Omar F Al Khalidi
SUSQUEHANNA ANESTHESIA AFFILIATES, PC


Address: 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
Phone: 6077636735

Omar F Al Khalidi (NPI# 1417996398, PAC ID# 4385687862) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1417996398
PAC ID by PECOS 4385687862
Professional Enrollment ID I20050606000778
Full Name Omar F Al Khalidi
Organization Legal Name SUSQUEHANNA ANESTHESIA AFFILIATES, PC
Address 156 Corliss Ave
Apt 107
Johnson City
NY 13790-2071
Phone Number 6077636735
Gender M
Credential MD
Medical School STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE
Graduation Year 2001
Primary Specialty ANESTHESIOLOGY
Group Practice PAC ID 4385633882
Number of Group Practice Members 37
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330394 UNITED HEALTH SERVICES HOSPITALS, INC

Other Locations

Address Phone Organization
10 -24 Mitchell Ave, Binghamton, NY 13903-1617 UNITED HEALTH SERVICES HOSPITALS INC
54 Main St, Candor, NY 13743-1619 6076597272 UNITED HEALTH SERVICES HOSPITALS INC
156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 6077636735 SUSQUEHANNA ANESTHESIA AFFILIATES, PC
33 -57 Harrison St, Johnson City, NY 13790-2107 6077636101 UNITED HEALTH SERVICES HOSPITALS INC
55 -57 Harrison St, Johnson City, NY 13790-2143 6077636000 SUSQUEHANNA ANESTHESIA AFFILIATES, PC

Organization Information

Organization Legal Name SUSQUEHANNA ANESTHESIA AFFILIATES, PC
Physicians 39

Physicians with the same organization

Name Specialty Organization Address
Becky L Arnold Certified Registered Nurse Anesthetist (crna) Susquehanna Anesthesia Affiliates, PC 55 -57 Harrison St, Johnson City, NY 13790-2143
Sonia A Tenadu Certified Registered Nurse Anesthetist (crna) Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
Mark Rivlin Anesthesiology Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
Todd M Kubesh Certified Registered Nurse Anesthetist (crna) Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
James G Marra Certified Registered Nurse Anesthetist (crna) Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
Kerriann S Parchment Anesthesiology Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
Isuru U Wijesinghe Anesthesiology Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
Calene Gennett Certified Registered Nurse Anesthetist (crna) Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
Amy B Martin Certified Registered Nurse Anesthetist (crna) Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
Karyn J Lunde Certified Registered Nurse Anesthetist (crna) Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071

Office Location

Street Address 156 CORLISS AVE
APT 107
City JOHNSON CITY
State NY
Zip 13790-2071

Physicians in the same location

Name Specialty Organization Address
Sonia A Tenadu Certified Registered Nurse Anesthetist (crna) Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
Mark Rivlin Anesthesiology Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
Todd M Kubesh Certified Registered Nurse Anesthetist (crna) Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
James G Marra Certified Registered Nurse Anesthetist (crna) Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
Kerriann S Parchment Anesthesiology Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
Isuru U Wijesinghe Anesthesiology Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
Calene Gennett Certified Registered Nurse Anesthetist (crna) Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
Amy B Martin Certified Registered Nurse Anesthetist (crna) Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
Karyn J Lunde Certified Registered Nurse Anesthetist (crna) Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
Travis G Flanagan Certified Registered Nurse Anesthetist (crna) Susquehanna Anesthesia Affiliates, PC 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071
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Name Specialty Organization Address
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Molly C Higgins Physical Medicine and Rehabilitation Physical Therapy At Oakdale, Pllc 153 Oakdale Rd, Suite 2, Johnson City, NY 13790-1007
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Molly Brown Physical Therapy Bodyworks Physical Therapy LLC 765 Harry L Dr, Johnson City, NY 13790-1012
Michelle A Morante Clinical Social Worker Calvary Community Wesleyan Church 780 Harry L Dr, Johnson City, NY 13790-1036
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Competitor

Search similar physicians

City JOHNSON CITY
Zip Code 13790
Specialty ANESTHESIOLOGY
City + Specialty JOHNSON CITY + ANESTHESIOLOGY

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Dataset Information

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.

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