Doreen M Eadie (NPI# 1417939653, PAC ID# 3072617554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1417939653 |
| PAC ID by PECOS | 3072617554 |
| Professional Enrollment ID | I20070323000157 |
| Full Name | Doreen M Eadie |
| Organization Legal Name | NORTH SUFFOLK NEUROLOGY PC |
| Address |
1500 William Floyd Pkwy Suite 301 Shirley NY 11967-1800 |
| Phone Number | 6313649119 |
| Gender | F |
| Credential | PA |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8729305602 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330246 | ST CHARLES HOSPITAL |
| 330185 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1500 William Floyd Pkwy, Suite 301, Shirley, NY 11967-1800 | 6313649119 | NORTH SUFFOLK NEUROLOGY PC |
| Organization Legal Name | NORTH SUFFOLK NEUROLOGY PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shakira Shanker | Neurology | North Suffolk Neurology PC | 1500 William Floyd Pkwy, Suite 301, Shirley, NY 11967-1800 |
| Leena Eileen Youssefian | Neurology | North Suffolk Neurology PC | 1500 William Floyd Pkwy, Suite 301, Shirley, NY 11967-1800 |
| Stacey Lynn Hildebrand | Nurse Practitioner | North Suffolk Neurology PC | 1500 William Floyd Pkwy, Suite 301, Shirley, NY 11967-1800 |
| Derek Y Yuan | Neurology | North Suffolk Neurology PC | 1500 William Floyd Pkwy, Suite 301, Shirley, NY 11967-1800 |
| Robert Vincent Honor | Physician Assistant | North Suffolk Neurology PC | 1500 William Floyd Pkwy, Suite 301, Shirley, NY 11967-1800 |
| Street Address |
1500 WILLIAM FLOYD PKWY SUITE 301 |
| City | SHIRLEY |
| State | NY |
| Zip | 11967-1800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shakira Shanker | Neurology | North Suffolk Neurology PC | 1500 William Floyd Pkwy, Suite 301, Shirley, NY 11967-1800 |
| Leena Eileen Youssefian | Neurology | North Suffolk Neurology PC | 1500 William Floyd Pkwy, Suite 301, Shirley, NY 11967-1800 |
| Stacey Lynn Hildebrand | Nurse Practitioner | North Suffolk Neurology PC | 1500 William Floyd Pkwy, Suite 301, Shirley, NY 11967-1800 |
| Derek Y Yuan | Neurology | North Suffolk Neurology PC | 1500 William Floyd Pkwy, Suite 301, Shirley, NY 11967-1800 |
| Robert Vincent Honor | Physician Assistant | North Suffolk Neurology PC | 1500 William Floyd Pkwy, Suite 301, Shirley, NY 11967-1800 |
| Janine M Stiene | Qualified Speech Language Pathologist | 1500 William Floyd Pkwy, Suite 302, East Yaphank, NY 11967-1800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rana Tahir | Psychiatry | Satpal Rathour Medicine PC | 1250 William Floyd Pkwy, Shirley, NY 11967-1809 |
| Satpal S Rathour | Psychiatry | Satpal Rathour Medicine PC | 1250 William Floyd Pkwy, Shirley, NY 11967-1809 |
| Lawrence Cassano | Podiatry | 1273 William Floyd Pkwy, Shirley, NY 11967-1810 | |
| Michael D Ash | Clinical Social Worker | 1273 William Floyd Pkwy, Shirley, NY 11967-1825 | |
| Felix James Grucci Iii | Psychiatry | Brookhaven Memorial Hospital Medical Center | 550 Montauk Hwy, Shirley, NY 11967-2114 |
| Debbie-ann Ellington-tulloch | Nurse Practitioner | Hudson River Healthcare Inc | 550 Montauk Hwy, Shirley, NY 11967-2114 |
| Shu H Wang | Internal Medicine | Hudson River Healthcare Inc | 550 Montauk Hwy, Shirley, NY 11967-2114 |
| Linda Spence | Nurse Practitioner | Hudson River Healthcare Inc | 550 Montauk Hwy, Shirley, NY 11967-2114 |
| Rosemarie Hazoglou | Obstetrics/gynecology | Hudson River Healthcare Inc | 550 Montauk Hwy, Shirley, NY 11967-2114 |
| Imrana Ahmed | Family Medicine | Hudson River Healthcare Inc | 550 Montauk Hwy, Shirley, NY 11967-2114 |
| Find all physicians in zip 11967 | |||
| City | SHIRLEY |
| Zip Code | 11967 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SHIRLEY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Doreen M Eadie.
| 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.