Clem A Ciccarelli (NPI# 1881687721, PAC ID# 2163511205) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1881687721 |
| PAC ID by PECOS | 2163511205 |
| Professional Enrollment ID | I20071128000016 |
| Full Name | Clem A Ciccarelli |
| Organization Legal Name | GREEN HILL FAMILY PRACTICE LLC |
| Address |
503 N 21st St Camp Hill PA 17011-2204 |
| Phone Number | 7177748400 |
| Gender | M |
| Medical School | BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1355601741 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390004 | HOLY SPIRIT HOSPITAL |
| 390067 | PINNACLE HEALTH HOSPITALS |
| 390046 | YORK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 503 N 21st St, Camp Hill, PA 17011-2204 | 7177748400 | GREEN HILL FAMILY PRACTICE LLC |
| 503 Bridge St, Suite 200, New Cumberland, PA 17070-1972 | 7177748400 | GREEN HILL FAMILY PRACTICE LLC |
| 503 Bridge St, Suite 9, New Cumberland, PA 17070-1972 | 7179803300 | PHS PHYSICAL THERAPY LLC |
| Organization Legal Name | GREEN HILL FAMILY PRACTICE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Marie Maurice | Nurse Practitioner | Green Hill Family Practice LLC | 503 Bridge St, Suite 200, New Cumberland, PA 17070-1972 |
| Jill B Damico | Osteopathic Manipulative Medicine | Green Hill Family Practice LLC | 503 Bridge St, Suite 200, New Cumberland, PA 17070-1972 |
| Street Address |
503 N 21ST ST |
| City | CAMP HILL |
| State | PA |
| Zip | 17011-2204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ananya Daggubati | Emergency Medicine | Spirit Physician Services Inc | 503 N 21st St, Camp Hill, PA 17011-2204 |
| Krishna Reddy Dondeti | Internal Medicine | Spirit Physician Services Inc | 503 N 21st St, Hospitalist Services, Camp Hill, PA 17011-2204 |
| Raghavendra Srinivasa | Psychiatry | Spirit Physician Services Inc | 503 N 21st St, Camp Hill, PA 17011-2204 |
| Jose Anibal Serrano | Emergency Medicine | Spirit Physician Services Inc | 503 N 21st St, Camp Hill, PA 17011-2204 |
| Kimberly S Ford | Psychiatry | Spirit Physician Services Inc | 503 N 21st St, Camp Hill, PA 17011-2204 |
| Apwinder Kaur | Psychiatry | Spirit Physician Services Inc | 503 N 21st St, Camp Hill, PA 17011-2204 |
| Peter J Owens | Emergency Medicine | Spirit Physician Services Inc | 503 N 21st St, Camp Hill, PA 17011-2288 |
| Nicholas J Julius | Emergency Medicine | Spirit Physician Services Inc | 503 N 21st St, Camp Hill, PA 17011-2204 |
| Amit Kumar K Misra | Internal Medicine | Spirit Physician Services Inc | 503 N 21st St, Hospitalist Services, Camp Hill, PA 17011-2204 |
| Ji H Min | Anesthesiology | West Shore Anesthesia Associates, Ltd | 503 N 21st St, Camp Hill, PA 17011-2204 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leon Salem | Vascular Surgery | Spirit Physician Services Inc | 800 Polar Church Rd, Camp Hill, PA 17011 |
| Joseph J Campbell | Vascular Surgery | Spirit Physician Services Inc | 800 Polar Church Rd, Camp Hill, PA 17011 |
| John G Calaitges | Vascular Surgery | Spirit Physician Services Inc | 800 Polar Church Rd, Camp Hill, PA 17011 |
| Robert L Kardos | Optometry | 620 N 3rd St, Harrisburg, PA 17011-1113 | |
| Maame Esi Menyah | Physician Assistant | Franklin Family Services Inc | 412 Erford Rd, Camp Hill, PA 17011-1117 |
| Erica Borrell Mcdonald | Physician Assistant | Franklin Family Services Inc | 412 Erford Rd, Camp Hill, PA 17011-1117 |
| Hazel J Brown | Clinical Psychologist | 545 Saint Johns Dr, Camp Hill, PA 17011-1333 | |
| Christopher K Holt | Optometry | Dailey Eye Associates, P.C. | 1857 Ctr St, Camp Hill, PA 17011-1703 |
| Robert George Sanford Ii | Internal Medicine | Robert G Sanford Md Alan D Roumm Md and Ravi D Acharya Md Ptr | 1845 Ctr St, Camp Hill, PA 17011-1703 |
| Todd J Harvey | Ophthalmology | Dailey Eye Associates, P.C. | 1857 Ctr St, Camp Hill, PA 17011-1703 |
| Find all physicians in zip 17011 | |||
| City | CAMP HILL |
| Zip Code | 17011 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CAMP HILL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Clem A Ciccarelli.
| 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.