Nikolaos Michalacos (NPI# 1083697932, PAC ID# 2860565850) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1083697932 |
| PAC ID by PECOS | 2860565850 |
| Professional Enrollment ID | I20080724000253 |
| Full Name | Nikolaos Michalacos |
| Organization Legal Name | STEWARD MEDICAL GROUP INC |
| Address |
2100 Corchester Ave Dorchester MA 02124-5615 |
| Phone Number | 6172964000 |
| Gender | M |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2860688728 |
| Number of Group Practice Members | 1568 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220111 | GOOD SAMARITAN MEDICAL CENTER |
| 220052 | SIGNATURE HEALTHCARE BROCKTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 736 Cambridge St Smc, 8 St Eliz Med Center, Brighton, MA 02135-2907 | 6177895004 | STEWARD MEDICAL GROUP INC |
| 2100 Corchester Ave, Dorchester, MA 02124-5615 | 6172964000 | STEWARD MEDICAL GROUP INC |
| Organization Legal Name | STEWARD MEDICAL GROUP INC |
| Physicians | 1501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ribhu Tushar Jha | Neurosurgery | Steward Medical Group Inc | 736 Cambridge St Ccp, 8 Neurosurg. Neurology, Brighton, MA 02135-2907 |
| Amber Hicks-thibodeau | Family Medicine | Steward Medical Group Inc | 5170 Belmont Ave, Youngstown, OH 44505-1022 |
| Neal Mahesh Patel | Gastroenterology | Steward Medical Group Inc | 2501 Shenango Valley Fwy, Suite 3, Hermitage, PA 16148-2536 |
| George P Christophi | Gastroenterology | Steward Medical Group Inc | 8075 Spyglass Hill Rd, Suite 101, Melbourne, FL 32940-8281 |
| Darya P. Zakirov | Nurse Practitioner | Steward Medical Group Inc | 100 Industrial Park Rd, Suite 1, Taunton, MA 02780-7396 |
| Cynthia E Rider | Nurse Practitioner | Steward Medical Group Inc | 8005 Bay St, Suite 1, Sebastian, FL 32958-3244 |
| Jeffrey Henry Janco | Nurse Practitioner | Steward Medical Group Inc | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| Pamela Ann Johnson | Nurse Practitioner | Steward Medical Group Inc | 119 Longwood Ave, Rockledge, FL 32955-2827 |
| Shailendra Singh | Interventional Cardiology | Steward Medical Group Inc | 1800 Sulllivan Trail, Suite 200, Easton, PA 18040-8493 |
| Asa Paris | Certified Registered Nurse Anesthetist (crna) | Steward Medical Group Inc | 235 N Pearl St, Brockton, MA 02301-1794 |
| Street Address |
2100 CORCHESTER AVE |
| City | DORCHESTER |
| State | MA |
| Zip | 02124-5615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Breckon Daniel Pav | Emergency Medicine | Steward Emergency Physicians, Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Okeanis Vaou | Neurology | Steward Medical Group Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Morteza M Farizan | Vascular Surgery | 2100 Corchester Ave, Dorchester, MA 02124-5615 | |
| Raymond K Ryan | Neurology | Steward Medical Group Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Stacey Mceachern | Nurse Practitioner | Steward Medical Group Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Cyllene A Saintelien | Nurse Practitioner | Steward Medical Group Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Robert B Gilman | Psychiatry | Steward Medical Group Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Katelyn Marie Sullivan | Emergency Medicine | Steward Emergency Physicians, Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Puay Eng Tan | Pathology | Steward Medical Group Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| James P Morgan | Cardiovascular Disease (cardiology) | Steward Medical Group Inc | 2100 Corchester Ave, Dorchester, MA 02124-5615 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John C Dupuy | Chiropractic | Active Chiropractic Rehab Inc | 497 Washington St, Dorchester, MA 02124-2014 |
| Carl J Virusso | Chiropractic | Active Chiropractic Rehab Inc | 497 Washington St, Dorchester, MA 02124-2014 |
| Jonathan M Pincus | Internal Medicine | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Marie A Pierre-victor | Clinical Social Worker | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Denise M Croken | Nurse Practitioner | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Melissa Dagher | Clinical Social Worker | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Jahna Knobler | Nurse Practitioner | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Elisabeth A. Offenberger | Registered Dietitian Or Nutrition Professional | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Jane F Tuitt | Nurse Practitioner | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Sara A Tepperberg | Family Medicine | Codman Square Health Center, Inc | 637 Washington St, Dorchester, MA 02124-3510 |
| Find all physicians in zip 02124 | |||
| City | DORCHESTER |
| Zip Code | 02124 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DORCHESTER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Nikolaos Michalacos.
| 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.