Glady Jacob (NPI# 1831311588, PAC ID# 2062587595) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1831311588 |
| PAC ID by PECOS | 2062587595 |
| Professional Enrollment ID | I20110621000245 |
| Full Name | Glady Jacob |
| Organization Legal Name | ROME MEDICAL PRACTICE |
| Address |
267 Hill Rd Suite 100 Rome NY 13441-4239 |
| Phone Number | 3153567380 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 1456366145 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330215 | ROME MEMORIAL HOSPITAL, INC |
| 330115 | ONEIDA HEALTHCARE CENTER |
| 331317 | LEWIS COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 267 Hill Rd, Suite 100, Rome, NY 13441-4239 | 3153567380 | ROME MEDICAL PRACTICE |
| Organization Legal Name | ROME MEDICAL PRACTICE |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney N Pineau | Obstetrics/gynecology | Rome Medical Practice | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
| Erica L Trimm | Physician Assistant | Rome Medical Practice | 1614 N James St, Rome, NY 13440-2830 |
| Kevin J Lynch | Physician Assistant | Rome Medical Practice | 107 E Chestnut St, 102 Rome Ortho and Sports, Rome, NY 13440-2834 |
| Katherine M Freeman | Nurse Practitioner | Rome Medical Practice | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 |
| Lauren A Giustra | Obstetrics/gynecology | Rome Medical Practice | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
| Mohammed S Seedat | Pulmonary Disease | Rome Medical Practice | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 |
| Keneth N Hall | General Surgery | Rome Medical Practice | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 |
| Theresa W Ruddy | Colorectal Surgery (proctology) | Rome Medical Practice | 1614 N James St, Rome Pulm and Sleep, Rome, NY 13440-2830 |
| Joseph Alfred Moretz Iii | Orthopedic Surgery | Rome Medical Practice | 107 E Chestnut St, 102 Rome Ortho and Sports, Rome, NY 13440-2834 |
| Mark H Moriarty | Orthopedic Surgery | Rome Medical Practice | 107 E Chestnut St, 102 Rome Ortho and Sports, Rome, NY 13440-2834 |
| Street Address |
267 HILL RD SUITE 100 |
| City | ROME |
| State | NY |
| Zip | 13441-4239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Fields | Nurse Practitioner | Pons Physician Services Pllc | 267 Hill Rd, Rome, NY 13441-4239 |
| Katherine M Freeman | Nurse Practitioner | Rome Medical Practice | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 |
| Renee A Ryan | Family Medicine | Pons Physician Services Pllc | 267 Hill Rd, Rome, NY 13441-4239 |
| Paula Pons | General Surgery | Pons Physician Services Pllc | 267 Hill Rd, Rome, NY 13441-4239 |
| Mohammed S Seedat | Pulmonary Disease | Rome Medical Practice | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 |
| Keneth N Hall | General Surgery | Rome Medical Practice | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan R Mizgala | Nurse Practitioner | Rome Medical Group, P.C. | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Eugene M Casab | Physical Therapy | Fitness Forum Physical Therapy PC | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Samir Desai | Hematology/oncology | Atul Butala Physician PC | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Andrew Charles Bushnell | Emergency Medicine | Rome Medical Group, P.C. | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Windy G Mitchell | Physician Assistant | Atul Butala Physician PC | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Vivienne E Taylor | Internal Medicine | Rome Medical Group, P.C. | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Patrice A Cianfrocco | Nurse Practitioner | Rome Medical Group, P.C. | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Matthew Daniel Sanchez | Nurse Practitioner | Rome Medical Group, P.C. | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Lawrence M Burgreen | Diagnostic Radiology | Mohawk Glen Radiology Associates of Cny Pllc | 91 Perimeter Rd, Rome, NY 13441-4018 |
| Hamid J Obeid | Otolaryngology | 91 Perimeter Rd, Suite 180, Rome, NY 13441-4020 | |
| Find all physicians in zip 13441 | |||
| City | ROME |
| Zip Code | 13441 |
| Specialty | NEUROLOGY |
| City + Specialty | ROME + NEUROLOGY |
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| 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.