DR. ROMAN THOMAS PACHULSKI (NPI# 1932105566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932105566 |
Entity Type | Individual |
Full Name | DR. ROMAN THOMAS PACHULSKI |
Credential | M.D. |
Practice Address |
30 Harrison St Suite 250 Johnson City NY 13790-2161 |
Mailing Address |
33 Lewis Rd 2nd Fl Binghamton NY 13905-5227 |
Practice Telephone | 6077708600 |
Mailing Telephone | 6077298156 |
Enumeration Date | 2005-06-28 |
Last Update Date | 2016-09-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
220668 | NY | Allopathic & Osteopathic Physicians |
N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
L9413 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 170134403 | 05 | |
TX | GROUP BCBS # | 0035MW | 01 |
TX | 177066101 | 05 | |
TX | INDIVIDUAL BCBS # | 8S9790 | 01 |
Street Address |
30 HARRISON ST SUITE 250 |
City | JOHNSON CITY |
State | NY |
Zip Code | 13790-2161 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811488455 | Siddharth Dalal | Internal Medicine | 30 Harrison St, Johnson City, NY 13790 | 2018-05-18 |
1316342959 | Jodi Villanti | Nurse Practitioner | 30 Harrison St, Suite 460, Johnson City, NY 13790-2161 | 2014-10-24 |
1306277017 | Kara Spalik | Nurse Practitioner | 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 | 2013-12-05 |
1033459292 | Jerome H Rosenstein Md Pllc | Specialist | 30 Harrison St, Suite 320, Johnson City, NY 13790-2161 | 2013-02-26 |
1881946788 | Karen Lee Dunham | Physician Assistant | 30 Harrison St, Suite 455, Johnson City, NY 13790-2161 | 2012-10-03 |
1225325921 | Kimberly Hageman Merrill | Nurse Practitioner | 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 | 2011-07-01 |
1023252293 | Michail Vitellas | Internal Medicine | 30 Harrison St, Suite 250, Johnson City, NY 13790 | 2009-04-30 |
1063659241 | J Richard Cunningham | Surgery | 30 Harrison St, Suite 455, Johnson City, NY 13790-2161 | 2009-01-09 |
1821240011 | Shilpa Sambidi | Internal Medicine | 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 | 2008-10-21 |
1417154857 | Peter Babatunde Ojo | Surgery | 30 Harrison St, Suite 320, Johnson City, NY 13790-2161 | 2007-06-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
Find all providers in zip 13790 |
Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538426242 | Robert Justin Knotts | Internal Medicine | 403 E 34th St Fl 4, New York, NY 10016-4907 | 2012-04-19 |
1942509260 | Rajat Goyal | Internal Medicine | 129 Melanie Dr, East Meadow, NY 11554 | 2011-03-25 |
1679881577 | Mount Sinai School of Medicine of New York University | Internal Medicine | 210 E 86th St Rm 502, New York, NY 10028-7725 | 2010-09-14 |
1275793580 | Abhijeet Singh | Internal Medicine | Suny Stonybrook University Hospital 101 Nicolls Rod, Stony Brook, NY 11794-0001 | 2008-06-10 |
1073639399 | Cardiac Rhythm Consultants, PC | Internal Medicine | 141 Washington Ave Ste 203, Lawrence, NY 11559-1669 | 2007-03-21 |
1003975632 | Saverio J Barbera | Internal Medicine | Health Science Center Nicolls Road, T-16-080, Stony Brook, NY 11794-0001 | 2006-12-08 |
1699868836 | Tbhc Ecg Med Services PC | Internal Medicine | Tbhc Med Services PC, 121 Dekalb Avenue, Brooklyn, NY 11201 | 2006-10-02 |
1235174053 | Arti N Shah | Internal Medicine | 30 West 60th Street, Suite 1u, New York, NY 10023-7906 | 2006-06-17 |
1225099419 | John Jun Cai | Internal Medicine | 515 Abbott Rd Ste 310, Buffalo, NY 14220-1700 | 2006-03-29 |
1891775201 | Michael Wilson | Internal Medicine | 9095 Main St, Clarence, NY 14031-1967 | 2006-01-20 |
Find all providers with the same taxonomy |
City | JOHNSON CITY |
Zip Code | 13790 |
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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.