Luis Carlos Watanabe Tejada (NPI# 1942565841, PAC ID# 0941432934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1942565841 |
| PAC ID by PECOS | 0941432934 |
| Professional Enrollment ID | I20180725003801 |
| Full Name | Luis Carlos Watanabe Tejada |
| Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
| Address |
651 Centre View Boulvard Crestview Hills KY 41017-5419 |
| Phone Number | 8593316466 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PULMONARY DISEASE |
| Group Practice PAC ID | 2163326240 |
| Number of Group Practice Members | 511 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180035 | ST ELIZABETH EDGEWOOD |
| 180045 | ST ELIZABETH FLORENCE |
| 180001 | ST ELIZABETH FT THOMAS |
| Address | Phone | Organization |
|---|---|---|
| 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 | 8593316466 | SUMMIT MEDICAL GROUP, INC. |
| Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
| Physicians | 487 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline Elmer-lyon | Urology | Summit Medical Group, Inc. | 610 Medical Village Dr, Edgewood, KY 41017-3416 |
| James Schack | Family Medicine | Summit Medical Group, Inc. | 79 Country Club Dr, Butler, KY 41006-8704 |
| Balaji Kalyanaraman | Urology | Summit Medical Group, Inc. | 7370 Turfway Rd, Florence, KY 41042-4895 |
| Abraham Llapitan Tacang | Rheumatology | Summit Medical Group, Inc. | 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 |
| Rani L. Clark | Nurse Practitioner | Summit Medical Group, Inc. | 2885 Alexandria Way, Highland Heights, KY 41076-1511 |
| Gabriel Ymalay | Internal Medicine | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Ashley Nicole Minton | Family Medicine | Summit Medical Group, Inc. | 300 Commerical Circle, Alexandria, KY 41001-0001 |
| Saadeddine Dughman | Cardiovascular Disease (cardiology) | Summit Medical Group, Inc. | 900 Medical Village Dr, Edgewood, KY 41017-3422 |
| James Michael Morrow | Podiatry | Summit Medical Group, Inc. | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3243 |
| Brandon A Cowan | Hospitalist | Summit Medical Group, Inc. | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Street Address |
651 CENTRE VIEW BOULVARD |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip | 41017-5419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abraham Llapitan Tacang | Rheumatology | Summit Medical Group, Inc. | 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 |
| William H Beers | Rheumatology | Summit Medical Group, Inc. | 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 |
| Kartikkumar Jinjuvadia | Gastroenterology | Summit Medical Group, Inc. | 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 |
| Carrie Briley Linville | Nurse Practitioner | Summit Medical Group, Inc. | 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 |
| Sarah F Keller | Rheumatology | Summit Medical Group, Inc. | 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 |
| Steven Jeffrey Campbell Jr. | Pulmonary Disease | Summit Medical Group, Inc. | 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 |
| Grant Breazeale | Pulmonary Disease | Summit Medical Group, Inc. | 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Latasha M Swafford | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Erina T Emerson | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Dawna M Kennedy | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Kelly Reitzes | Optometry | Wing Eyecare, Inc. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Paul T Bertram | Optometry | Bertram Eyecare, P.s.c. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Jamie Daniels Bertram | Optometry | Bertram Eyecare, P.s.c. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Gena Grigson | Clinical Social Worker | 2521 Anderson Rd A, Crescent Springs, KY 41017-1521 | |
| Geraldine E Elliott | Clinical Social Worker | 2521 Anderson Rd A, Crescent Springs, KY 41017-1521 | |
| Merle C Helgeson | Chiropractic | 570 Buttermilk Pike, Crescent Springs, KY 41017-1635 | |
| Monica K Sullivan | Family Medicine | Christ Hospital Medical Associates, II LLC | 2156 Chamber Ctr Dr, Lakeside Park, KY 41017-1669 |
| Find all physicians in zip 41017 | |||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | CRESTVIEW HILLS + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Luis Carlos Watanabe Tejada.
| 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.