Carrie Ann Houssock (NPI# 1700047115, PAC ID# 8820221716) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1700047115 |
| PAC ID by PECOS | 8820221716 |
| Professional Enrollment ID | I20141203002051 |
| Full Name | Carrie Ann Houssock |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Address |
2000 Old W Chester Pike Havertown PA 19083-2712 |
| Phone Number | 6108532572 |
| Gender | F |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2008 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 3678602802 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2000 Old W Chester Pike, Havertown, PA 19083-2712 | 6108532572 | KND DEVELOPMENT 59 LLC |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Chen | Cardiovascular Disease (cardiology) | Knd Development 59 LLC | 4555 S Manhattan Ave, Tampa, FL 33611-2305 |
| Aleksandar A Radovic | Emergency Medicine | Knd Development 59 LLC | 6130 N Sheridan Rd, Chicago, IL 60660-2830 |
| Yvonne A Alanes | Internal Medicine | Knd Development 59 LLC | 845 N Lark Ellen Ave, West Covina, CA 91791-1069 |
| Daniel J Ries | General Practice | Knd Development 59 LLC | 1901 College Ave, Santa Ana, CA 92706-2334 |
| John B Steele | Anesthesiology | Knd Development 59 LLC | 205 Hollow Tree Ln, Houston, TX 77090-2801 |
| Victor E Oliva Gutierrez | Internal Medicine | Knd Development 59 LLC | 700 High St Ne, Albuquerque, NM 87102-2565 |
| Charles Wayne Plummer | Anesthesiology | Knd Development 59 LLC | 2401 Southside Blvd, Greensboro, NC 27406-3311 |
| Jazbeen Mahmood | Family Medicine | Knd Development 59 LLC | 3030 6th S St, Saint Petersburg, FL 33705-3720 |
| Ali H Bawamia | Internal Medicine | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Shayna M Tisdall | Physician Assistant | Knd Development 59 LLC | 700 Potomac St, Fl 2, Aurora, CO 80011-6846 |
| Street Address |
2000 OLD W CHESTER PIKE |
| City | HAVERTOWN |
| State | PA |
| Zip | 19083-2712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jared S Videll | Emergency Medicine | Knd Development 59 LLC | 2000 Old W Chester Pike, Havertown, PA 19083-2712 |
| Orlando Gomez | Internal Medicine | Knd Development 59 LLC | 2000 Old W Chester Pike, Havertown, PA 19083-2712 |
| Dare V Ajibade | Internal Medicine | Knd Development 59 LLC | 2000 Old W Chester Pike, Havertown, PA 19083-2712 |
| Terri L Hollis | Hospitalist | Main Line Healthcare | 2000 Old W Chester Pike, Havertown, PA 19083-2712 |
| Joseph Robert Spaniol | Internal Medicine | Knd Development 59 LLC | 2000 Old W Chester Pike, Havertown, PA 19083-2712 |
| Adrianne Lesley Levin Cantor | Hospitalist | Main Line Healthcare | 2000 Old W Chester Pike, Hospitalist Medicine Service, Havertown, PA 19083-2712 |
| Ronald Sherman | Psychologist, Clinical | 2000 Old W Chester Pike, Havertown, PA 19083-2712 | |
| Martin J Loscalzo | Emergency Medicine | Knd Development 59 LLC | 2000 Old W Chester Pike, Havertown, PA 19083-2712 |
| Jonathan R Sarik | Internal Medicine | Knd Development 59 LLC | 2000 Old W Chester Pike, Havertown, PA 19083-2712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luther W Brady | Radiation Oncology | Luther W Brady Md and Assoc | 2010 W Chester Pke, 115 Cyberknife Ctr of Phila, Havertown, PA 19083 |
| Barry J Toyzer | Optometry | 154 W Eagle Rd, Havertown, PA 19083-1110 | |
| Charles L Zeiders | Psychologist, Clinical | 86 W Eagle Rd, Christian Counseling, Havertown, PA 19083-1425 | |
| Allegra M Inciardi | Optometry | Negrey Eye Associates | 56 W Eagle Rd, Havertown, PA 19083-1447 |
| Giulia Tinari | Optometry | 56 W Eagle Rd, Negrey Eye Associates, Havertown, PA 19083-1447 | |
| John N Negrey Jr. | Ophthalmology | Negrey Eye Associates | 56 W Eagle Rd, Havertown, PA 19083-1447 |
| Carl D Hamsher | Internal Medicine | 57 E Eagle Rd, Havertown, PA 19083-1535 | |
| Mona Camille Cardell | Clinical Psychologist | 1618 Rose Glen Rd, Havertown, PA 19083-1810 | |
| Anne Clark Mcfadden | Physician Assistant | Pennsylvania Urgent Care Centers, Pllc | 115 W Eagle Rd, Havertown, PA 19083-2205 |
| Bryan J Ohalloran | Physical Therapy | Pain Relief and Physical Therapy, Inc. | 57 W Eagle Rd, Havertown, PA 19083-2234 |
| Find all physicians in zip 19083 | |||
| City | HAVERTOWN |
| Zip Code | 19083 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HAVERTOWN + INTERNAL MEDICINE |
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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.