Robert T Dambach Jr. (NPI# 1538161252, PAC ID# 2567436454) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1538161252 |
| PAC ID by PECOS | 2567436454 |
| Professional Enrollment ID | I20091228000296 |
| Full Name | Robert T Dambach Jr. |
| Organization Legal Name | TRI COUNTY INTERNAL MEDICINE, PC |
| Address |
4720 Nelson Brogdon Blvd Sugar Hill GA 30518-3480 |
| Phone Number | 7709451990 |
| Gender | M |
| Medical School | SOUTHEASTERN COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9830187988 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| 110087 | GWINNETT MEDICAL CENTER |
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 | 7709451990 | TRI COUNTY INTERNAL MEDICINE, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 97% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 12% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 86% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 89% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 33% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 96% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 44% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% |
| Organization Legal Name | TRI COUNTY INTERNAL MEDICINE, PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary E Ostaszewski | Nurse Practitioner | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Leah Mickelson Macklin | Family Medicine | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Cristiane L Fukuda | Nurse Practitioner | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Stephanie Nadeau | Nurse Practitioner | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Melissa Schweiker | Nurse Practitioner | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Christopher Borrego | Internal Medicine | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Allison Brooke Augestad | Nurse Practitioner | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Tasha L Anderson | Nurse Practitioner | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Street Address |
4720 NELSON BROGDON BLVD |
| City | SUGAR HILL |
| State | GA |
| Zip | 30518-3480 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary E Ostaszewski | Nurse Practitioner | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Leah Mickelson Macklin | Family Medicine | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Cristiane L Fukuda | Nurse Practitioner | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Stephanie Nadeau | Nurse Practitioner | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Melissa Schweiker | Nurse Practitioner | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Christopher Borrego | Internal Medicine | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Allison Brooke Augestad | Nurse Practitioner | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Tasha L Anderson | Nurse Practitioner | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Morey | Physical Therapy | Atlanta Rehabilitation and Performance Center, Inc. | 1839 Buford Hwy Ne, Suite 100, Buford, GA 30518 |
| Rebecca Chasteen Sosebee | Optometry | 4965 Lanier Islands Pkwy, Suite 104, Buford, GA 30518-1717 | |
| Song H Na | Internal Medicine | 4995 Lanier Island Pkwy, Suite A, Buford, GA 30518-1741 | |
| John Henry Lloyd | Emergency Medicine | 5012 Bristol Industrial Wy, Suite 109, Buford, GA 30518-1775 | |
| Barrett A Staley | Physical Therapy | Lanier Therapy South, Inc. | 5005 Lanier Islands Pkwy, Suite 300, Buford, GA 30518-1802 |
| Paula Elliott | Chiropractic | 1675 Heraeus Blvd, Buford, GA 30518-3383 | |
| Albert B Bennett | Chiropractic | 1675 Heraeus Blvd, Buford, GA 30518-3383 | |
| David L Swofford | Optometry | 4420 Nelson Brogdon Blvd, Buford, GA 30518-3477 | |
| Nicholas A Foy | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 4510 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3478 |
| Patricia A Seebach | Chiropractic | 4530 Nelson Brogdon Blvd, Suite B, Sugar Hill, GA 30518-3478 | |
| Find all physicians in zip 30518 | |||
| City | SUGAR HILL |
| Zip Code | 30518 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SUGAR HILL + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Robert T Dambach Jr..
| 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.