Dominik M Chrzan (NPI# 1487967170, PAC ID# 3173767050) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1487967170 |
| PAC ID by PECOS | 3173767050 |
| Professional Enrollment ID | I20130913000786 |
| Full Name | Dominik M Chrzan |
| Organization Legal Name | IMA OF SOUTH FLORIDA LLC |
| Address |
9970 Central Park Blvd N Suite 102 Boca Raton FL 33428-2236 |
| Phone Number | 5614303599 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6406820414 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100168 | BOCA RATON REGIONAL HOSPITAL |
| 100268 | WEST BOCA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1601 Clint Moore, Suite 02, Boca Raton, FL 33487-2768 | 5618837770 | IMA OF SOUTH FLORIDA LLC |
| 9970 Central Park Blvd N, Suite 102, Boca Raton, FL 33428-2236 | 5614303599 | IMA OF SOUTH FLORIDA LLC |
| Organization Legal Name | IMA OF SOUTH FLORIDA LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn M Sepulveda | Nurse Practitioner | Ima of South Florida LLC | 10151 Enterprise Ctr Boulevard, Suite 106, Boynton Beach, FL 33437-3760 |
| Andrew C Lehmann | Internal Medicine | Ima of South Florida LLC | 1601 Clint Moore, Suite 02, Boca Raton, FL 33487-2768 |
| Elizabeth Stewart Elam | Physician Assistant | Ima of South Florida LLC | 9325 Glades Rd, Suite 107, Boca Raton, FL 33434-3988 |
| Sara Twist | Physician Assistant | Ima of South Florida LLC | 7100 Camino Real, Suite 110, Boca Raton, FL 33433-5510 |
| Jeffrey D Gross | Internal Medicine | Ima of South Florida LLC | 1601 Clint Moore Rd, Suite 115, Boca Raton, FL 33487-5712 |
| Sara Levine | Internal Medicine | Ima of South Florida LLC | 7100 Camino Real, Suite 110, Boca Raton, FL 33433-5510 |
| David L Slotnick | Internal Medicine | Ima of South Florida LLC | 1601 Clint Moore, Suite 02, Boca Raton, FL 33487-2768 |
| Marc Rosenberg | Internal Medicine | Ima of South Florida LLC | 9250 Glades Rd, Suite 108, Boca Raton, FL 33434-3958 |
| Ashley L Reinhardt | Physician Assistant | Ima of South Florida LLC | 1601 Clint Moore, Suite 02, Boca Raton, FL 33487-2768 |
| Michael C Angelillo | Internal Medicine | Ima of South Florida LLC | 1601 Clint Moore, Suite 02, Boca Raton, FL 33487-2768 |
| Street Address |
9970 CENTRAL PARK BLVD N SUITE 102 |
| City | BOCA RATON |
| State | FL |
| Zip | 33428-2236 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sunil C Patel | Hematology/oncology | 21st Century Oncology, LLC | 9970 Central Park Blvd N, Suite 304, Boca Raton, FL 33428-2237 |
| Elizabeth Nicole Polsinelli | Internal Medicine | Tenet Florida Physician Services LLC | 9970 Central Park Blvd N, Suite 205, Boca Raton, FL 33428-2236 |
| Elena Kruglyak | Internal Medicine | 21st Century Oncology, LLC | 9970 Central Park Blvd N, Suite 304, Boca Raton, FL 33428-2237 |
| Mitchell E Goldstein | Family Medicine | Tenet Florida Physician Services LLC | 9970 Central Park Blvd N, Suite 205, Boca Raton, FL 33428-2236 |
| Grant I Disick | Urology | 21st Century Oncology, LLC | 9970 Central Park Blvd N, Suite 207, Boca Raton, FL 33428-2236 |
| Samarth Lakshmaiah Reddy | Hematology/oncology | 21st Century Oncology, LLC | 9970 Central Park Blvd N, Suite 304, Boca Raton, FL 33428-2237 |
| Scott A Berger | Pain Management | Scott A Berger Md Pa | 9970 Central Park Blvd N, Suite 401, Boca Raton, FL 33428-2231 |
| Lavilia Y Toussaint | Certified Registered Nurse Anesthetist | Scott A Berger Md Pa | 9970 Central Park Blvd N, Boca Raton, FL 33428-2231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dena R Barash | Clinical Social Worker | 7100 W Camino Real, Suite 401, Boca Raton, FL 33428-1248 | |
| Jodi A Fiedler | Dermatology | Skin and Cancer Associates | 21020 State Rd, 7 Suite 120, Boca Raton, FL 33428-1320 |
| Mindy S Bohrer | Medical Oncology | 21st Century Oncology, LLC | 21020 State Rd, Boca Raton, FL 33428-1320 |
| Shari Topper | Dermatology | Skin and Cancer Associates | 21020 State Rd, 7 Suite 120, Boca Raton, FL 33428-1320 |
| Ashley Hynes | Physician Assistant | Dermpartners Inc | 21020 State Rd, 7 Suite 120, Boca Raton, FL 33428-1320 |
| Douglas R Leeman | Physician Assistant | Total Vein and Skin LLC | 20937 Lyons Rd, Boca Raton, FL 33428-1423 |
| Jay H Brachfeld | Dermatology | Jay H Brachfeld Md Pa | 20933 Lyons Rd, Boca Raton, FL 33428-1423 |
| Dori F Barenholtz | Physical Therapy | 20929 Lyons Rd, Boca Raton, FL 33428-1423 | |
| Andrew Sorial | Psychiatry | Boca Raton Psychiatry, LLC | 9980 N Central Park Blvd, Suite 210, Boca Raton, FL 33428-1703 |
| Renato V Ocampo Jr. | Plastic and Reconstructive Surgery | 9980 Central Park N Blvd, Suite 108, Boca Raton, FL 33428-1703 | |
| Find all physicians in zip 33428 | |||
| City | BOCA RATON |
| Zip Code | 33428 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BOCA RATON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Dominik M Chrzan.
| 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.