
Deborah J Freeman | Nurse Practitioner | Familycare Medical Group PC | 4820 W Taft Rd, Suite 108, Liverpool, NY 13088-2800 |
Frederick M Farrar | Diagnostic Radiology | Cny Diagnostic Imaging Assoc | 4820 W Taft Rd, Suite 114, Liverpool, NY 13088-2805 |
Hooman Ranjbaran Jahromi | Cardiovascular Disease (cardiology) | St Josephs Medical PC | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806 |
Nelly Y Kazzaz | Cardiovascular Disease (cardiology) | St Josephs Medical PC | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806 |
Ayman S Iskander | Cardiovascular Disease (cardiology) | St Josephs Medical PC | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806 |
Tina Winter | Nurse Practitioner | St Josephs Medical PC | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806 |
Ross W Trent | Physician Assistant | S J H Cardiac Catheterization Associates PC | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806 |
Abraham M Masara | Nurse Practitioner | 4756 Summerhurst Dr, Liverpool, NY 13088-3622 | |
Robert A Dracker | Pediatric Medicine | 4811 Buckley Rd, Liverpool, NY 13088-3629 | |
Find all physicians in zip 13088 |
City | LIVERPOOL |
Zip Code | 13088 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | LIVERPOOL + DIAGNOSTIC RADIOLOGY |
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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.