Justin Prakorb Isariyawongse (NPI# 1053524769, PAC ID# 8426290198) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1053524769 |
PAC ID by PECOS | 8426290198 |
Professional Enrollment ID | I20130808000304 |
Full Name | Justin Prakorb Isariyawongse |
Organization Legal Name | SUBURBAN UROLOGIC ASSOCIATES P.C. |
Address |
2790 Mosside Blvd G110 Monroeville PA 15146-2743 |
Phone Number | 4123726330 |
Gender | M |
Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 2005 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 8123098209 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390265 | JEFFERSON HOSPITAL |
390267 | FORBES HOSPITAL |
390145 | EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL |
390328 | UPMC EAST |
390147 | MONONGAHELA VALLEY HOSPITAL |
Address | Phone | Organization |
---|---|---|
2790 Mosside Blvd, G110, Monroeville, PA 15146-2743 | 4123726330 | SUBURBAN UROLOGIC ASSOCIATES P.C. |
Organization Legal Name | SUBURBAN UROLOGIC ASSOCIATES P.C. |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gregory Halenda | Urology | Suburban Urologic Associates P.C. | 2790 Mosside Blvd, G110, Monroeville, PA 15146-2743 |
Thomas Kostas Rosvanis | Urology | Suburban Urologic Associates P.C. | 2790 Mosside Blvd, G110, Monroeville, PA 15146-2743 |
Donna Marie Finnegan | Physician Assistant | Suburban Urologic Associates P.C. | 2790 Mosside Blvd, G110, Monroeville, PA 15146-2743 |
Carl Otto Bruning Iii | Urology | Suburban Urologic Associates P.C. | 2790 Mosside Blvd, G110, Monroeville, PA 15146-2743 |
Kristen Nichole Gumpf | Physician Assistant | Suburban Urologic Associates P.C. | 2790 Mosside Blvd, G110, Monroeville, PA 15146-2743 |
Matthew David Burger | Physician Assistant | Suburban Urologic Associates P.C. | 2790 Mosside Blvd, G110, Monroeville, PA 15146-2743 |
Street Address |
2790 MOSSIDE BLVD G110 |
City | MONROEVILLE |
State | PA |
Zip | 15146-2743 |
Name | Specialty | Organization | Address |
---|---|---|---|
Miriam Pearl Finkel | Dermatology | Forefront Dermatology Sc | 2790 Mosside Blvd, Suite 720, Monroeville, PA 15146-2757 |
Gregory Halenda | Urology | Suburban Urologic Associates P.C. | 2790 Mosside Blvd, G110, Monroeville, PA 15146-2743 |
Thomas Kostas Rosvanis | Urology | Suburban Urologic Associates P.C. | 2790 Mosside Blvd, G110, Monroeville, PA 15146-2743 |
Donna Marie Finnegan | Physician Assistant | Suburban Urologic Associates P.C. | 2790 Mosside Blvd, G110, Monroeville, PA 15146-2743 |
Carl Otto Bruning Iii | Urology | Suburban Urologic Associates P.C. | 2790 Mosside Blvd, G110, Monroeville, PA 15146-2743 |
Jeffrey George Weaver | Dermatology | 2790 Mosside Blvd, Suite 105, Monroeville, PA 15146-2836 | |
Kristen Nichole Gumpf | Physician Assistant | Suburban Urologic Associates P.C. | 2790 Mosside Blvd, G110, Monroeville, PA 15146-2743 |
Matthew David Burger | Physician Assistant | Suburban Urologic Associates P.C. | 2790 Mosside Blvd, G110, Monroeville, PA 15146-2743 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amrita Kaur | Optometry | Miracle Mile Shopping Ctr, Monroeville, PA 15146 | |
Lindsey T Nies | Physical Therapy | Pt Group Acquisition LLC | 4017 William Penn Hwy, Monroeville, PA 15146 |
Douglas J Keim | Chiropractic | 339 Old Haymaker Rd, Suite 1900, Monroeville, PA 15146-1435 | |
Kelly Jo Beltz | Speech Language Pathologist | Fox Rehabilitation Services Inc | 279 Ctr Rd, Monroeville, PA 15146-1437 |
Lisa Baldini | Occupational Therapy | Fox Rehabilitation Services Inc | 279 Ctr Rd, Monroeville, PA 15146-1437 |
Ruth A Seilhamer | Psychologist, Clinical | 4400 Old Wm Penn Hwy, Suite 202, Monroevile, PA 15146-1480 | |
Walter Anthony Sposkoski Jr. | Clinical Social Worker | 4328 Old William Penn Hwy, Suite 2b, Monroeville, PA 15146-1496 | |
Daniel C Marston | Psychologist, Clinical | 222 Spartan Dr, Monroeville, PA 15146-1526 | |
Ezra D Mirvish | Dermatology | Forefront Dermatology Sc | 339 Old Haymaker Rd, Suite 201, Monroeville, PA 15146-1685 |
Lisa A Goldberg | Dermatology | Forefront Dermatology Sc | 339 Old Haymaker Rd, Suite 201, Monroeville, PA 15146-1685 |
Find all physicians in zip 15146 |
City | MONROEVILLE |
Zip Code | 15146 |
Specialty | UROLOGY |
City + Specialty | MONROEVILLE + UROLOGY |
Please comment or provide details below to improve the information on Justin Prakorb Isariyawongse.
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.