Gibran Tallim (NPI# 1730151507, PAC ID# 3375679913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1730151507 |
PAC ID by PECOS | 3375679913 |
Professional Enrollment ID | I20100407000290 |
Full Name | Gibran Tallim |
Organization Legal Name | ROME MEDICAL GROUP, P.C. |
Address |
1801 Black River N Blvd Rome NY 13440-2427 |
Phone Number | 3153373770 |
Gender | M |
Graduation Year | 1977 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 2466444963 |
Number of Group Practice Members | 18 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330215 | ROME MEMORIAL HOSPITAL, INC |
Address | Phone | Organization |
---|---|---|
1801 Black River N Blvd, Rome, NY 13440-2427 | 3153373770 | ROME MEDICAL GROUP, P.C. |
Organization Legal Name | ROME MEDICAL GROUP, P.C. |
Physicians | 16 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jonathan R Mizgala | Nurse Practitioner | Rome Medical Group, P.C. | 91 Perimeter Rd, Rome, NY 13441-4018 |
Diane P Clute | Nurse Practitioner | Rome Medical Group, P.C. | 1801 Black River N Blvd, Rome, NY 13440-2427 |
Timothy E Mercer | Physician Assistant | Rome Medical Group, P.C. | 1801 Black River N Blvd, Rome, NY 13440-2427 |
Erin E Shea | Physician Assistant | Rome Medical Group, P.C. | 1801 Black River N Blvd, Rome, NY 13440-2427 |
Charles R Barnes | Physician Assistant | Rome Medical Group, P.C. | 1801 Black River N Blvd, Rome, NY 13440-2427 |
Andrew Charles Bushnell | Emergency Medicine | Rome Medical Group, P.C. | 91 Perimeter Rd, Rome, NY 13441-4018 |
Mark S Angleton | Physician Assistant | Rome Medical Group, P.C. | 1801 Black River N Blvd, Rome, NY 13440-2427 |
Desmond Francis | Internal Medicine | Rome Medical Group, P.C. | 1801 Black River N Blvd, Rome, NY 13440-2427 |
Vivienne E Taylor | Internal Medicine | Rome Medical Group, P.C. | 91 Perimeter Rd, Rome, NY 13441-4018 |
Patrice A Cianfrocco | Nurse Practitioner | Rome Medical Group, P.C. | 91 Perimeter Rd, Rome, NY 13441-4018 |
Street Address |
1801 BLACK RIVER N BLVD |
City | ROME |
State | NY |
Zip | 13440-2427 |
Name | Specialty | Organization | Address |
---|---|---|---|
Diane P Clute | Nurse Practitioner | Rome Medical Group, P.C. | 1801 Black River N Blvd, Rome, NY 13440-2427 |
Timothy E Mercer | Physician Assistant | Rome Medical Group, P.C. | 1801 Black River N Blvd, Rome, NY 13440-2427 |
Erin E Shea | Physician Assistant | Rome Medical Group, P.C. | 1801 Black River N Blvd, Rome, NY 13440-2427 |
Charles R Barnes | Physician Assistant | Rome Medical Group, P.C. | 1801 Black River N Blvd, Rome, NY 13440-2427 |
Mark S Angleton | Physician Assistant | Rome Medical Group, P.C. | 1801 Black River N Blvd, Rome, NY 13440-2427 |
Desmond Francis | Internal Medicine | Rome Medical Group, P.C. | 1801 Black River N Blvd, Rome, NY 13440-2427 |
Patrick F Caulfield | Family Medicine | Rome Medical Group, P.C. | 1801 Black River N Blvd, Rome, NY 13440-2427 |
Chrisanne Kuczmarski | Family Practice | Rome Medical Group, P.C. | 1801 Black River N Blvd, Rome, NY 13440-2427 |
Karen M Caruso | Nurse Practitioner | Rome Medical Group, P.C. | 1801 Black River N Blvd, Rome, NY 13440-2427 |
Leslie Auquilla Cabrera | Internal Medicine | Rome Medical Group, P.C. | 1801 Black River N Blvd, Rome, NY 13440-2427 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Courtney N Pineau | Obstetrics/gynecology | Rome Medical Practice | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
Lauren A Giustra | Obstetrics/gynecology | Rome Medical Practice | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
Carolyn Lerum | Nurse Practitioner | Rome Medical Practice | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
Diana R Wallace | Obstetrics/gynecology | Rome Medical Practice PC | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
Joann Roberts | Certified Nurse Midwife (cnm) | Oneida Medical Services, Pllc | 8080 Turin Rd, Rome, NY 13440-1910 |
James D Eagan | Physician Assistant | Ipc Hospitalist Services of New York PC | 8299 Turin Rd, Rome, NY 13440-1913 |
Richard Mutty | Orthopedic Surgery | 7980 Turin Rd, Suite 4, Rome, NY 13440-1934 | |
Sarah C Alexander | Nurse Practitioner | Cny Medicine and Allergy PC | 7900 Turin Rd/route 26 N, Beeches Professional Campus Bldg 2 Suites 1 and 2, Rome, NY 13440-1998 |
Colleen A Vernold | Clinical Social Worker | 6676 Potter Rd, Rome, NY 13440-2016 | |
Daniel E Burgdorf | Chiropractic | 7750 Merrick Rd, Rome, NY 13440-2136 | |
Find all physicians in zip 13440 |
City | ROME |
Zip Code | 13440 |
Specialty | FAMILY PRACTICE |
City + Specialty | ROME + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Gibran Tallim.
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.