Boris Gilyadov (NPI# 1104212463, PAC ID# 1951637743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104212463 |
| PAC ID by PECOS | 1951637743 |
| Professional Enrollment ID | I20190801000025 |
| Full Name | Boris Gilyadov |
| Organization Legal Name | GEISINGER CLINIC |
| Address |
126 Market Way Mt Pocono PA 18344-1039 |
| Phone Number | 5708393633 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | SLEEP MEDICINE |
| Group Practice PAC ID | 5395657001 |
| Number of Group Practice Members | 2590 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390270 | GEISINGER WYOMING VALLEY MEDICAL CENTER |
| 390001 | GEISINGER-COMMUNITY MEDICAL CENTER |
| 390006 | GEISINGER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 126 Market Way, Mt Pocono, PA 18344-1039 | 5708393633 | GEISINGER CLINIC |
| Organization Legal Name | GEISINGER CLINIC |
| Physicians | 2646 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann Marie Elizabeth Trauger | Physical Therapy | Geisinger Clinic | 3 W Olive St, Scranton, PA 18508-2572 |
| Cassondra Andreychik Ellison | Dermatology | Geisinger Clinic | 16 Woodbine Lane, Geisinger Optometry, Danville, PA 17822-5240 |
| Catherine Patrick | Family Medicine | Geisinger Clinic | 1140 Quincy Ave, Dunmore, PA 18510-1150 |
| Rebecca Anne Phillips | Physician Assistant | Geisinger Clinic | 14229 Route 35, Richfield, PA 17086-8711 |
| Tiffany A Becker | Family Medicine | Geisinger Clinic | 560 Pierce St, Kingston, PA 18704-5716 |
| Jui Pandya | Ophthalmology | Geisinger Clinic | 10 Trieble Dr, Tunkhannock, PA 18657-7054 |
| James Eric Kasenchak | Ophthalmology | Geisinger Clinic | 800 W 4th St, Suite 104, Williamsport, PA 17701-5895 |
| Cassandra Phillips | Pediatric Medicine | Geisinger Clinic | 529 Terry Reiley Way, Pottsville, PA 17901-1774 |
| Corrine Ann Joy | Nurse Practitioner | Geisinger Clinic | 1201 Keystone Blvd, Pottsville, PA 17901-8982 |
| Sarah L Ganly | Nurse Practitioner | Geisinger Clinic | 25 Church St, Wilkes Barre, PA 18765-0999 |
| Street Address |
126 MARKET WAY |
| City | MT POCONO |
| State | PA |
| Zip | 18344-1039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcella Woytash | Physician Assistant | Geisinger Clinic | 126 Market Way, Mt Pocono, PA 18344-1039 |
| Matthew Robert Kozma | Family Medicine | Geisinger Clinic | 126 Market Way, Mt Pocono, PA 18344-1039 |
| Lauren M Stevens | Physician Assistant | Geisinger Clinic | 126 Market Way, Mt Pocono, PA 18344-1039 |
| Thomas G Urosevich | Optometry | Geisinger Clinic | 126 Market Way, Mt Pocono, PA 18344-1039 |
| Gary C. Wright | Family Medicine | Geisinger Clinic | 126 Market Way, Mt Pocono, PA 18344-1039 |
| Christopher Yusko | Internal Medicine | Geisinger Clinic | 126 Market Way, Mt Pocono, PA 18344-1039 |
| Nickesha Leona Francis | Nurse Practitioner | Geisinger Clinic | 126 Market Way, Mt Pocono, PA 18344-1039 |
| Sylvia M Bolock | Family Medicine | Geisinger Clinic | 126 Market Way, Mt Pocono, PA 18344-1039 |
| Halime El-hajmoussa | Family Medicine | Geisinger Clinic | 126 Market Way, Mt Pocono, PA 18344-1039 |
| Christopher Giddings Connolly | Family Medicine | Geisinger Clinic | 126 Market Way, Mt Pocono, PA 18344-1039 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Miller | Clinical Social Worker | Merakey Pennsylvania | 1151 Pocono Blvd, Mount Pocono, PA 18344-1033 |
| Nirmala K Yarra | Psychiatry | Merakey Pennsylvania | 1151 Pocono Blvd, Mount Pocono, PA 18344-1033 |
| Danielle D Sholcosky | Clinical Social Worker | Merakey Pennsylvania | 1151 Pocono Blvd, Mount Pocono, PA 18344-1033 |
| Allyson C Hardy | Pediatric Medicine | Geisinger Clinic | 126 Market Way, Mt Pocono, PA 18344-1039 |
| Christopher C Meister | Chiropractic | 1355 Pocono Blvd, Mount Pocono, PA 18344-1045 | |
| Charles P Morgan | Optometry | 3271 Route 940, Mount Pocono, PA 18344-1150 | |
| Gerald J Killian | Optometry | 3271 Route 940, Mount Pocono, PA 18344-1150 | |
| Richard V Simeone | Chiropractic | 18 Fork St, Mount Pocono, PA 18344-1202 | |
| Pamela Jean Olson | Clinical Social Worker | 1434 Pocono Blvd, Apt 1, Mount Pocono, PA 18344-1756 |
| City | MT POCONO |
| Zip Code | 18344 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MT POCONO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Boris Gilyadov.
| 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.