Nitin P Bhosale (NPI# 1487732103, PAC ID# 1153421904) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1487732103 |
| PAC ID by PECOS | 1153421904 |
| Professional Enrollment ID | I20070710000483 |
| Full Name | Nitin P Bhosale |
| Organization Legal Name | PAVILION FOUNDATION |
| Address |
809 W Church St Champaign IL 61820-3320 |
| Phone Number | 2173731700 |
| Gender | M |
| Graduation Year | 1994 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 7911043740 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 809 W Church St, Champaign, IL 61820-3320 | 2173731700 | PAVILION FOUNDATION |
| 501 N Navajo, Page, AZ 86040 | 9286452424 | BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC |
| Organization Legal Name | PAVILION FOUNDATION |
| Physicians | 1 |
| Street Address |
809 W CHURCH ST |
| City | CHAMPAIGN |
| State | IL |
| Zip | 61820-3320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corinne Kohler | Family Medicine | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Jiyai Tao | Physician Assistant | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Marisol Chirinos Tito | Physician Assistant | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Carrie Elizabeth Keenan | Physician Assistant | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Kristen Erickson | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Sonja E Hansen | Family Medicine | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Melonie M Darnall | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Shellane Tangen | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Constance S Thomas | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Sandra Foltz | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Find all physicians in zip 61820 | |||
| City | CHAMPAIGN |
| Zip Code | 61820 |
| Specialty | PSYCHIATRY |
| City + Specialty | CHAMPAIGN + PSYCHIATRY |
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| 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.