Brian Omalley (NPI# 1083653646, PAC ID# 2860688678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1083653646 |
PAC ID by PECOS | 2860688678 |
Professional Enrollment ID | I20101118001280 |
Full Name | Brian Omalley |
Organization Legal Name | BRIAN O'MALLEY AND WILSA J. RYDER, PTR |
Address |
30 Shank Painter Rd Provincetown MA 02657-1342 |
Phone Number | 5084873505 |
Gender | M |
Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
Graduation Year | 1974 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 8527254333 |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
220012 | CAPE COD HOSPITAL |
Address | Phone | Organization |
---|---|---|
30 Shank Painter Rd, Provincetown, MA 02657-1342 | 5084873505 | BRIAN O'MALLEY AND WILSA J. RYDER, PTR |
Organization Legal Name | BRIAN O'MALLEY AND WILSA J. RYDER, PTR |
Physicians | 1 |
Street Address |
30 SHANK PAINTER RD |
City | PROVINCETOWN |
State | MA |
Zip | 02657-1342 |
Name | Specialty | Organization | Address |
---|---|---|---|
Terence J O Loughlin | Diagnostic Radiology | Progressive Physician Associates Inc | 29 Conant St, Suite 3, Provincetown, MA 02657-1352 |
Mary Ellen Dwyer | Clinical Social Worker | 30 Conwell St, Provincetown, MA 02657-1548 | |
Deborah L Shell | Clinical Social Worker | 30 Conwell St, Provincetown, MA 02657-1548 | |
Robert D Cohen | Clinical Social Worker | 30 Conwell St, Provincetown, MA 02657-1548 | |
Cynthia A Franco | Physical Therapy | 30 Conwell St, Unit 1, Provincetown, MA 02657-1548 | |
Frank D Bellistri | Nurse Practitioner | 30 Conwell St, Unit 12, Provincetown, MA 02657-1548 | |
Dale S Rheault | Clinical Social Worker | 30 Conwell St, Provincetown, MA 02657-1548 | |
Barbara A Murphy | Clinical Nurse Specialist | 30 Conwell St, Provincetown, MA 02657-1548 | |
William E Shay | Internal Medicine | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
Andrew C Jorgensen | Internal Medicine | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
Find all physicians in zip 02657 |
City | PROVINCETOWN |
Zip Code | 02657 |
Specialty | INTERNAL MEDICINE |
City + Specialty | PROVINCETOWN + INTERNAL MEDICINE |
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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.