Igor Medic (NPI# 1154618593, PAC ID# 4284902305) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MEDICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1154618593 |
| PAC ID by PECOS | 4284902305 |
| Professional Enrollment ID | I20170614001183 |
| Full Name | Igor Medic |
| Organization Legal Name | CANCER CENTER ONCOLOGY MEDICAL GROUP INC-EAST COUNTY |
| Address |
5555 Grossmont Ctr Dr La Mesa CA 91942-3019 |
| Phone Number | 6196443030 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | MEDICAL ONCOLOGY |
| Secondary Specialties | HEMATOLOGY, HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE |
| Group Practice PAC ID | 8022095868 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050026 | GROSSMONT HOSPITAL |
| 050222 | SHARP CHULA VISTA MEDICAL CENTER |
| 050100 | SHARP MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 | 6196443030 | CANCER CENTER ONCOLOGY MEDICAL GROUP INC-EAST COUNTY |
| 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 | 6197406000 | EMERGENCY AND ACUTE CARE MEDICAL CORPORATION |
| Organization Legal Name | CANCER CENTER ONCOLOGY MEDICAL GROUP INC-EAST COUNTY |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Bodkin | Hematology/oncology | Cancer Center Oncology Medical Group Inc-east County | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Kai Zu | Hematology/oncology | Cancer Center Oncology Medical Group Inc-east County | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Kristin Marie Elo | Physician Assistant | Cancer Center Oncology Medical Group Inc-east County | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Reema Batra | Hematology/oncology | Cancer Center Oncology Medical Group Inc-east County | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Street Address |
5555 GROSSMONT CTR DR |
| City | LA MESA |
| State | CA |
| Zip | 91942-3019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan R Mortezaie | Diagnostic Radiology | X-ray Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Mary Samantha Jones | Emergency Medicine | Team Physicians of Northern California Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Paul Y Abou | Internal Medicine | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 | |
| Krauz K Ganadjian | Psychiatry | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 | |
| Ahmad Kabakibi | Internal Medicine | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3077 | |
| Lori A Coleman | Radiation Oncology | X-ray Medical Group Radiation Oncology Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Todd A Baumbacher | Emergency Medicine | Team Physicians of Northern California Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Michael H Hight | Emergency Medicine | Team Physicians of Northern California Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Leila S Bolandgray | Internal Medicine | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 | |
| Jeffrey S Overcash | Emergency Medicine | Team Physicians of Northern California Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yu Cheng | Neurology | Er-kai Gao Md Inc. | 8851 Ctr Dr, Suite 603, La Mesa, CA 91942 |
| Ali Banaie | Gastroenterology | 8860 Ctr Dr, Suite 420, La Mesa, CA 91942 | |
| Alison P Anthony | Nurse Practitioner | Banaie Medical Corporation | 8860 Ctr Dr, Suite 420, La Mesa, CA 91942 |
| Carter C Gardner | Psychologist, Clinical | 4700 Spring St, La Mesa, CA 91942-0263 | |
| Martina Ann Clarke | Psychologist, Clinical | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Shirley J Lanyi | Psychologist, Clinical | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Cynthia A Thayer | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Loralisa Marie Rocca | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Judi Logan Winegar | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Lisa M. Wyneken | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Find all physicians in zip 91942 | |||
| City | LA MESA |
| Zip Code | 91942 |
| Specialty | MEDICAL ONCOLOGY |
| City + Specialty | LA MESA + MEDICAL ONCOLOGY |
Please comment or provide details below to improve the information on Igor Medic.
| 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.