Jeremy D Gilliam
SUMMIT RADIOLOGY PC


Address: 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701
Phone: 2604321568

Jeremy D Gilliam (NPI# 1538284153, PAC ID# 8820169600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1538284153
PAC ID by PECOS 8820169600
Professional Enrollment ID I20080623000222
Full Name Jeremy D Gilliam
Organization Legal Name SUMMIT RADIOLOGY PC
Address 5001 Us Hwy 30 W D
Fort Wayne
IN 46818-9701
Phone Number 2604321568
Gender M
Medical School INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2003
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 0143295410
Number of Group Practice Members 47
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150072 MEMORIAL HOSPITAL
150017 LUTHERAN HOSPITAL OF INDIANA
150011 MARION GENERAL HOSPITAL
151313 WOODLAWN HOSPITAL
150061 DAVIESS COMMUNITY HOSPITAL

Other Locations

Address Phone Organization
1120 Professional Blvd, Evansville, IN 47714-8000 8124717086 ADVANCED DIAGNOSTIC IMAGING, PC
5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 2604321568 SUMMIT RADIOLOGY PC
1000 N 16th St, Henry County Hospital Medical Group, New Castle, IN 47362-4319 7655210890 HENRY COUNTY MEMORIAL HOSPITAL

Organization Information

Organization Legal Name SUMMIT RADIOLOGY PC
Physicians 48

Physicians with the same organization

Name Specialty Organization Address
Ahdy Messiha Diagnostic Radiology Summit Radiology PC 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701
Edward Kwang Yi Diagnostic Radiology Summit Radiology PC 141 Lanipo Dr, Kailua, HI 96734-3228
Erik J Bekkers Diagnostic Radiology Summit Radiology PC 209 Marmona Dr, Menlo Park, CA 94025-2953
Marc A Thomas Diagnostic Radiology Summit Radiology PC 9901 Trailwood Dr, Suite 1020, Las Vegas, NV 89134-6680
Vivek Sharma Diagnostic Radiology Summit Radiology PC 38 Overlook Rd, Alpine, NJ 07620-1066
Andrew V Barger Diagnostic Radiology Summit Radiology PC 724 Lisboa Ct, Walnut Creek, CA 94598-4430
Benjamin Y Chen Diagnostic Radiology Summit Radiology PC 41 Modena, Irvine, CA 92618-0104
Hassan B Semaan Diagnostic Radiology Summit Radiology PC 5409 County Rd, Suite 1, West Liberty, OH 43357-9531
Andre B Stovall Diagnostic Radiology Summit Radiology PC 916 Myrtle St, Sturgis, MI 49091-2326
Lisa R Stanley Nurse Practitioner Summit Radiology PC 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701

Office Location

Street Address 5001 US HWY 30 W D
City FORT WAYNE
State IN
Zip 46818-9701

Physicians in the same location

Name Specialty Organization Address
Ahdy Messiha Diagnostic Radiology Summit Radiology PC 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701
Lisa R Stanley Nurse Practitioner Summit Radiology PC 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701
Randall J Phillips Diagnostic Radiology Summit Radiology PC 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701
Richard Sibley Diagnostic Radiology Summit Radiology PC 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701
John C Rock Diagnostic Radiology Summit Radiology PC 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701
Glenn Stephen Coats Diagnostic Radiology Summit Radiology PC 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701
John Christopher Lacunza Diagnostic Radiology Summit Radiology PC 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701
Amit N Sanghvi Diagnostic Radiology Summit Radiology PC 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701
Richard P Stephens Diagnostic Radiology Summit Radiology PC 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701
Saad M Ibrahim Diagnostic Radiology Summit Radiology PC 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701
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Physicians in the same zip code

Name Specialty Organization Address
Caleb Parker Suciu Chiropractic 9206 Lima Rd, Fort Wayne, IN 46818-1806
Dan M Chaffee Emergency Medicine 12101 Lima Rd, Fort Wayne, IN 46818-8903
Joseph D Fortin Pain Management 9502 Lima Rd, Suite 103, Fort Wayne, IN 46818-9517
Kimberly A Keys Chiropractic Keys Chiropractic, P. C. 9536 Lima Rd, Fort Wayne, IN 46818-9517
Kraig C Keys Chiropractic Keys Chiropractic, P. C. 9536 Lima Rd, Fort Wayne, IN 46818-9517
Melissa Stemen Nurse Practitioner Lutheran Medical Group LLC 11115 Lima Rd, Fort Wayne, IN 46818-9536
John L Bormann Diagnostic Radiology Summit Radiology PC 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701
Daniel G Branam Diagnostic Radiology Summit Radiology PC 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701
Indu Rekha Meesa Diagnostic Radiology Summit Radiology PC 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701
Michael S Valade Diagnostic Radiology Summit Radiology PC 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701
Find all physicians in zip 46818

Competitor

Search similar physicians

City FORT WAYNE
Zip Code 46818
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty FORT WAYNE + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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