Wisam F Zakko (NPI# 1730291006, PAC ID# 8628976149) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1730291006 |
| PAC ID by PECOS | 8628976149 |
| Professional Enrollment ID | I20080709000549 |
| Full Name | Wisam F Zakko |
| Organization Legal Name | CORAL RIDGE GASTROENTEROLOGY ASSOCIATES LLC |
| Address |
2021 E Commercial Blvd Suite 202 Fort Lauderdale FL 33308-3754 |
| Phone Number | 9542027850 |
| Gender | M |
| Graduation Year | 1981 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 1658443650 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100073 | HOLY CROSS HOSPITAL |
| 100200 | BROWARD HEALTH IMPERIAL POINT |
| Address | Phone | Organization |
|---|---|---|
| 2021 E Commercial Blvd, Suite 202, Fort Lauderdale, FL 33308-3754 | 9542027850 | CORAL RIDGE GASTROENTEROLOGY ASSOCIATES LLC |
| 5301 N Dixie Hwy, Suite 202, Oakland Park, FL 33334-3447 | 9547719920 | CORAL RIDGE GASTROENTEROLOGY ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | CORAL RIDGE GASTROENTEROLOGY ASSOCIATES LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles-eric T Hotte | Gastroenterology | Coral Ridge Gastroenterology Associates LLC | 2021 E Commercial Blvd, Suite 202, Fort Lauderdale, FL 33308-3754 |
| Leib H Singer | Gastroenterology | Coral Ridge Gastroenterology Associates LLC | 4800 Ne 20th Terrace, Fort Lauderdale, FL 33308-4510 |
| John R Watson | Gastroenterology | Coral Ridge Gastroenterology Associates LLC | 5301 N Dixie Hwy, Suite 202, Oakland Park, FL 33334-3447 |
| Mark R Dosch | Gastroenterology | Coral Ridge Gastroenterology Associates LLC | 1325 S Congress Ave, Suite 211, Boynton Beach, FL 33426-5873 |
| Daniel S Kosches | Gastroenterology | Coral Ridge Gastroenterology Associates LLC | 5301 N Dixie Hwy, Suite 202, Oakland Park, FL 33334-3447 |
| Hari P Singh | Gastroenterology | Coral Ridge Gastroenterology Associates LLC | 2021 E Commercial Blvd, Suite 202, Fort Lauderdale, FL 33308-3754 |
| Arturo L Lopez | Gastroenterology | Coral Ridge Gastroenterology Associates LLC | 5301 N Dixie Hwy, Suite 202, Oakland Park, FL 33334-3447 |
| Manuel E Babaian | Gastroenterology | Coral Ridge Gastroenterology Associates LLC | 550 Sw 3rd St, Pompano Beach, FL 33060-6934 |
| Barry Gach | Gastroenterology | Coral Ridge Gastroenterology Associates LLC | 1325 S Congress Ave, Suite 211, Boynton Beach, FL 33426-5873 |
| Punam Gopal | Physician Assistant | Coral Ridge Gastroenterology Associates LLC | 5301 N Dixie Hwy, Suite 202, Oakland Park, FL 33334-3447 |
| Street Address |
2021 E COMMERCIAL BLVD SUITE 202 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip | 33308-3754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles-eric T Hotte | Gastroenterology | Coral Ridge Gastroenterology Associates LLC | 2021 E Commercial Blvd, Suite 202, Fort Lauderdale, FL 33308-3754 |
| Hari P Singh | Gastroenterology | Coral Ridge Gastroenterology Associates LLC | 2021 E Commercial Blvd, Suite 202, Fort Lauderdale, FL 33308-3754 |
| Linda A Groene | Internal Medicine | 2021 E Commercial Blvd, Suite 201, Ft Lauderdale, FL 33308-3754 | |
| Eric Christopher Wilkerson | Dermatology | 2021 E Commercial Blvd, Suite 301, Fort Lauderdale, FL 33308-3754 | |
| Gregory F Bonner | Gastroenterology | Coral Ridge Gastroenterology Associates LLC | 2021 E Commercial Blvd, Suite 202, Fort Lauderdale, FL 33308-3754 |
| Paul D Calise | Neurology | Kishner and Calise P A | 2021 E Commercial Blvd, Suite 201, Fort Lauderdale, FL 33308-3754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Elias | Dermatology | Elias Dermatology LLC | 4610 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Edward M Coopersmith | Pulmonary Disease | Lauderdale Critical Care Services LLC | 4725 N Federal Hwy, Holy Cross Hospital, Fort Lauderdale, FL 33308 |
| Adam Lipman | Orthopedic Surgery | Kevin J Kessler Md Pa | 4800 N Federal Hwy, 3rd Floor, Ft Lauderdale, FL 33308 |
| Tatum Erin Nolan | Physician Assistant | Elias Dermatology LLC | 4610 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Robert Thompson | Emergency Medicine | Lauderdale Critical Care Services LLC | 4725 N Federal Hwy, Holy Cross Hospital, Fort Lauderdale, FL 33308 |
| Louis M Lit | Pulmonary Disease | Lauderdale Critical Care Services LLC | 4725 N Federal Hwy, Holy Cross Hospital, Fort Lauderdale, FL 33308 |
| Merrick D Elias | Dermatology | Elias Dermatology LLC | 4610 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Leslie Ettlinger | Physical Therapy | Kevin J Kessler Md Pa | 4800 N Federal Hwy, 3rd Floor, Ft Lauderdale, FL 33308 |
| Stasha Novakovic | Pulmonary Disease | Lauderdale Critical Care Services LLC | 4725 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Newsha Lajevardi | Dermatology | Roger H Stewart Md Pa | 6550 N Federal Hwy, Suite 320, Ft Lauderdale, FL 33308-1400 |
| Find all physicians in zip 33308 | |||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | FORT LAUDERDALE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Wisam F Zakko.
| 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.