David A Besachio (NPI# 1508837600, PAC ID# 0345370128) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1508837600 |
| PAC ID by PECOS | 0345370128 |
| Professional Enrollment ID | I20121114000675 |
| Full Name | David A Besachio |
| Organization Legal Name | EAGLEEYE RADIOLOGY INC |
| Address |
309 N Fairfax Cir Salt Lake City UT 84103-4435 |
| Phone Number | 7036521200 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4981755873 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320085 | MOUNTAIN VIEW REGIONAL MEDICAL CENTER |
| 210011 | SAINT AGNES HOSPITAL |
| 491308 | RAPPAHANNOCK GENERAL HOSPITAL |
| 430083 | PHS INDIAN HOSPITAL AT EAGLE BUTTE |
| Address | Phone | Organization |
|---|---|---|
| 22122 Quail Pond Pl, Ashburn, VA 20148-7123 | 7036521200 | EAGLEEYE RADIOLOGY INC |
| 900 Caton Ave, Baltimore, MD 21229-5201 | ST AGNES HEALTHCARE INC | |
| 4140 Duke of Gloucester Dr, Chesapeake, VA 23321-4564 | 6193846441 | EAGLEEYE RADIOLOGY INC |
| 24276 166th Airport Rd, Eagle Butte, SD 57625 | 6059647724 | EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL |
| 1211 N Fairwater Dr, Norfolk, VA 23508-1114 | 7036521200 | EAGLEEYE RADIOLOGY INC |
| 309 N Fairfax Cir, Salt Lake City, UT 84103-4435 | 7036521200 | EAGLEEYE RADIOLOGY INC |
| 21525 Ridgetop Cir, Sterling, VA 20166-6510 | 7036521200 | EAGLEEYE RADIOLOGY INC |
| 21525 Ridgetop Cir, Suite 260, Sterling, VA 20166-6510 | 7036521200 | EAGLEEYE RADIOLOGY INC |
| 5228 Regatta Pointe Rd, Suffolk, VA 23435-3520 | 7036521200 | EAGLEEYE RADIOLOGY INC |
| Organization Legal Name | EAGLEEYE RADIOLOGY INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul M Michaud | Diagnostic Radiology | Eagleeye Radiology Inc | 580 Leever Rd, Fort Sill, OK 73503-1245 |
| Paul Clark | Diagnostic Radiology | Eagleeye Radiology Inc | 120 Seaton Pl Nw, Washington, DC 20001-1623 |
| Street Address |
309 N FAIRFAX CIR |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84103-4435 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann Reauelle King | Sleep Medicine | Ihc Health Services Inc | 440 D St, Suite 200, Salt Lake City, UT 84103-2827 |
| Gayle White | Nurse Practitioner | Ihc Health Services Inc | 440 D St, Salt Lake City, UT 84103-2827 |
| Ali Ahmed Fazili | Pulmonary Disease | Ihc Health Services Inc | 324 10th Ave, Y, Salt Lake City, UT 84103-2853 |
| Amrapali Mahendra Shah | Pulmonary Disease | Ihc Health Services Inc | 324 10th Ave, Y, Salt Lake City, UT 84103-2853 |
| Andrew Robert Badke | Internal Medicine | Ihc Health Services Inc | 324 10th Ave, Suite 163, Salt Lake City, UT 84103-2856 |
| Kevin Charles Shilling | Sleep Medicine | Ihc Health Services Inc | 324 10th Ave, Suite 163, Salt Lake City, UT 84103-2856 |
| Gregg J Stephany | Physician Assistant | Ihc Health Services Inc | 324 10th Ave, Suite 163, Salt Lake City, UT 84103-2856 |
| Brent James Christensen | General Surgery | Ihc Health Services Inc | 324 E 10th Ave, Suite 189, Salt Lake City, UT 84103-2862 |
| Steven Courtney Lynch | Urology | Ihc Health Services Inc | 324 E 10th Ave, Suite 189, Salt Lake City, UT 84103-2862 |
| Matthew Thomas Bryan | Internal Medicine | Ihc Health Services Inc | 324 E 10th Ave, Suite 189, Salt Lake City, UT 84103-2862 |
| Find all physicians in zip 84103 | |||
| City | SALT LAKE CITY |
| Zip Code | 84103 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SALT LAKE CITY + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on David A Besachio.
| 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.