Edward J Derrick (NPI# 1285078154, PAC ID# 2769611540) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1285078154 |
| PAC ID by PECOS | 2769611540 |
| Professional Enrollment ID | I20190815002248 |
| Full Name | Edward J Derrick |
| Organization Legal Name | THE CLEVELAND CLINIC FOUNDATION |
| Address |
67-1125 Mamalaho Hwy Kamuela HI 96743-8496 |
| Phone Number | 8088814880 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1850203555 |
| Number of Group Practice Members | 4291 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360230 | HILLCREST HOSPITAL |
| 360077 | FAIRVIEW HOSPITAL |
| 360144 | SOUTH POINTE HOSPITAL |
| 360180 | CLEVELAND CLINIC |
| 360125 | ASHTABULA COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2164442200 | THE CLEVELAND CLINIC FOUNDATION |
| 67-1125 Mamalaho Hwy, Kamuela, HI 96743-8496 | 8088814880 | THE CLEVELAND CLINIC FOUNDATION |
| 911 N Orange Ave, Apt 435, Orlando, FL 32801-1071 | 2169862919 | CLINIC MEDICAL SERVICES COMPANY |
| 1740 Cleveland Rd, Wooster, OH 44691-2204 | 3302874500 | WOOSTER CLINIC LLC |
| Organization Legal Name | THE CLEVELAND CLINIC FOUNDATION |
| Physicians | 4754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlyn Nicole Gasser | Physician Assistant | The Cleveland Clinic Foundation | 2550 Som Ctr Rd, Willoughby Hills, OH 44094-9655 |
| Francois Abi Fadel | Pulmonary Disease | The Cleveland Clinic Foundation | 9500 Euclid Ave, Cleveland, OH 44195-0001 |
| Rachael C Sullivan | General Surgery | The Cleveland Clinic Foundation | 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203 |
| Jessica Gumucio | Nurse Practitioner | The Cleveland Clinic Foundation | 33355 Health Campus Blvd, Avon, OH 44011-1399 |
| Vikas D Patel | Sports Medicine | The Cleveland Clinic Foundation | 5800 Cooper Foster Park W Rd, Lorain, OH 44053-4131 |
| Weston Tuten | Optometry | The Cleveland Clinic Foundation | 16215 Madison Ave, Lakewood, OH 44107-5618 |
| Yap-yee Chong | Pathology | The Cleveland Clinic Foundation | 18101 Lorain Ave, Cleveland, OH 44111-5612 |
| Megan Yvonne Boogaart | Nurse Practitioner | The Cleveland Clinic Foundation | 2999 Mcmackin Rd, Madison, OH 44057-2330 |
| Mathilde H Pioro | Rheumatology | The Cleveland Clinic Foundation | 29800 Bainbridge Rd, Solon, OH 44139-2202 |
| Arthi Ganesh Venkat | Ophthalmology | The Cleveland Clinic Foundation | 5700 Cooper Foster Park W Rd, Lorain, OH 44053-4152 |
| Street Address |
67-1125 MAMALAHO HWY |
| City | KAMUELA |
| State | HI |
| Zip | 96743-8496 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittney H Spivak | Family Medicine | Midpacific Hospitalists, LLC | 67-1125 Mamalaho Hwy, Kamuela, HI 96743-8496 |
| Erik Diaz | Anesthesiology | Medstream Anesthesia Hawaii, LLC | 67-1125 Mamalaho Hwy, Kamuela, HI 96743-8496 |
| David W Brown | Diagnostic Radiology | The Cleveland Clinic Foundation | 67-1125 Mamalaho Hwy, Kamuela, HI 96743-8496 |
| Neil M Barth | Hematology/oncology | North Hawaii Community Hospital Inc | 67-1125 Mamalaho Hwy, Kamuela, HI 96743-8496 |
| David Y Park | General Surgery | North Hawaii Community Hospital Inc | 67-1125 Mamalaho Hwy, Kamuela, HI 96743-8496 |
| Dawn Marie Baker Mccool | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Hawaii, LLC | 67-1125 Mamalaho Hwy, Kamuela, HI 96743-8496 |
| Melissa L Thompson | Anesthesiology | Medstream Anesthesia Hawaii, LLC | 67-1125 Mamalaho Hwy, Kamuela, HI 96743-8496 |
| Karl E Moon | Cardiovascular Disease (cardiology) | North Hawaii Community Hospital Inc | 67-1125 Mamalaho Hwy, Kamuela, HI 96743-8496 |
| Darrin J Kuczynski | Orthopedic Surgery | North Hawaii Community Hospital Inc | 67-1125 Mamalaho Hwy, Kamuela, HI 96743-8496 |
| Regina M Costantini | Obstetrics/gynecology | North Hawaii Community Hospital Inc | 67-1125 Mamalaho Hwy, Kamuela, HI 96743-8496 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan S Camacaylan | Physical Therapy | Mana Physical Therapy Inc | 65-1230 Mamalahoa Hwy E11, Kamuela, HI 96743 |
| Samuel P Gingrich | Family Practice | 59 -564 Kohala Mountain Rd, Kamuela, HI 96743 | |
| Charles Thomas Mauro Iv | Dermatology | 868 Ululani St, Suite 103, Hilo, HI 96743 | |
| Noelani Vargas | Physical Therapy | Mana Physical Therapy Inc | 65-1230 Mamalahoa Hwy E11, Kamuela, HI 96743 |
| Disa Gay B Camacaylan | Physical Therapy | Mana Physical Therapy Inc | 65-1230 Mamalahoa Hwy E11, Kamuela, HI 96743 |
| Melissa S Gosland | Family Medicine | Hawaii Permanente Medical Group Inc | 67-1185 Mamalahoa Hwy, Kamuela, HI 96743-7304 |
| Lois L Gregg | Family Medicine | Hawaii Permanente Medical Group Inc | 67-1185 Mamalahoa Hwy, Kamuela, HI 96743-7304 |
| Jeffrey R Tolan | Family Medicine | Hawaii Permanente Medical Group Inc | 67-1185 Mamalahoa Hwy, Kamuela, HI 96743-7304 |
| David A Knowles | Physician Assistant | Hawaii Permanente Medical Group Inc | 67-1185 Mamalahoa Hwy, Kamuela, HI 96743-7304 |
| Jed A Groom | General Practice | 64-1066 Mamalahoa Hwy, Unit B, Kamuela, HI 96743-7309 | |
| Find all physicians in zip 96743 | |||
| City | KAMUELA |
| Zip Code | 96743 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | KAMUELA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Edward J Derrick.
| 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.