Nicholas R Bastiampillai (NPI# 1093750242, PAC ID# 4082672217) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1093750242 |
| PAC ID by PECOS | 4082672217 |
| Professional Enrollment ID | I20041222000260 |
| Full Name | Nicholas R Bastiampillai |
| Organization Legal Name | WILMOT PRIMARY CARE GROUP, PLLC |
| Address |
603 N Wilmot Rd Suite 201 Tucson AZ 85711-2701 |
| Phone Number | 5207901556 |
| Gender | M |
| Credential | DO |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 5395967301 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030011 | ST JOSEPH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 603 N Wilmot Rd, Suite 201, Tucson, AZ 85711-2701 | 5207901556 | WILMOT PRIMARY CARE GROUP, PLLC |
| Organization Legal Name | WILMOT PRIMARY CARE GROUP, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria E Pina | Internal Medicine | Wilmot Primary Care Group, Pllc | 603 N Wilmot Rd, Suite 201, Tucson, AZ 85711-2701 |
| Talal Alsbiei | Internal Medicine | Wilmot Primary Care Group, Pllc | 603 N Wilmot Rd, Suite 201, Tucson, AZ 85711-2701 |
| Street Address |
603 N WILMOT RD SUITE 201 |
| City | TUCSON |
| State | AZ |
| Zip | 85711-2701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele Lynn Boyce Ley | Surgical Oncology | Arizona Oncology Associates PC | 603 N Wilmot Rd, Suite 151, Tucson, AZ 85711-2701 |
| Casandra A Liggins | Obstetrics/gynecology | Arizona Oncology Associates PC | 603 N Wilmot Rd, Suite 151, Tucson, AZ 85711-2701 |
| Sudhir Manda | Hematology/oncology | Arizona Oncology Associates PC | 603 N Wilmot Rd, Suite 151, Tucson, AZ 85711-2701 |
| Nicole C Pearce | Nurse Practitioner | Arizona Oncology Associates PC | 603 N Wilmot Rd, Suite 151, Tucson, AZ 85711-2701 |
| Raymond Taetle | Medical Oncology | Arizona Oncology Associates PC | 603 N Wilmot Rd, Suite 151, Tucson, AZ 85711-2701 |
| Ahmed M Abdelaziz | Hematology/oncology | Arizona Oncology Associates PC | 603 N Wilmot Rd, Suite 151, Tucson, AZ 85711-2701 |
| Maria E Pina | Internal Medicine | Wilmot Primary Care Group, Pllc | 603 N Wilmot Rd, Suite 201, Tucson, AZ 85711-2701 |
| Kellie A Porter | Nurse Practitioner | Arizona Oncology Associates PC | 603 N Wilmot Rd, Suite 151, Tucson, AZ 85711-2701 |
| Talal Alsbiei | Internal Medicine | Wilmot Primary Care Group, Pllc | 603 N Wilmot Rd, Suite 201, Tucson, AZ 85711-2701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David P Myers | General Practice | 750 S Craycroft, Suite 150, Tucson, AZ 85711 | |
| Ann E Vonkersburg | Physical Therapy | 975 N Alvernon Way, Tucson, AZ 85711-1048 | |
| Francesca Velez | Clinical Social Worker | 4646 E 2nd St, Tucson, AZ 85711-1107 | |
| Sheldon C Deal | Chiropractic | 1001 N Swan Rd, Tucson, AZ 85711-1215 | |
| James P Keleher | Chiropractic | 1001 N Swan Rd, Tucson, AZ 85711-1215 | |
| Lynne A Harrison | Psychologist, Clinical | 800 N Swan Rd, Suite 104, Tucson, AZ 85711-1256 | |
| Margaret I Ronstadt | Psychologist, Clinical | 800 N Swan Rd, Suite 100, Tucson, AZ 85711-1256 | |
| Edna Jean Dubose | Clinical Social Worker | 800 N Swan Rd, Suite 102, Tucson, AZ 85711-1256 | |
| David Thelon Daniell | Clinical Social Worker | 800 N Swan Rd, Suite 122, Tucson, AZ 85711-1275 | |
| Delia C Franco | Nurse Practitioner | Providers Direct Pllc | 5546 E 4th St, Tucson, AZ 85711-1452 |
| Find all physicians in zip 85711 | |||
| City | TUCSON |
| Zip Code | 85711 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TUCSON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Nicholas R Bastiampillai.
| 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.