Eric J Mellencamp (NPI# 1326048380, PAC ID# 9335226950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
Nation Provider ID (NPI) | 1326048380 |
PAC ID by PECOS | 9335226950 |
Professional Enrollment ID | I20080408000029 |
Full Name | Eric J Mellencamp |
Organization Legal Name | FOUNDATION RADIOLOGY GROUP PC |
Address |
201 Reeceville Rd Coatesville PA 19320-1542 |
Phone Number | 6103838245 |
Gender | M |
Medical School | MEDICAL COLLEGE OF WISCONSIN |
Graduation Year | 1976 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Secondary Specialties | INTERVENTIONAL RADIOLOGY |
Group Practice PAC ID | 3779683537 |
Number of Group Practice Members | 94 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230041 | MCLAREN BAY REGION |
390039 | SOMERSET HOSPITAL |
390076 | BRANDYWINE HOSPITAL |
230024 | SINAI-GRACE HOSPITAL |
230104 | HARPER UNIVERSITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
1900 Columbus Ave, Bay City, MI 48708-6831 | 8004372672 | FANDS RADIOLOGY PC |
201 Reeceville Rd, Coatesville, PA 19320-1542 | 6103838245 | FOUNDATION RADIOLOGY GROUP PC |
1 Wiliam Carls Dr, Commerce Township, MI 48382-2201 | 2482275500 | RADADVANTAGE A PROFESSIONAL CORPORATION |
3990 John R St, Detroit, MI 48201-2018 | 3137455111 | RADADVANTAGE A PROFESSIONAL CORPORATION |
4201 Saint Antoine St, Detroit, MI 48201-2153 | 3137453000 | RADADVANTAGE A PROFESSIONAL CORPORATION |
6071 W Outer Dr, Detroit, MI 48235-2624 | 3139663300 | RADADVANTAGE A PROFESSIONAL CORPORATION |
Organization Legal Name | FOUNDATION RADIOLOGY GROUP PC |
Physicians | 84 |
Name | Specialty | Organization | Address |
---|---|---|---|
Azize Sahin | Diagnostic Radiology | Foundation Radiology Group PC | 11 Atwood Sq, Unit 1, Boston, MA 02130-3115 |
Imanual Somers-dehaney | Diagnostic Radiology | Foundation Radiology Group PC | 8353 S Sagebrush Rd, North Platte, NE 69101-0472 |
Terry P Prince | Diagnostic Radiology | Foundation Radiology Group PC | 4932 Watersong Way, Fort Pierce, FL 34949-9209 |
Joseph M Bender | Diagnostic Radiology | Foundation Radiology Group PC | 121 E Robindale Rd, Las Vegas, NV 89123-1116 |
Ranjan Stokes | Diagnostic Radiology | Foundation Radiology Group PC | 2435 Garden Way, Hermitage, PA 16148-5211 |
Michael D Reiser | Diagnostic Radiology | Foundation Radiology Group PC | 13603 Stonebarn Ln, North Potomac, MD 20878-3912 |
Todd M Blodgett | Diagnostic Radiology | Foundation Radiology Group PC | 2300 Southampton Dr, Pittsburgh, PA 15241-3300 |
Palam Annamalai | Interventional Radiology | Foundation Radiology Group PC | 3205 Salisbury Ct, Friendswood, TX 77546-2532 |
Latika Sinha | Diagnostic Radiology | Foundation Radiology Group PC | 565 Coal Valley Rd, Clairton, PA 15025-3703 |
James K Cooper | Diagnostic Radiology | Foundation Radiology Group PC | 1705 Renaissance Blvd, Suite 150, Edmond, OK 73013-3054 |
Street Address |
201 REECEVILLE RD |
City | COATESVILLE |
State | PA |
Zip | 19320-1542 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary E Pikulski | Family Medicine | Tri-county Hospitalists LLC | 201 Reeceville Rd, Coatesville, PA 19320-1542 |
Sharon Jill Fleischer | Family Medicine | Coatesville Clinic Company LLC | 201 Reeceville Rd, Coatesville, PA 19320-1542 |
David C Wright | Emergency Medicine | Emergency Physician Associates of Pennsylvania PC | 201 Reeceville Rd, Coatesville, PA 19320-1542 |
Aref Sobhani Mahdabi | Internal Medicine | Tri-county Hospitalists LLC | 201 Reeceville Rd, Coatesville, PA 19320-1542 |
Steven J Kritz | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia, Pennsylvania, LLC | 201 Reeceville Rd, Coatesville, PA 19320-1542 |
Joanne H Kaster | Nurse Practitioner | Atlantic Physician Services of Maryland, PC | 201 Reeceville Rd, Coatesville, PA 19320-1542 |
Michael Delacruz | Pathology | Allied Diagnostic Pathology Consultants Pa | 201 Reeceville Rd, Coatesville, PA 19320-1542 |
Jennifer H Keah | Family Medicine | Coatesville Clinic Company LLC | 201 Reeceville Rd, Coatesville, PA 19320-1542 |
Gerald F O'malley | Emergency Medicine | Emergency Physician Associates of Pennsylvania PC | 201 Reeceville Rd, Coatesville, PA 19320-1542 |
Ankur Chaudhury | Internal Medicine | Tri-county Hospitalists LLC | 201 Reeceville Rd, Coatesville, PA 19320-1542 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
John Vilcheck Jr. | Optometry | 644 E Reeceville Rd, Coatesville, PA 19320-1232 | |
Brian K Kelly | Neurology | Coatesville Clinic Company LLC | 213 Reeceville Rd, Suite 22a, Coatesville, PA 19320-1528 |
Andrew Freese | Neurosurgery | 213 Reeceville Rd, Suite 33, Coatesville, PA 19320-1528 | |
Jose Pulido | Urology | Centers for Advanced Urology LLC | 213 Reeceville Rd, Coatesville, PA 19320-1528 |
Ilene Y Wong | Urology | Centers for Advanced Urology LLC | 213 Reeceville Rd, Coatesville, PA 19320-1528 |
William G. Merriam | Urology | Centers for Advanced Urology LLC | 213 Reeceville Rd, Coatesville, PA 19320-1528 |
Robert O Satriale | Pulmonary Disease | Chester County Pulmonary and Sleep Specialists | 213 Reeceville Rd, Suite 36, Coatesville, PA 19320-1530 |
Robert W Hindman | Pulmonary Disease | Chester County Pulmonary and Sleep Specialists | 213 Reeceville Rd, Suite 36, Coatesville, PA 19320-1530 |
Martha T Harpham | Nurse Practitioner | The Lung Consultants, Ltd | 213 Reeceville Rd, Suite 36, Coatesville, PA 19320-1530 |
Andrew V Chuma | Otolaryngology | Pinnacle Ent Alliance LLC | 213 Reeceville Rd, Suite 10, Coatesville, PA 19320-1532 |
Find all physicians in zip 19320 |
City | COATESVILLE |
Zip Code | 19320 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | COATESVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Eric J Mellencamp.
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.