Mara Bazdaric Russell (NPI# 1316245236, PAC ID# 0446539571) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1316245236 |
PAC ID by PECOS | 0446539571 |
Professional Enrollment ID | I20161114001442 |
Full Name | Mara Bazdaric Russell |
Organization Legal Name | ANJNI G BHAGAT PHYSICIAN P C |
Address |
5 Clay St Malone NY 12953-1905 |
Phone Number | 5184830705 |
Gender | F |
Graduation Year | 2010 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 8325034010 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330084 | ALICE HYDE MEDICAL CENTER |
330250 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR |
Address | Phone | Organization |
---|---|---|
5 Clay St, Malone, NY 12953-1905 | 5184830705 | ANJNI G BHAGAT PHYSICIAN P C |
Organization Legal Name | ANJNI G BHAGAT PHYSICIAN P C |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anjni G Bhagat | Internal Medicine | Anjni G Bhagat Physician P C | 5 Clay St, Malone, NY 12953-1905 |
Street Address |
5 CLAY ST |
City | MALONE |
State | NY |
Zip | 12953-1905 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anjni G Bhagat | Internal Medicine | Anjni G Bhagat Physician P C | 5 Clay St, Malone, NY 12953-1905 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joel T Santy | Chiropractic | Adirondack Region Chiropractic PC | 9 Finney Blvd, Malone, NY 12953-1038 |
Tracy A Trudel | Chiropractic | Adirondack Region Chiropractic PC | 9 Finney Blvd, Malone, NY 12953-1038 |
Gary L Hanley | Optometry | 22 Finney Blvd, Malone, NY 12953-1039 | |
Noni H Irish | Clinical Social Worker | Citizen Advocates, Inc | 209 Park St, Malone, NY 12953-1228 |
Myrna A Sanchez | Internal Medicine | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
Marie W Haggarty | Physician Assistant | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
Vladimir Medved | Pain Management | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
David J Griffin | Physician Assistant | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
Steven Shamosh | Internal Medicine | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
Derek J Reynolds | Nurse Practitioner | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
Find all physicians in zip 12953 |
City | MALONE |
Zip Code | 12953 |
Specialty | NURSE PRACTITIONER |
City + Specialty | MALONE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mara Bazdaric Russell.
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.