Nino Kavtaradze (NPI# 1639574841, PAC ID# 1355668567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1639574841 |
| PAC ID by PECOS | 1355668567 |
| Professional Enrollment ID | I20160809000766 |
| Full Name | Nino Kavtaradze |
| Organization Legal Name | PREMIER IMMEDIATE MEDICAL CARE LLC |
| Address |
10050 Roosevelt Blvd Suite 2 Philadelphia PA 19116-3965 |
| Phone Number | 2155522818 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3779594221 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1139 Benjamin Franklin Hwy, Douglassville, PA 19518-2371 | 6103717700 | PREMIER IMMEDIATE MEDICAL CARE LLC |
| 10050 Roosevelt Blvd, Suite 2, Philadelphia, PA 19116-3965 | 2155522818 | PREMIER IMMEDIATE MEDICAL CARE LLC |
| 10050 Roosevelt Blvd, Philadelphia, PA 19116-3965 | 2155522818 | PREMIER IMMEDIATE MEDICAL CARE LLC |
| Organization Legal Name | PREMIER IMMEDIATE MEDICAL CARE LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christy Joy | Physician Assistant | Premier Immediate Medical Care LLC | 1139 Benjamin Franklin Hwy, Douglassville, PA 19518-2371 |
| Genevieve Asante-odame | Physician Assistant | Premier Immediate Medical Care LLC | 43 W Ridge Pike, Limerick, PA 19468-1711 |
| Tracey M Young | Emergency Medicine | Premier Immediate Medical Care LLC | 1139 Benjamin Franklin Hwy, Douglassville, PA 19518-2371 |
| Timothy Maurizi | Physician Assistant | Premier Immediate Medical Care LLC | 1139 Benjamin Franklin Hwy, Douglassville, PA 19518-2371 |
| Street Address |
10050 ROOSEVELT BLVD SUITE 2 |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19116-3965 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Vaill Walcott | Chiropractic | Walcott Chiropractic PC | 14260 Bustleton Ave, Philadelphia, PA 19116-1108 |
| Olga Itkin | Chiropractic | 14425 Bustleton Ave, Suite 101, Philadelphia, PA 19116-1177 | |
| Andrew Matthews | Internal Medicine | Hr Physician Services | 14425 Bustleton Ave F, Philadelphia, PA 19116-1177 |
| Douglas G Kimmel | General Practice | Hr Physician Services | 14425 Bustleton Ave, 205 Somerton Family Medical Associates, Philadelphia, PA 19116-1177 |
| Alexander Tarnopolsky | Family Medicine | Advanced Family Medicine P.C. | 14200 Bustleton Ave, Suite 4, Philadelphia, PA 19116-1186 |
| Anatoly Shlobin | Physical Therapy | Advanced Family Medicine P.C. | 14200 Bustleton Ave, Suite 4, Philadelphia, PA 19116-1186 |
| Vera Alexandra Karge | Physical Therapy | Integrated Medical Care, LLC | 15501 Bustleton Ave, Suite A, Philadelphia, PA 19116-1187 |
| Zena M Zingerman | Physical Medicine and Rehabilitation | Integrated Medical Care, LLC | 15501 Bustleton Ave, Suite A, Philadelphia, PA 19116-1187 |
| David Thomas Karge | Physical Therapy | Integrated Medical Care, LLC | 15501 Bustleton Ave, Suite A, Philadelphia, PA 19116-1187 |
| Valeria Filbert | Physical Therapy | Integrated Medical Care, LLC | 15501 Bustleton Ave, Suite A, Philadelphia, PA 19116-1187 |
| Find all physicians in zip 19116 | |||
| City | PHILADELPHIA |
| Zip Code | 19116 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PHILADELPHIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nino Kavtaradze.
| 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.