Pavlo I Netrebko (NPI# 1629240395, PAC ID# 2264504661) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1629240395 |
| PAC ID by PECOS | 2264504661 |
| Professional Enrollment ID | I20090901000563 |
| Full Name | Pavlo I Netrebko |
| Organization Legal Name | CARY CARDIOLOGY, P.A. |
| Address |
1 Medical Dr Benson NC 27504-1177 |
| Phone Number | 9192330059 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF PENNSYLVANIA |
| Graduation Year | 2005 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0244321016 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340173 | WAKEMED, CARY HOSPITAL |
| 340069 | WAKEMED, RALEIGH CAMPUS |
| 340071 | BETSY JOHNSON REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Dr, Benson, NC 27504-1177 | 9192330059 | CARY CARDIOLOGY, P.A. |
| 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 9193502300 | WAKEMED |
| 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 | 9192330059 | CARY CARDIOLOGY, P.A. |
| 3000 New Bern Ave, Raleigh, NC 27610-1231 | 9192208000 | WAKEMED |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CARY CARDIOLOGY, P.A. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather A Santori | Nurse Practitioner | Cary Cardiology, P.a. | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 |
| Sunil J Desai | Cardiovascular Disease (cardiology) | Cary Cardiology, P.a. | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 |
| Pratik V Desai | Cardiovascular Disease (cardiology) | Cary Cardiology, P.a. | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 |
| Tina M Jackson | Nurse Practitioner | Cary Cardiology, P.a. | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 |
| Priyavadan M Shah | Cardiovascular Disease (cardiology) | Cary Cardiology, P.a. | 1 Medical Dr, Benson, NC 27504-1177 |
| Dhiren N Shah | Cardiovascular Disease (cardiology) | Cary Cardiology, P.a. | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 |
| Rama G Garimella | Cardiovascular Disease (cardiology) | Cary Cardiology, P.a. | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 |
| Joshua C Macomber | Cardiovascular Disease (cardiology) | Cary Cardiology, P.a. | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 |
| Madeeha Saeed | Cardiovascular Disease (cardiology) | Cary Cardiology, P.a. | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 |
| Street Address |
1 MEDICAL DR |
| City | BENSON |
| State | NC |
| Zip | 27504-1177 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bilal M Agha | Rheumatology | 1 Medical Dr, Benson, NC 27504-1177 | |
| Viswanatha K Reddy | Internal Medicine | Eastern Carolina Medical Center, PC | 1 Medical Dr, Benson, NC 27504-1177 |
| Pankajkumar Kirtikant Vyas | Internal Medicine | Eastern Carolina Medical Center, PC | 1 Medical Dr, Benson, NC 27504-1177 |
| James Robert Hanley | Certified Registered Nurse Anesthetist (crna) | Anesthesia Care Services Pa | 1 Medical Dr, Benson, NC 27504-1177 |
| Jessica Vyas | Physician Assistant | Eastern Carolina Medical Center, PC | 1 Medical Dr, Benson, NC 27504-1177 |
| Priyavadan M Shah | Cardiovascular Disease (cardiology) | Cary Cardiology, P.a. | 1 Medical Dr, Benson, NC 27504-1177 |
| Ritesh Patel | Registered Dietitian Or Nutrition Professional | Eastern Carolina Medical Center, PC | 1 Medical Dr, Benson, NC 27504-1177 |
| Kamalkumar P Kolappa | Internal Medicine | Eastern Carolina Medical Center, PC | 1 Medical Dr, Benson, NC 27504-1177 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grayson Colette Massey | Physician Assistant | Advanced Spine and Pain Center, P.a. | One Medical Dr, Benson, NC 27504-1177 |
| Rachid Idrissi | Physical Medicine and Rehabilitation | Advanced Spine and Pain Center, P.a. | One Medical Dr, Benson, NC 27504-1177 |
| Grover C Berryhill Iii | Physician Assistant | Advanced Spine and Pain Center, P.a. | One Medical Dr, Benson, NC 27504-1177 |
| Kyle Flowers | Nurse Practitioner | Advanced Spine and Pain Center, P.a. | One Medical Dr, Benson, NC 27504-1177 |
| Josh A Balsly | Physician Assistant | Advanced Spine and Pain Center, P.a. | One Medical Dr, Benson, NC 27504-1177 |
| Elena T Reynolds | Physician Assistant | Advanced Spine and Pain Center, P.a. | One Medical Dr, Benson, NC 27504-1177 |
| Ambria J Mcarthur | Physician Assistant | Advanced Spine and Pain Center, P.a. | One Medical Dr, Benson, NC 27504-1177 |
| Taisha L Bowen Brown | Physician Assistant | Advanced Spine and Pain Center, P.a. | One Medical Dr, Benson, NC 27504-1177 |
| Moboluwade D Abe - Lathan | Physician Assistant | Advanced Spine and Pain Center, P.a. | One Medical Dr, Benson, NC 27504-1177 |
| Ron C Faircloth | Optometry | Pec Optometry Group Pa | 113 W Main St, Benson, NC 27504-1343 |
| Find all physicians in zip 27504 | |||
| City | BENSON |
| Zip Code | 27504 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | BENSON + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Pavlo I Netrebko.
| 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.