Frank Puhalovich (NPI# 1548253941, PAC ID# 4082893862) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1548253941 |
| PAC ID by PECOS | 4082893862 |
| Professional Enrollment ID | I20110126000039 |
| Full Name | Frank Puhalovich |
| Organization Legal Name | LAKESIDE NEUROLOGY, P.C. |
| Address |
1100 Northside Forsyth Dr Suite 440 Cumming GA 30041-6015 |
| Phone Number | 7707511589 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 0143584250 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| 110198 | WELLSTAR NORTH FULTON HOSPITAL |
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1100 Northside Forsyth Dr, Suite 440, Cumming, GA 30041-6015 | 7707511589 | LAKESIDE NEUROLOGY, P.C. |
| 1100 Northside Forsyth Dr, Suite 440, Cumming, GA 30041-6015 | 7702034881 | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 7708443200 | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| 3340 Paddock Pkwy, Suwanee, GA 30024-9119 | 6786796210 | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| 3350 Paddocks Pkwy, 3350a, Suwanee, GA 30024-9119 | 6784749633 | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| 3380 Paddock Pkwy, Suwanee, GA 30024-9119 | 6784749633 | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Organization Legal Name | LAKESIDE NEUROLOGY, P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter R Futrell | Neurology | Lakeside Neurology, P.C. | 1100 Northside Forsyth Dr, Suite 440, Cumming, GA 30041-6015 |
| Street Address |
1100 NORTHSIDE FORSYTH DR SUITE 440 |
| City | CUMMING |
| State | GA |
| Zip | 30041-6015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica F Wysock | Nurse Practitioner | Northside Surgical Professional Services LLC | 1100 Northside Forsyth Dr, Suite 410, Cumming, GA 30041-6015 |
| Manuel Damian Rodriguez | Infectious Disease | Infectious Disease Service of Georgia | 1100 Northside Forsyth Dr, Suite 250, Cumming, GA 30041-6021 |
| Bernard R Drexinger Jr. | Neurology | 1100 Northside Forsyth Dr, Suite 210, Cumming, GA 30041-6016 | |
| Kellie Cain Henderson | Nurse Practitioner | Johns Creek Gastroenterology PC | 1100 Northside Forsyth Dr, Suite 330, Cumming, GA 30041-6020 |
| Edmund L Simon | Radiation Oncology | North Atlanta Professional Services LLC | 1100 Northside Forsyth Dr, Suite 140, Cumming, GA 30041-6014 |
| Clive Albert | Gastroenterology | Johns Creek Gastroenterology PC | 1100 Northside Forsyth Dr, Suite 330, Cumming, GA 30041-6020 |
| John K Attokaren | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 1100 Northside Forsyth Dr, Suite 450, Cumming, GA 30041-6019 |
| Peter R Futrell | Neurology | Lakeside Neurology, P.C. | 1100 Northside Forsyth Dr, Suite 440, Cumming, GA 30041-6015 |
| Sara G Davis | Audiologist | Milton Hall Surgical Associates, LLC | 1100 Northside Forsyth Dr, Cumming, GA 30041-6019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max M Benson | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| William G Littlefield | Hand Surgery | Peachtree Orthopaedic Clinic Pa | 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041 |
| Neil Tarabadkar | Orthopedic Surgery | Peachtree Orthopaedic Clinic Pa | 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041 |
| Amit Tibrewala | Internal Medicine | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| Kurt B Tompkins | Chiropractic | Tompkins Family Chiropractic Inc. | 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500 |
| Eric W Tompkins | Chiropractic | Tompkins Family Chiropractic Inc. | 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500 |
| Eli M Goldsmith | Chiropractic | 5285 Lake Pointe Ctr Dr, Suite B, Cumming, GA 30041-0901 | |
| Dominik Alan Shannon | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Dwarakinath Harish | Nephrology | 1445 Haw Creek Cir, Suite 504, Cumming, GA 30041-2723 | |
| Coleen Rodney Brown | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Find all physicians in zip 30041 | |||
| City | CUMMING |
| Zip Code | 30041 |
| Specialty | NEUROLOGY |
| City + Specialty | CUMMING + NEUROLOGY |
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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.