David Bogolub (NPI# 1245279181, PAC ID# 0941233704) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1245279181 |
| PAC ID by PECOS | 0941233704 |
| Professional Enrollment ID | I20191202001155 |
| Full Name | David Bogolub |
| Organization Legal Name | GOVERNOR JUAN F LUIS HOSPITAL AND MEDICAL CENTER |
| Address |
4007 Estate Diamond Ruby St Croix VI 00820-4435 |
| Phone Number | 3407786311 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1995 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1153233804 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 480002 | GOV JUAN F LUIS HOSPITAL & MEDICAL CTR |
| 650001 | GUAM MEMORIAL HOSPITAL AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 | 3407786311 | GOVERNOR JUAN F LUIS HOSPITAL AND MEDICAL CENTER |
| Organization Legal Name | GOVERNOR JUAN F LUIS HOSPITAL AND MEDICAL CENTER |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mayya Kawar | Emergency Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Wayne T Marchant | Emergency Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Ruth Hambrecht | Emergency Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Leslie Burton | Family Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Beth A Joseph | Emergency Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Daniel M Hartmann | Emergency Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Carmine E. Hendricks | Family Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Carol Getker Shores | Critical Care (intensivists) | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Jong Hwa Park | Internal Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Street Address |
4007 ESTATE DIAMOND RUBY |
| City | ST CROIX |
| State | VI |
| Zip | 00820-4435 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mayya Kawar | Emergency Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Angel A Lake | Internal Medicine | 4007 Estate Diamond Ruby, Gov Juan F Luis Hospital and Medical Center, Christiansted, VI 00820-4421 | |
| Evadne Sang | Psychiatry | 4007 Estate Diamond Ruby, Christiansted, VI 00820-4435 | |
| Wayne T Marchant | Emergency Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Renee N Georges | General Surgery | 4007 Estate Diamond Ruby, Christiansted, VI 00821-4421 | |
| Ruth Hambrecht | Emergency Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Carlos Sanchez | Anesthesiology | 4007 Estate Diamond Ruby, Christiansted, VI 00820-4435 | |
| Conrad W Smith | General Surgery | 4007 Estate Diamond Ruby, Christiansted, VI 00820-4435 | |
| Leslie Burton | Family Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Beth A Joseph | Emergency Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie M Schmidt | Physician Assistant | Plessen Medical Group, LLC | 5 Orange Grove, Christiansted, VI 00820 |
| Gasnel E Bryan | Obstetrics/gynecology | 2024 Estate Mount Welcome, Suite 10, Christiansted, VI 00820 | |
| Coralee I Lewis | Diagnostic Radiology | Imaging Center, PC | 4500 Sion Farm St, 4b Island Medical Center, Christiansted, VI 00820 |
| Kala Mabry | Physical Therapy | Cog Restore, LLC | 201 -202 Estate Ruby, Christiansted, St Croix, VI 00820 |
| Jaclyn K Robak | Optometry | St. Croix Vision Center | 4500 Sion Farm, Suite 2, Christiansted, VI 00820 |
| Otto E Campos | Ophthalmology | Ophthalmology Consultants, PC | 3006 Orange Grove, Christiansted, VI 00820 |
| Gregory J Moorman | Plastic and Reconstructive Surgery | 118 A Estate Mt Welcome, Christiansted, VI 00820 | |
| Babu Subramaniam | Neurology | 4040 Lagrande Prncesse, Suite 1, Christiansted, VI 00820 | |
| Risa Nielsen | Internal Medicine | Beeston Hill Medical Ctr, Suite 12, St Croix, VI 00820 | |
| Purvi H Gala | Optometry | St. Croix Vision Center | 4500 Sion Farm, Suite 2, Christiansted, VI 00820 |
| Find all physicians in zip 00820 | |||
| City | ST CROIX |
| Zip Code | 00820 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ST CROIX + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on David Bogolub.
| 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.