Tina Islam (NPI# 1487966024, PAC ID# 0042505414) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1487966024 |
| PAC ID by PECOS | 0042505414 |
| Professional Enrollment ID | I20180830001632 |
| Full Name | Tina Islam |
| Organization Legal Name | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| Address |
112 Academy Hill Rd Apt 4 Brighton MA 02135-3958 |
| Phone Number | 9525951100 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4981608817 |
| Number of Group Practice Members | 291 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160110 | ALLEN HOSPITAL |
| 061336 | ARKANSAS VALLEY REGIONAL MEDICAL CENTER |
| 250099 | GREENWOOD LEFLORE HOSPITAL |
| 180044 | PIKEVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 112 Academy Hill Rd, Apt 4, Brighton, MA 02135-3958 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| Organization Legal Name | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| Physicians | 102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheeraz A Daudi | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 23843 N Lookout Pointe Rd, Port Barrington, IL 60010-1091 |
| Andrew H Westmoreland | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 289 Southern Oak Dr, Ponte Vedra, FL 32081-8366 |
| Michael L Doxey | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 801 S Royal St, Alexandria, VA 22314-4340 |
| Saniya A Merchant | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 1737 Old Trenton Rd, Princeton Junction, NJ 08550-3210 |
| Robert Edward Stone | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 4050 Battery Blvd, Apt 419, Williamsburg, VA 23185-4771 |
| Jason Mallow | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 2012 Drumone Ct, Midlothian, VA 23112-5538 |
| Guido E Santacana-laffitte | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 13462 Muirkirk Ln, Herndon, VA 20171-3305 |
| Guy N Gibson | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 905 S 110th Plz, Omaha, NE 68154-3370 |
| Chirag A Patel | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 1522 N E End Ave, Round Lake Beach, IL 60073-2147 |
| Matthew T Hoffman | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 2814 Soft Horizon Way, Las Vegas, NV 89135-1736 |
| Street Address |
112 ACADEMY HILL RD APT 4 |
| City | BRIGHTON |
| State | MA |
| Zip | 02135-3958 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Molina Ortiz | Family Medicine | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Katherine Kates | Nurse Practitioner | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Amy Campbell Hanson | Nurse Practitioner | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Lucas Rabeno Fasolo | Internal Medicine | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Elizabeth Rohr | Nurse Practitioner | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Mark R Drews | Internal Medicine | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Maryam Salehpour | Family Medicine | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Tamara Schorr Hammer | Certified Clinical Nurse Specialist (cns) | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Melanie Joy Giegel | Nurse Practitioner | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Dawn M Patterson | Clinical Social Worker | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Find all physicians in zip 02135 | |||
| City | BRIGHTON |
| Zip Code | 02135 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BRIGHTON + DIAGNOSTIC RADIOLOGY |
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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.