Carmichael R.b John (NPI# 1679080428, PAC ID# 3274895859) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1679080428 |
| PAC ID by PECOS | 3274895859 |
| Professional Enrollment ID | I20180319001926 |
| Full Name | Carmichael R.b John |
| Organization Legal Name | SOUTH-WEST COMMUNITY HEALTH CENTER, INC. |
| Address |
762 Lindley St Bridgeport CT 06606-5046 |
| Phone Number | 2033306000 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466445200 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070010 | BRIDGEPORT HOSPITAL |
| 070028 | ST. VINCENT'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 762 Lindley St, Bridgeport, CT 06606-5046 | 2033306000 | SOUTH-WEST COMMUNITY HEALTH CENTER, INC. |
| Organization Legal Name | SOUTH-WEST COMMUNITY HEALTH CENTER, INC. |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Mraz | Nurse Practitioner | South-west Community Health Center, Inc. | 743 S Ave, Bridgeport, CT 06604-5810 |
| Djana Harp | Obstetrics/gynecology | South-west Community Health Center, Inc. | 510 Clinton Ave, Bridgeport, CT 06605-1701 |
| Julianne Y Icatar | Obstetrics/gynecology | South-west Community Health Center, Inc. | 762 Lindley St, Bridgeport, CT 06606-5046 |
| Nicole A Altbaum-nash | Clinical Social Worker | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Pierre H Estime | Family Medicine | South-west Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 |
| Lachanna R Evans | Nurse Practitioner | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Latoya Smith | Nurse Practitioner | South-west Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 |
| Charles P Alexander | Psychiatry | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Mary Lucia | Obstetrics/gynecology | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Frances U Ogudebe | Nurse Practitioner | South-west Community Health Center, Inc. | 743 S Ave, Bridgeport, CT 06604-5810 |
| Street Address |
762 LINDLEY ST |
| City | BRIDGEPORT |
| State | CT |
| Zip | 06606-5046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julianne Y Icatar | Obstetrics/gynecology | South-west Community Health Center, Inc. | 762 Lindley St, Bridgeport, CT 06606-5046 |
| Lissette Soto | Clinical Social Worker | South-west Community Health Center, Inc. | 762 Lindley St, Bridgeport, CT 06606-5046 |
| Jaimee Benes Dettmer | Obstetrics/gynecology | South-west Community Health Center, Inc. | 762 Lindley St, Bridgeport, CT 06606-5046 |
| Aleksandra Rosinski | Internal Medicine | South-west Community Health Center, Inc. | 762 Lindley St, Bridgeport, CT 06606-5046 |
| Joseph F Andrews Jr. | Internal Medicine | South-west Community Health Center, Inc. | 762 Lindley St, Bridgeport, CT 06606-5046 |
| Naomie Legagneur | Podiatry | South-west Community Health Center, Inc. | 762 Lindley St, Bridgeport, CT 06606-5046 |
| Hallie Mathia | Certified Nurse Midwife (cnm) | South-west Community Health Center, Inc. | 762 Lindley St, Bridgeport, CT 06606-5046 |
| Amarjit Singh Chhatwal | Podiatry | St Vincents Multispecialty Group, Inc | 762 Lindley St, Bridgeport, CT 06606-5046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Dean Breda | Otolaryngology | 4695 Main St, Suite 1, Bridgeport, CT 06606-1802 | |
| Jeffrey D Small | Urology | 4695 Main St, Bridgeport, CT 06606-1802 | |
| Abed Alkhatib | Oral Surgery | Oral Surgery Associates, L.l.c | 4747 Main St, Bridgeport, CT 06606-1804 |
| Robert P Horne | Oral Surgery | Oral Surgery Associates, L.l.c | 4747 Main St, Bridgeport, CT 06606-1804 |
| Howard B Twersky | Oral Surgery | Oral Surgery Associates, L.l.c | 4747 Main St, Bridgeport, CT 06606-1804 |
| David Brown | Orthopedic Surgery | Orthocare Specialists,llc | 4747 Main St, Bridgeport, CT 06606-1804 |
| Chiquana Allman | Nurse Practitioner | Sanitas of Connecticut LLC | 4551 Main St, Bridgeport, CT 06606-1818 |
| Noel S Thompson | Chiropractic | Chiropractic Associates of Bridgeport LLC | 4444 Main St, Bridgeport, CT 06606-1820 |
| Victor M Ribeiro | Chiropractic | Chiropractic Associates of Bridgeport LLC | 4444 Main St, Bridgeport, CT 06606-1820 |
| Patricia A Collins | Chiropractic | Chiropractic Associates of Bridgeport LLC | 4444 Main St, Bridgeport, CT 06606-1820 |
| Find all physicians in zip 06606 | |||
| City | BRIDGEPORT |
| Zip Code | 06606 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BRIDGEPORT + NURSE PRACTITIONER |
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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.