Amar C Gupta (NPI# 1528407467, PAC ID# 2961766191) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1528407467 |
| PAC ID by PECOS | 2961766191 |
| Professional Enrollment ID | I20190626001079 |
| Full Name | Amar C Gupta |
| Organization Legal Name | CLINIC MEDICAL SERVICES COMPANY |
| Address |
2420 Lake Ave Ashtabula OH 44004-4954 |
| Phone Number | 4409972262 |
| Gender | M |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 5698674653 |
| Number of Group Practice Members | 222 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360027 | AKRON GENERAL MEDICAL CENTER |
| 360091 | MEDINA HOSPITAL |
| 360180 | CLEVELAND CLINIC |
| 361303 | LODI COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2420 Lake Ave, Ashtabula, OH 44004-4954 | 4409972262 | CLINIC MEDICAL SERVICES COMPANY |
| 1000 E Washington St, Medina, OH 44256-2170 | 3307215117 | CLINIC MEDICAL SERVICES COMPANY |
| Organization Legal Name | CLINIC MEDICAL SERVICES COMPANY |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas B Owens | Diagnostic Radiology | Clinic Medical Services Company | 1450 Belle Ave, Lakewood, OH 44107-4211 |
| Jeffrey J Spreitzer | Diagnostic Radiology | Clinic Medical Services Company | 1792 Bell Tower Ln, Weston, FL 33326-3682 |
| Mark E Dearing | Diagnostic Radiology | Clinic Medical Services Company | 1199 Cascade Dr, Temperance, MI 48182-2314 |
| Lisa Young | Nurse Practitioner | Clinic Medical Services Company | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Rafik M Khalil | Diagnostic Radiology | Clinic Medical Services Company | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Mark A Richards | Diagnostic Radiology | Clinic Medical Services Company | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Matthew Coleman Rainey | Diagnostic Radiology | Clinic Medical Services Company | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Jay K Costantini | Diagnostic Radiology | Clinic Medical Services Company | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Ingrid Jingnan Wu | Diagnostic Radiology | Clinic Medical Services Company | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| James Buchino | Diagnostic Radiology | Clinic Medical Services Company | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Street Address |
2420 LAKE AVE |
| City | ASHTABULA |
| State | OH |
| Zip | 44004-4954 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sonia L Hissett | Nurse Practitioner | Hospitalist Medicine Physicians of Ohio, Professional Corporation | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Sean C O`brien | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants, Inc | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Helen Lee | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants, Inc | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Lisa Young | Nurse Practitioner | Clinic Medical Services Company | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Rafik M Khalil | Diagnostic Radiology | Clinic Medical Services Company | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Madonna L Dechristopher | Nurse Practitioner | Hospitalist Medicine Physicians of Ohio, Professional Corporation | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Randy Lee Mills | Hospitalist | Hospitalist Medicine Physicians of Ohio, Professional Corporation | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Andria M Salzano | Physician Assistant | Hospitalist Medicine Physicians of Ohio, Professional Corporation | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Sang Won Dacri Kim | Vascular Surgery | Ashtabula County Medical Center | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Daniel L Solomon | Anesthesiology | Anesthesia Consultants, Inc | 2420 Lake Ave, Ashtabula, OH 44004-4954 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Orlando Antonio Dsilva | Nephrology | Orlando Dsilva Md Inc | 1111 Lake Ave, Ashtabula, OH 44004-2929 |
| Tricia A Williams | Nurse Practitioner | Orlando Dsilva Md Inc | 1111 Lake Ave, Ashtabula, OH 44004-2929 |
| Donald Raymond Farley | Podiatry | 1604 W 19th St, Ashtabula, OH 44004-3036 | |
| Gina Marie Sumpter | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Alicia Sue Angelo | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Crystall L Weidle | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Heidi Marie Christensen | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Robyn Lynn Keaton | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Caitlin Marie Imhoff | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Tracy L Watson | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Find all physicians in zip 44004 | |||
| City | ASHTABULA |
| Zip Code | 44004 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | ASHTABULA + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Amar C Gupta.
| 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.