Mohamed Omar Radwan (NPI# 1063746873, PAC ID# 1355527201) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1063746873 |
| PAC ID by PECOS | 1355527201 |
| Professional Enrollment ID | I20180627000537 |
| Full Name | Mohamed Omar Radwan |
| Organization Legal Name | LA JOLLA PULMONARY AND CRITICAL CARE INC |
| Address |
9850 Genesee Ave Suite 780 La Jolla CA 92037-1232 |
| Phone Number | 8586257200 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 7911908645 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050324 | SCRIPPS MEMORIAL HOSPITAL LA JOLLA |
| Address | Phone | Organization |
|---|---|---|
| 9850 Genesee Ave, Suite 780, La Jolla, CA 92037-1232 | 8586257200 | LA JOLLA PULMONARY AND CRITICAL CARE INC |
| 4077 5th Ave, San Diego, CA 92103-2105 | 6192948111 | SCRIPPS HEALTH INPATIENT PROVIDERS MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | LA JOLLA PULMONARY AND CRITICAL CARE INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl E Fricks | Critical Care (intensivists) | La Jolla Pulmonary and Critical Care Inc | 9850 Genesee Ave, Suite 780, La Jolla, CA 92037-1232 |
| Joseph P Mizzell Iii | Critical Care (intensivists) | La Jolla Pulmonary and Critical Care Inc | 9850 Genesee Ave, Suite 780, La Jolla, CA 92037-1232 |
| Daniel S Jones | Pulmonary Disease | La Jolla Pulmonary and Critical Care Inc | 9850 Genesee Ave, Suite 780, La Jolla, CA 92037-1232 |
| Lalaine M Corate | Critical Care (intensivists) | La Jolla Pulmonary and Critical Care Inc | 9850 Genesee Ave, Suite 780, La Jolla, CA 92037-1232 |
| David Scott Mccaul | Critical Care (intensivists) | La Jolla Pulmonary and Critical Care Inc | 9850 Genesee Ave, Suite 780, La Jolla, CA 92037-1232 |
| Fredrick N Hanson | Critical Care (intensivists) | La Jolla Pulmonary and Critical Care Inc | 9850 Genesee Ave, Suite 780, La Jolla, CA 92037-1232 |
| Street Address |
9850 GENESEE AVE SUITE 780 |
| City | LA JOLLA |
| State | CA |
| Zip | 92037-1232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heinz J Lenz | Gastroenterology | La Jolla Gastroenterology Medical Group, Inc | 9850 Genesee Ave, Suite 820, La Jolla, CA 92037-1219 |
| Mark C Adrian | Internal Medicine | 9850 Genesee Ave, Suite 355, La Jolla, CA 92037-1227 | |
| Mahmood Mahdavi | Otolaryngology | 9850 Genesee Ave, Suite 710, La Jolla, CA 92037-1218 | |
| Cheryl L Olson | General Surgery | Surgical Associates of La Jolla Medical Group, Inc. | 9850 Genesee Ave, Suite 660, La Jolla, CA 92037-1231 |
| William C Mohlenbrock | Orthopedic Surgery | Torrey Pines Orthopaedic Medical Group Inc | 9850 Genesee Ave, Suite 210, La Jolla, CA 92037-1206 |
| Cortney Wilcox | Nurse Practitioner | Monica Perlman Md Inc | 9850 Genesee Ave, Suite 320, La Jolla, CA 92037-1208 |
| Seymour Myers | Family Medicine | Monica Perlman Md Inc | 9850 Genesee Ave, Suite 320, La Jolla, CA 92037-1208 |
| Stephen Caso | Physician Assistant | Monica Perlman Md Inc | 9850 Genesee Ave, Suite 320, La Jolla, CA 92037-1208 |
| Edward Cohen | Urology | Genesis Healthcare Partners PC | 9850 Genesee Ave, Suite 440, La Jolla, CA 92037-1212 |
| William J Bigham | Ophthalmology | Perry, Pratt, and Coden, A Medical Corporation | 9850 Genesee Ave, Suite 310, La Jolla, CA 92037-1208 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marjan Davoudi | Psychologist, Clinical | 3262 Holiday Court, Suite 220, La Jolla, CA 92037 | |
| Vanessa R Wang | Physician Assistant | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Robert R Varney | Interventional Radiology | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Gordon Lee Kim | Gastroenterology | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Peter D Aldrich | Internal Medicine | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Katrina I Deleon | Geriatric Medicine | Scripps Health | 10666 N Torrey Pines Rd, 2nd Floor Sw209, La Jolla, CA 92037-1027 |
| Virginia T Chan | Hospitalist | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Laura J Nicholson | Hospitalist | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Christopher L Marsh | Urology | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Shazia M Jamil | Critical Care (intensivists) | Scripps Health | 10666 N Torrey Pines Rd, 2nd Floor Sw209, La Jolla, CA 92037-1027 |
| Find all physicians in zip 92037 | |||
| City | LA JOLLA |
| Zip Code | 92037 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | LA JOLLA + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Mohamed Omar Radwan.
| 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.