Sarah Jane Kudelko (NPI# 1508062712, PAC ID# 0042235491) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1508062712 |
| PAC ID by PECOS | 0042235491 |
| Professional Enrollment ID | I20051013001104 |
| Full Name | Sarah Jane Kudelko |
| Organization Legal Name | ADVANCED DERMATOLOGY AND SKIN CANCER CENTER |
| Address |
2360 Southeast Blvd Salem OH 44460-3418 |
| Phone Number | 3309658760 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3971561648 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 987 Boardman Canfield Rd, Boardman, OH 44512-4222 | 3309658760 | ADVANCED DERMATOLOGY AND SKIN CANCER CENTER |
| 2360 Southeast Blvd, Salem, OH 44460-3418 | 3309658760 | ADVANCED DERMATOLOGY AND SKIN CANCER CENTER |
| Organization Legal Name | ADVANCED DERMATOLOGY AND SKIN CANCER CENTER |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Renee Zajac | Physician Assistant | Advanced Dermatology and Skin Cancer Center | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 |
| Casey Marie Dickey | Physician Assistant | Advanced Dermatology and Skin Cancer Center | 2360 Southeast Blvd, Salem, OH 44460-3418 |
| John Raymond Bernat | Dermatology | Advanced Dermatology and Skin Cancer Center | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 |
| Patrick Shannon | Dermatology | Advanced Dermatology and Skin Cancer Center | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 |
| Laurie A Quattro | Physician Assistant | Advanced Dermatology and Skin Cancer Center | 2360 Southeast Blvd, Salem, OH 44460-3418 |
| Teresa Marie Shaffer | Nurse Practitioner | Advanced Dermatology and Skin Cancer Center | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 |
| Street Address |
2360 SOUTHEAST BLVD |
| City | SALEM |
| State | OH |
| Zip | 44460-3418 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casey Marie Dickey | Physician Assistant | Advanced Dermatology and Skin Cancer Center | 2360 Southeast Blvd, Salem, OH 44460-3418 |
| Laurie A Quattro | Physician Assistant | Advanced Dermatology and Skin Cancer Center | 2360 Southeast Blvd, Salem, OH 44460-3418 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Hammond | Audiologist | Audiology Associates of Salem Inc | 980 W State St, Salem, OH 44460-2017 |
| Bart J Brine | Ophthalmology | Andrew C Pederzolli Md Inc | 1059 E State St, Salem, OH 44460-2227 |
| Andrew C Pederzolli | Ophthalmology | Andrew C Pederzolli Md Inc | 1059 E State St, Salem, OH 44460-2227 |
| Danny E Sankovic | General Surgery | 1515 E State St, Salem, OH 44460-2318 | |
| Nivin Haroon | Nephrology | Nephrology Associates, Inc. | 1995 E State St, Salem, OH 44460-2400 |
| Bhargavi Tangirala | Nephrology | Nephrology Associates, Inc. | 1995 E State St, Salem, OH 44460-2400 |
| Teri L Sanor | Hospitalist | Sch Professional Corporation | 1995 E State St, Salem, OH 44460-2423 |
| Richard W Beatty | Internal Medicine | Sch Professional Corporation | 1995 E State St, Salem, OH 44460-2423 |
| Alan Kent Hodgdon | Emergency Medicine | Emergency Professional Services, Inc. | 1995 E State St, Salem Hospital, Salem, OH 44460-2423 |
| John E Thompson | Internal Medicine | Sch Professional Corporation | 1995 E State St, Salem, OH 44460-2423 |
| Find all physicians in zip 44460 | |||
| City | SALEM |
| Zip Code | 44460 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SALEM + PHYSICIAN ASSISTANT |
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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.