Shahryar M Tork (NPI# 1699063057, PAC ID# 1153655600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1699063057 |
| PAC ID by PECOS | 1153655600 |
| Professional Enrollment ID | I20190703000476 |
| Full Name | Shahryar M Tork |
| Organization Legal Name | PLASTIC SURGERY GROUP INC |
| Address |
7162 Liberty Centre Dr C West Chester OH 45069-2748 |
| Phone Number | 5137693223 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 9133182223 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4850 Red Bank Rd, Cincinnati, OH 45227-1545 | 5137914440 | PLASTIC SURGERY GROUP INC |
| 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 | 8593318777 | PLASTIC SURGERY GROUP INC |
| 7162 Liberty Centre Dr C, West Chester, OH 45069-2748 | 5137693223 | PLASTIC SURGERY GROUP INC |
| Organization Legal Name | PLASTIC SURGERY GROUP INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Columbus | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 |
| Steven L Robinson | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 7162 Liberty Centre Dr C, West Chester, OH 45069-2748 |
| Richard B Williams | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 |
| Michael G Leadbetter | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 |
| Robert P Hummel Iii | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 |
| Ryan Wilson | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 7162 Liberty Centre Dr C, West Chester, OH 45069-2748 |
| Gene E Ireland | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 7162 Liberty Centre Dr C, West Chester, OH 45069-2748 |
| Street Address |
7162 LIBERTY CENTRE DR C |
| City | WEST CHESTER |
| State | OH |
| Zip | 45069-2748 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven L Robinson | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 7162 Liberty Centre Dr C, West Chester, OH 45069-2748 |
| Ryan Wilson | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 7162 Liberty Centre Dr C, West Chester, OH 45069-2748 |
| Gene E Ireland | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 7162 Liberty Centre Dr C, West Chester, OH 45069-2748 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gurkiran K Gill | Psychiatry | Beckett Springs Physician Group LLC | 8614 Shepherd Farm Dr, West Chester, OH 45069-1128 |
| Elizabeth L Schmitt | Psychiatry | Beckett Springs Physician Group LLC | 8614 Shepherd Farm Dr, West Chester, OH 45069-1128 |
| Shakil Shafqatur Rahman | Psychiatry | 8614 Shepherd Farm Dr, West Chester, OH 45069-1128 | |
| Anne M Miller | Psychiatry | Beckett Springs Physician Group LLC | 8614 Shepherd Farm Dr, West Chester, OH 45069-1128 |
| Rachel M Cash | Psychiatry | Beckett Springs Physician Group LLC | 8614 Shepherd Farm Dr, West Chester, OH 45069-1128 |
| Princess G Gaitawe Johnson | Psychiatry | Beckett Springs Physician Group LLC | 8614 Shepherd Farm Dr, West Chester, OH 45069-1128 |
| Lawrence G Schneider | Optometry | 6834 Tylersville Rd, West Chester, OH 45069-1416 | |
| Quinton E Moss | Psychiatry | Modern Psychiatry and Wellness LLC | 6942 Tylersville Rd, West Chester, OH 45069-1511 |
| Judith A Ginther | Nurse Practitioner | Modern Psychiatry and Wellness LLC | 6942 Tylersville Rd, West Chester, OH 45069-1511 |
| Michael J Lyons | Optometry | 7227 Liberty Way, West Chester, OH 45069-1518 | |
| Find all physicians in zip 45069 | |||
| City | WEST CHESTER |
| Zip Code | 45069 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | WEST CHESTER + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Shahryar M Tork.
| 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.