Elmo Baldassari (NPI# 1497799415, PAC ID# 3971645342) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1497799415 |
| PAC ID by PECOS | 3971645342 |
| Professional Enrollment ID | I20100122000519 |
| Full Name | Elmo Baldassari |
| Address |
300 Community Dr E Tobyhanna PA 18466-8992 |
| Phone Number | 5708399880 |
| Gender | M |
| Medical School | PENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390001 | GEISINGER-COMMUNITY MEDICAL CENTER |
| 390237 | REGIONAL HOSPITAL OF SCRANTON |
| 390201 | LEHIGH VALLEY HOSPITAL - POCONO |
| Address | Phone | Organization |
|---|---|---|
| 1439 Monroe Ave, Suite 3, Dunmore, PA 18509-2497 | 5709631974 | |
| 1800 Mulberry St, Geisinger Community Medical Center, Scranton, PA 18510-2369 | 5709698000 | |
| 425 Adams Ave, Regional Hospital Surgery Center, Scranton, PA 18510-2001 | 5705048100 | |
| 300 Community Dr, E, Tobyhanna, PA 18466-8992 | 5708399880 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 62% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 75% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 91% |
| Street Address |
300 COMMUNITY DR E |
| City | TOBYHANNA |
| State | PA |
| Zip | 18466-8992 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samit Shah | Cardiovascular Disease (cardiology) | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Anitha Sara Mathew-shaji | Internal Medicine | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Chris Sung | Diagnostic Radiology | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Newaz Hossain | Hospitalist | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Ehab S Hanna | Hospitalist | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Jenna M Bannon | Registered Dietitian Or Nutrition Professional | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Jennifer Yang Lee | Family Medicine | North Shore-lij Medical PC | 300 Community Dr, 1st, Manhasset, NY 11030-3816 |
| Kenneth A Bomparola | Physician Assistant | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Mara J Cofler Koldorff | Family Medicine | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Jose L. Cruz | Physician Assistant | North Shore-lij Medical PC | 300 Community Dr, Manhasset, NY 11030-3816 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Powell | Nurse Practitioner | Family Care Centers Inc | 100 Community and Gynecology, Suite 205, Tobyhanna, PA 18466 |
| Paula Kaitlyn Edelson | Obstetrics/gynecology | Family Care Centers Inc | 100 Community and Gynecology, Suite 205, Tobyhanna, PA 18466 |
| Kimberly Fuss | Nurse Practitioner | Family Care Centers Inc | 100 Community Dr, Suite 102, Tobyhanna, PA 18466-8986 |
| Patricia Christensen | Nurse Practitioner | Family Care Centers Inc | 100 Community Dr, Suite 102, Tobyhanna, PA 18466-8986 |
| Lucile Thelusmond | Nurse Practitioner | Family Care Centers Inc | 100 Community Dr, Suite 102, Tobyhanna, PA 18466-8986 |
| Marc Michael Keuler | Internal Medicine | Family Care Centers Inc | 100 Community Dr, Suite 102, Tobyhanna, PA 18466-8986 |
| City | TOBYHANNA |
| Zip Code | 18466 |
| Specialty | PODIATRY |
| City + Specialty | TOBYHANNA + PODIATRY |
Please comment or provide details below to improve the information on Elmo Baldassari.
| 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.