Peter B Ojo (NPI# 1417154857, PAC ID# 2062570955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1417154857 |
| PAC ID by PECOS | 2062570955 |
| Professional Enrollment ID | I20101104000018 |
| Full Name | Peter B Ojo |
| Organization Legal Name | SOUTHERN TIER SURGICAL PLLC |
| Address |
30 Harrison St Suite 320 Johnson City NY 13790-2162 |
| Phone Number | 6077638205 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4486808631 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330394 | UNITED HEALTH SERVICES HOSPITALS, INC |
| 330011 | LOURDES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 30 Harrison St, Suite 320, Johnson City, NY 13790-2162 | 6077638205 | SOUTHERN TIER SURGICAL PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_113_overall | Colorectal Cancer Screening | 9% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 5% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 4% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 29% |
| Organization Legal Name | SOUTHERN TIER SURGICAL PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anishur Rahman | General Surgery | Southern Tier Surgical Pllc | 30 Harrison St, Suite 320, Johnson City, NY 13790-2162 |
| Christian D Tvetenstrand | General Surgery | Southern Tier Surgical Pllc | 30 Harrison St, Suite 320, Johnson City, NY 13790-2162 |
| Street Address |
30 HARRISON ST SUITE 320 |
| City | JOHNSON CITY |
| State | NY |
| Zip | 13790-2162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rohit B Shahani | Cardiac Surgery | United Medical Associates PC | 30 Harrison St, Suite 250, Johnson City, NY 13790-2176 |
| Jonathan D Kloss | Medical Oncology | Broome Oncology LLC | 30 Harrison St, Suite 100, Johnson City, NY 13790-3100 |
| Nick W Liu | Urology | United Health Services Hospitals Inc | 30 Harrison St, Johnson City, NY 13790-2161 |
| Joseph Andrew Readling | Hematology/oncology | Broome Oncology LLC | 30 Harrison St, Suite 100, Johnson City, NY 13790-3100 |
| Jane Polhamus | Nurse Practitioner | United Health Services Hospitals Inc | 30 Harrison St, Suite 340, Johnson City, NY 13790-2176 |
| Edward Ioffe | Urology | United Health Services Hospitals Inc | 30 Harrison St, Johnson City, NY 13790-2161 |
| Rachael Stocking | Nurse Practitioner | United Health Services Hospitals Inc | 30 Harrison St, Johnson City, NY 13790-2161 |
| Jared Martin Pado | Nurse Practitioner | United Health Services Hospitals Inc | 30 Harrison St, Suite 400, Johnson City, NY 13790-2176 |
| Ronald P Harris | Hematology/oncology | Broome Oncology LLC | 30 Harrison St, Suite 100, Johnson City, NY 13790-3100 |
| Anishur Rahman | General Surgery | Southern Tier Surgical Pllc | 30 Harrison St, Suite 320, Johnson City, NY 13790-2162 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa Leigh Middaugh | Physical Therapy | Physical Therapy At Oakdale, Pllc | 153 Oakdale Rd, Suite 2, Johnson City, NY 13790-1007 |
| Andrew James Whittock | Physician Assistant | Osteopathic Pain Management Services LLC | 153 Oakdale Rd, Johnson City, NY 13790-1007 |
| John K Koniuto | Physical Therapy | Physical Therapy At Oakdale, Pllc | 153 Oakdale Rd, Suite 2, Johnson City, NY 13790-1007 |
| Kevin L Hastings Jr. | Internal Medicine | Osteopathic Pain Management Services LLC | 153 Oakdale Rd, Johnson City, NY 13790-1007 |
| Molly C Higgins | Physical Medicine and Rehabilitation | Physical Therapy At Oakdale, Pllc | 153 Oakdale Rd, Suite 2, Johnson City, NY 13790-1007 |
| Lisa Cerutti | Physical Therapy | Bodyworks Physical Therapy LLC | 765 Harry L Dr, Johnson City, NY 13790-1012 |
| Molly Brown | Physical Therapy | Bodyworks Physical Therapy LLC | 765 Harry L Dr, Johnson City, NY 13790-1012 |
| Michelle A Morante | Clinical Social Worker | Calvary Community Wesleyan Church | 780 Harry L Dr, Johnson City, NY 13790-1036 |
| Laura Ward | Clinical Social Worker | Calvary Community Wesleyan Church | 780 Harry L Dr, Johnson City, NY 13790-1036 |
| Gregory T Peake | Physical Therapy | Broome Orthopedic and Sport Physical Therapy | 800 Valley Plz, Suite 9, Johnson City, NY 13790-1046 |
| Find all physicians in zip 13790 | |||
| City | JOHNSON CITY |
| Zip Code | 13790 |
| Specialty | GENERAL SURGERY |
| City + Specialty | JOHNSON CITY + GENERAL SURGERY |
Please comment or provide details below to improve the information on Peter B Ojo.
| 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.