Shyamal K Mitra (NPI# 1467437079, PAC ID# 2860478120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1467437079 |
| PAC ID by PECOS | 2860478120 |
| Professional Enrollment ID | I20040628000190 |
| Full Name | Shyamal K Mitra |
| Organization Legal Name | ONSLOW MEMORIAL HOSPITAL INC |
| Address |
317 Western Blvd Jacksonville NC 28546-6338 |
| Phone Number | 9105772345 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1979 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), NUCLEAR MEDICINE, PERIPHERAL VASCULAR DISEASE |
| Group Practice PAC ID | 1456252899 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340042 | ONSLOW MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1161 Huffman Mill Rd, Suite A, Burlington, NC 27215-8862 | 9109158450 | CAROLINA CARDIOLOGY SLEEP AND OBESITY CENTER PC |
| 4111 Capitol St, Suite A, Durham, NC 27704-2153 | 91091584505 | CAROLINA CARDIOLOGY SLEEP AND OBESITY CENTER PC |
| 260 Memorial Dr A, Jacksonville, NC 28546-6332 | 9109158450 | CAROLINA CARDIOLOGY SLEEP AND OBESITY CENTER PC |
| 317 Western Blvd, Jacksonville, NC 28546-6338 | 9105772345 | ONSLOW MEMORIAL HOSPITAL INC |
| 3642 Henderson Dr, Suite A, Jacksonville, NC 28546-5217 | 91091584505 | CAROLINA CARDIOLOGY SLEEP AND OBESITY CENTER PC |
| 1136 Us Hwy 258 N, Suite 102b, Kinston, NC 28504-7724 | 91091584505 | CAROLINA CARDIOLOGY SLEEP AND OBESITY CENTER PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | ONSLOW MEMORIAL HOSPITAL INC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie Ann Ferguson | Certified Registered Nurse Anesthetist (crna) | Onslow Memorial Hospital Inc | 317 Western Boulevard, Jacksonville, NC 28546-6338 |
| Anuradha N Arcot | Pathology | Onslow Memorial Hospital Inc | 317 Western Blvd, Jacksonville, NC 28546-6338 |
| Bryan P Mathieson | Nurse Practitioner | Onslow Memorial Hospital Inc | 317 Western Blvd, Jacksonville, NC 28546-6338 |
| Jerry Evan Coy | Certified Registered Nurse Anesthetist (crna) | Onslow Memorial Hospital Inc | 317 Western Boulevard, Jacksonville, NC 28546-6338 |
| David T Rupert | Certified Registered Nurse Anesthetist (crna) | Onslow Memorial Hospital Inc | 317 Western Boulevard, Jacksonville, NC 28546-6338 |
| Alfred A. Pirro Jr. | Critical Care (intensivists) | Onslow Memorial Hospital Inc | 317 Western Blvd, Jacksonville, NC 28546-6338 |
| Angela P Williams | Certified Registered Nurse Anesthetist (crna) | Onslow Memorial Hospital Inc | 317 Western Boulevard, Jacksonville, NC 28546-6338 |
| Stephanie E Freeman | Critical Care (intensivists) | Onslow Memorial Hospital Inc | 317 Western Blvd, Jacksonville, NC 28546-6338 |
| Glenn P Thomasson | Certified Registered Nurse Anesthetist (crna) | Onslow Memorial Hospital Inc | 317 Western Boulevard, Jacksonville, NC 28546-6338 |
| Elena Mcneill | Pathology | Onslow Memorial Hospital Inc | 317 Western Blvd, Jacksonville, NC 28546-6338 |
| Street Address |
317 WESTERN BLVD |
| City | JACKSONVILLE |
| State | NC |
| Zip | 28546-6338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal A Lublin | Nurse Practitioner | Hospitalist Medicine Physicians of North Carolina Pllc | 317 Western Blvd, Jacksonville, NC 28546-6338 |
| Jeffrey David Hyland | Emergency Medicine | Emergency Coverage Corp | 317 Western Blvd, Jacksonville, NC 28546-6338 |
| Anuradha N Arcot | Pathology | Onslow Memorial Hospital Inc | 317 Western Blvd, Jacksonville, NC 28546-6338 |
| Rebecca Larkin | Nurse Practitioner | Emergency Coverage Services PC | 317 Western Blvd, Jacksonville, NC 28546-6338 |
| John E Stewart | Hospitalist | Hospitalist Medicine Physicians of North Carolina Pllc | 317 Western Blvd, Jacksonville, NC 28546-6338 |
| Lutf Rahman Sroush | Internal Medicine | Hospitalist Medicine Physicians of North Carolina Pllc | 317 Western Blvd, Jacksonville, NC 28546-6338 |
| Scott A Marinelli | Emergency Medicine | Emergency Coverage Corp | 317 Western Blvd, Jacksonville, NC 28546-6338 |
| Peter Jos Zavell | Emergency Medicine | Emergency Coverage Corp | 317 Western Blvd, Jacksonville, NC 28546-6338 |
| Bryan P Mathieson | Nurse Practitioner | Onslow Memorial Hospital Inc | 317 Western Blvd, Jacksonville, NC 28546-6338 |
| Worku M Wondafrash | Internal Medicine | Hospitalist Medicine Physicians of North Carolina Pllc | 317 Western Blvd, Jacksonville, NC 28546-6338 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Logan Alexander Kaptis | Physical Therapy | Activcare Physical Therapy, LLC | 308 Brynn Rd, Jacksonville, NC 28546 |
| Taylor Elise Curfman | Physical Therapy | Activcare Physical Therapy, LLC | 308 Brynn Rd, Jacksonville, NC 28546 |
| Brianne Landholt | Physical Therapy | Activcare Physical Therapy, LLC | 308 Brynn Rd, Jacksonville, NC 28546 |
| Kelly Cabanne | Physical Therapy | Activcare Physical Therapy, LLC | 308 Brynn Rd, Jacksonville, NC 28546 |
| Scott A Playford | Sports Medicine | Emergeortho Pa | 2000 Brabham Ave, Jacksonville, NC 28546-0200 |
| Antionio E Rodriguez | Cardiovascular Disease (cardiology) | Carolinaeast Physicians | 4275 Western Blvd, Jacksonville, NC 28546-1100 |
| Becky Holmberg | Physical Therapy | Carteret Surgical Associates Pa | 2145 Country Club Rd, Suite 800, Jacksonville, NC 28546-2400 |
| David Donald Johanson | Physical Therapy | Carteret Surgical Associates Pa | 2145 Country Club Rd, Suite 800, Jacksonville, NC 28546-2400 |
| Patrice L Stange | Occupational Therapy | Carteret Surgical Associates Pa | 2145 Country Club Rd, Suite 800, Jacksonville, NC 28546-2400 |
| Neil Duane Jones | General Surgery | Carteret Surgical Associates Pa | 2145 Country Club Rd, Suite 800, Jacksonville, NC 28546-2400 |
| Find all physicians in zip 28546 | |||
| City | JACKSONVILLE |
| Zip Code | 28546 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JACKSONVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shyamal K Mitra.
| 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.