Jack Elias Kazanjian (NPI# 1407880032, PAC ID# 9638082837) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1407880032 |
| PAC ID by PECOS | 9638082837 |
| Professional Enrollment ID | I20040728000234 |
| Full Name | Jack Elias Kazanjian |
| Organization Legal Name | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES |
| Address |
510 Darby Rd Havertown PA 19083-4639 |
| Phone Number | 6104496499 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 5890681092 |
| Number of Group Practice Members | 170 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390081 | DELAWARE COUNTY MEMORIAL HOSPITAL |
| 390195 | MAIN LINE HOSPITAL LANKENAU |
| 390180 | CROZER CHESTER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 510 Darby Rd, Havertown, PA 19083-4639 | 6104496499 | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES |
| Organization Legal Name | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES |
| Physicians | 168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily L Titus | Physical Therapy | Premier Orthopaedic and Sports Medicine Associates | 119 E Uwchlan Ave, Suite 201, Exton, PA 19341-1293 |
| Shivkumar Kambhampati | Diagnostic Radiology | Premier Orthopaedic and Sports Medicine Associates | 525 W Chester Pike Level, Havertown, PA 19083-4500 |
| Richard F Balotti Jr. | Physical Medicine and Rehabilitation | Premier Orthopaedic and Sports Medicine Associates | 266 Lancaster Ave, Suite 200, Malvern, PA 19355-3256 |
| Marni T Kanze | Physical Therapy | Premier Orthopaedic and Sports Medicine Associates | 300 Springhouse Dr, Collegeville, PA 19426-3954 |
| Caitlin Wilkinson | Physical Therapy | Premier Orthopaedic and Sports Medicine Associates | 780w Lincoln Hwy, Exton, PA 19341-2547 |
| Gregory Tadduni | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Associates | 5201 Pennell Rd, Suite C, Media, PA 19063-6502 |
| Jason E Rarich | Physical Therapy | Premier Orthopaedic and Sports Medicine Associates | 2004 Sproul Rd, Broomall, PA 19008-3511 |
| Jeffrey Malumed | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Associates | 1 Bartol Ave, Suite 100, Ridley Park, PA 19078-2214 |
| Andrea M White | Occupational Therapy | Premier Orthopaedic and Sports Medicine Associates | 501 Macdade Blvd, Suite 2, Folsom, PA 19033-3203 |
| Charles Hummer Iii | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Associates | 2004 Foulk Rd, Suite 3, Wilmington, DE 19810-3641 |
| Street Address |
510 DARBY RD |
| City | HAVERTOWN |
| State | PA |
| Zip | 19083-4639 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas A Dinubile | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Associates | 510 Darby Rd, Havertown, PA 19083-4639 |
| Paul Joseph Roscioli | Chiropractic | 510 Darby Rd, Suite 3a, Havertown, PA 19083-4630 | |
| Eugene Elia | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Associates | 510 Darby Rd, Havertown, PA 19083-4639 |
| 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 | ORTHOPEDIC SURGERY |
| City + Specialty | HAVERTOWN + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jack Elias Kazanjian.
| 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.