Myron Rodos (NPI# 1275505919, PAC ID# 0648448993) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1275505919 |
| PAC ID by PECOS | 0648448993 |
| Professional Enrollment ID | I20110713000090 |
| Full Name | Myron Rodos |
| Organization Legal Name | EXCEL MEDICAL CENTER |
| Address |
521 W Girard Ave Philadelphia PA 19123-1428 |
| Phone Number | 2154409547 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1967 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7315132537 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390027 | TEMPLE UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 521 W Girard Ave, Philadelphia, PA 19123-1428 | 2154409547 | EXCEL MEDICAL CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 31% |
| Organization Legal Name | EXCEL MEDICAL CENTER |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fatima Bangura | Nurse Practitioner | Excel Medical Center | 703 Cecil B Moore Ave, Philadelphia, PA 19122-2901 |
| Omolara Adegun | Nurse Practitioner | Excel Medical Center | 208 W Chelten Ave, Philadelphia, PA 19144-3803 |
| Manoj George Oommen | General Practice | Excel Medical Center | 521 W Girard Ave, Philadelphia, PA 19123-1428 |
| Brian Tran | Family Medicine | Excel Medical Center | 5245 N 5th St, Philadelphia, PA 19120-3334 |
| William Glassmire | Physician Assistant | Excel Medical Center | 7130 Rising Sun Ave, Philadelphia, PA 19111-3957 |
| Earl R Brown | Family Medicine | Excel Medical Center | 7515 Stenton Ave, Philadelphia, PA 19150-3710 |
| Melvin Zeese Twersky | General Practice | Excel Medical Center | 5604 N Broad St, Philadelphia, PA 19141-2322 |
| Uma Kamineni | General Practice | Excel Medical Center | 135 E Lehigh Ave, Philadelphia, PA 19125-1011 |
| John S Michel | Internal Medicine | Excel Medical Center | 7130 Rising Sun Ave, Philadelphia, PA 19111-3957 |
| Sheeba Leo | Nurse Practitioner | Excel Medical Center | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 |
| Street Address |
521 W GIRARD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19123-1428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manoj George Oommen | General Practice | Excel Medical Center | 521 W Girard Ave, Philadelphia, PA 19123-1428 |
| Margaret Oduro | Nurse Practitioner | Excel Medical Center | 521 W Girard Ave, Philadelphia, PA 19123-1428 |
| Christine Supplee | Nurse Practitioner | Excel Medical Center | 521 W Girard Ave, Philadelphia, PA 19123-1428 |
| Jessica Denisse Vazquez | Nurse Practitioner | Excel Medical Center | 521 W Girard Ave, Philadelphia, PA 19123-1428 |
| Theodore Burden | Internal Medicine | Excel Medical Center | 521 W Girard Ave, Philadelphia, PA 19123-1428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosilyn T Smith | Psychiatry | Centralized Comprehensive Human Services, Inc. | 907 N Broad St, Durg Treatment/methadone Clinic, Philadelphia, PA 19123-1013 |
| Howard N Brooks | Family Medicine | Centralized Comprehensive Human Services, Inc. | 907 N Broad St, Durg Treatment/methadone Clinic, Philadelphia, PA 19123-1013 |
| James J Nocks | Psychiatry | Centralized Comprehensive Human Services, Inc. | 907 N Broad St, Philadelphia, PA 19123-1013 |
| Sunny F Ekwunife | Family Practice | Centralized Comprehensive Human Services, Inc. | 907 N Broad St, Durg Treatment/methadone Clinic, Philadelphia, PA 19123-1013 |
| Edith Senyumba | General Practice | Centralized Comprehensive Human Services, Inc. | 907 N Broad St, Durg Treatment/methadone Clinic, Philadelphia, PA 19123-1013 |
| Arun K Mohanty | Internal Medicine | 445 W Girard Ave, Philadelphia, PA 19123-1427 | |
| Nasira Y Majid | Family Medicine | 445 W Girard Ave, Philadelphia, PA 19123-1427 | |
| Jennifer Haus | Physical Therapy | Ati Holdings LLC | 180 W Girard Ave, Suite 1, Philadelphia, PA 19123-1660 |
| Diana Chuong | Optometry | Trend Eye Care LLC | 180 W Girard Ave, Philadelphia, PA 19123-1660 |
| Christine Licata | Physical Therapy | Ati Holdings LLC | 180 W Girard Ave, Suite 1, Philadelphia, PA 19123-1660 |
| Find all physicians in zip 19123 | |||
| City | PHILADELPHIA |
| Zip Code | 19123 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | PHILADELPHIA + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Myron Rodos.
| 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.