John P Flaherty (NPI# 1952715633, PAC ID# 4183911357) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1952715633 |
| PAC ID by PECOS | 4183911357 |
| Professional Enrollment ID | I20170203001905 |
| Full Name | John P Flaherty |
| Organization Legal Name | 4M EMERGENCY SYSTEMS-ANDOVER, LLC |
| Address |
476 S Main St Andover OH 44003-9602 |
| Phone Number | 3308414000 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2014 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7719992478 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390113 | MEADVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 476 S Main St, Andover, OH 44003-9602 | 3308414000 | 4M EMERGENCY SYSTEMS-ANDOVER, LLC |
| 751 Liberty St, Meadville, PA 16335-2559 | 8143335500 | PA LIBERTY ST EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | 4M EMERGENCY SYSTEMS-ANDOVER, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Cook | Emergency Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| James Gordon Gregory | Family Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| William Jian | Emergency Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| Mark A Bialas | Emergency Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| Street Address |
476 S MAIN ST |
| City | ANDOVER |
| State | OH |
| Zip | 44003-9602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Cook | Emergency Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| James Gordon Gregory | Family Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| William Jian | Emergency Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| Mark A Bialas | Emergency Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill P Wilson | Physical Therapy | 10 Public Sq, Andover, OH 44003-9314 | |
| Louise V Sheridan | Occupational Therapy | Therapeutic Solutions LLC | 10 Public Sq, Andover, OH 44003-9314 |
| Samuel Joseph Daisley | Family Medicine | Upmc Community Medicine Inc | 149 E Main St, Andover, OH 44003-9479 |
| Henry Debiec | General Practice | Primary Health Network | 5594 State Route 7, Andover, OH 44003-9490 |
| Randy S Zelen | Internal Medicine | Meadville Medical Center | 486 S Main St, Route 7, Andover, OH 44003-9602 |
| City | ANDOVER |
| Zip Code | 44003 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ANDOVER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on John P Flaherty.
| 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.