PETAR VUKASIN M D INC (NPI# 1528359304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528359304 |
| Entity Type | Organization |
| Organization Name | PETAR VUKASIN M D INC |
| Practice Address |
222 W Eulalia St Ste 100a Glendale CA 91204-2850 |
| Mailing Address |
222 W. Eulalia St Ste 100a Glendale CA 91204-2508 |
| Practice Telephone | 8182448161 |
| Practice Fax Number | 8182445122 |
| Mailing Telephone | 8182448161 |
| Mailing Fax Number | 8182445122 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |
| Authorized Official Name | DR. PETAR VUKASIN (OWNER) |
| Authorized Official Telephone | 8182448161 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | G74237 | CA | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | G74237 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
222 W EULALIA ST STE 100A |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942437629 | Moshe Barnajian | Surgery | 222 W Eulalia St Ste 100a, Glendale, CA 91204-2850 | 2009-06-19 |
| 1326588187 | Eric Michael Manley | Physician Assistant | 222 W Eulalia St Ste 100a, Glendale, CA 91204-2850 | 2017-02-27 |
| 1275994303 | Sequoia Radiology Associates Inc | Radiology | 222 W Eulalia St Ste 100a, Glendale, CA 91204 | 2016-03-17 |
| 1649580259 | Jocelyn Yunsoo Moon | Physician Assistant | 222 W Eulalia St Ste 100a, Glendale, CA 91204-2850 | 2010-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376836452 | Tafadzwa P Makarawo | Colon & Rectal Surgery | 18275 N 59th Ave Ste M-176, Glendale, AZ 85308 | 2011-05-23 |
| 1033153994 | Adrienne W Forstner-barthell | Colon & Rectal Surgery | 18275 N 59th Ave Ste 176, Glendale, AZ 85308 | 2006-06-15 |
| 1528067949 | Debora Mcclary | Colon & Rectal Surgery | 18700 N 64th Dr Ste 108, Glendale, AZ 85308-7110 | 2005-07-18 |
| 1508290917 | Moshe Barnajian Md Inc | Colon & Rectal Surgery | 222 W Eulalia St, Suite 100a, Glendale, CA 91204-2849 | 2013-08-22 |
| 1831218981 | Mary E. Schultheis | Colon & Rectal Surgery | 18275 N 59th Ave, Bldg M Ste #178, Glendale, AZ 85308-1260 | 2007-03-28 |
| 1851335715 | Adrienne Forstner Barthell Md Plc | Colon & Rectal Surgery | 5422 W Thunderbird Rd, Ste 10, Glendale, AZ 85306-4700 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528437332 | George R. Moro | Colon & Rectal Surgery | 1140 W La Veta Ave Ste 830, Orange, CA 92868-4230 | 2015-09-22 |
| 1881087476 | Mark Paul Hachigian | Colon & Rectal Surgery | 16 Pinehurst Ln, Newport Beach, CA 92660-5229 | 2015-03-06 |
| 1982841250 | Central Valley Colon & Rectal Surgical Associates, Inc. | Colon & Rectal Surgery | 6121 N Thesta St Ste 202, Fresno, CA 93710-5294 | 2009-01-08 |
| 1972766970 | James Michael Conner | Colon & Rectal Surgery | 6450 Coyle Ave Ste 2, Carmichael, CA 95608-0313 | 2008-07-09 |
| 1063684850 | Marjun Philip Narciso Duldulao IIi | Colon & Rectal Surgery | 1450 San Pablo Street Suite 6200, Los Angeles, CA 90089-0112 | 2008-04-01 |
| 1144411414 | Theodore Coutsoftides | Colon & Rectal Surgery | 4061 Morning Star Dr, Huntington Beach, CA 92649-3009 | 2007-08-02 |
| 1023223849 | Robert Leroy Belt | Colon & Rectal Surgery | 31561 Table Rock Dr, Unit 108, Laguna Beach, CA 92651 | 2007-05-14 |
| 1063531176 | Chau V Dang Md Inc A Medical Corporation | Colon & Rectal Surgery | 5575 W Las Positas Blvd Ste 270, Pleasanton, CA 94588-5803 | 2007-03-28 |
| 1710029681 | Andrew Alan Shelton | Colon & Rectal Surgery | 875 Blake Wilbur Drive Clinic B, Stanford, CA 94305-5820 | 2007-02-13 |
| 1720139488 | Beth A Moore | Colon & Rectal Surgery | 8737 Beverly Blvd Ste 402, West Hollywood, CA 90048-1838 | 2007-01-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.