Jeremiah J Altman (NPI# 1871791087, PAC ID# 4385739382) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1871791087 |
| PAC ID by PECOS | 4385739382 |
| Professional Enrollment ID | I20180329000065 |
| Full Name | Jeremiah J Altman |
| Organization Legal Name | PAIN AND SPINE SPECIALISTS OF MARYLAND LLC |
| Address |
2614 Memorial Blvd Suite A Connellsville PA 15425-1405 |
| Phone Number | 7246033560 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2668628124 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390184 | HIGHLANDS HOSPITAL |
| 390145 | EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL |
| 390219 | EXCELA HEALTH LATROBE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2614 Memorial Blvd, Suite A, Connellsville, PA 15425-1405 | 7246033560 | PAIN AND SPINE SPECIALISTS OF MARYLAND LLC |
| 514 Pellis Rd, Greensburg, PA 15601-4593 | 7246033560 | PAIN AND SPINE SPECIALISTS OF MARYLAND LLC |
| Organization Legal Name | PAIN AND SPINE SPECIALISTS OF MARYLAND LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron L Kime | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 100 Emerson Ln, Bridgeville, PA 15017-3484 |
| Greg Hites | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 2614 Memorial Blvd, Suite A, Connellsville, PA 15425-1405 |
| Sudhir Rao | Interventional Pain Management | Pain and Spine Specialists of Maryland LLC | 2702 Back Acre Cir, Suite 290b, Mount Airy, MD 21771-7769 |
| Lindsay Erdmann | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 4801 Dorsey Hall Dr, Suite 130, Ellicott City, MD 21042-7763 |
| Zainab Bundu | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 4801 Dorsey Hall Dr, Suite 130, Ellicott City, MD 21042-7763 |
| Katina Fetsko | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 2614 Memorial Blvd, Suite A, Connellsville, PA 15425-1405 |
| Suhas Badarinath | Pain Management | Pain and Spine Specialists of Maryland LLC | 2702 Back Acre Cir, Suite 290b, Mount Airy, MD 21771-7769 |
| Greesh John | Anesthesiology | Pain and Spine Specialists of Maryland LLC | 7200 Bank Ct, Suite 120, Frederick, MD 21703-2886 |
| Isaac Donkoh | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 2702 Back Acre Cir, Suite 290b, Mount Airy, MD 21771-7769 |
| Street Address |
2614 MEMORIAL BLVD SUITE A |
| City | CONNELLSVILLE |
| State | PA |
| Zip | 15425-1405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Greg Hites | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 2614 Memorial Blvd, Suite A, Connellsville, PA 15425-1405 |
| Katina Fetsko | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 2614 Memorial Blvd, Suite A, Connellsville, PA 15425-1405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Eichmiller | Physical Therapy | Keystone Rehabilitation Systems Inc | 2614 A Memorial Blvd, Connellsville, PA 15425-1405 |
| Jay Cunningham | Podiatry | 2616 D Memorial Blvd, Connellsville, PA 15425-1418 | |
| Richard Alan Conn | Family Medicine | Conn Family Medicine, P.C. | 2616 Memorial Blvd B, Connellsville, PA 15425-1418 |
| Edward J Pohodich | Nurse Practitioner | Conn Family Medicine, P.C. | 2616 Memorial Blvd B, Connellsville, PA 15425-1418 |
| Carla Mcclintock | Nurse Practitioner | Conn Family Medicine, P.C. | 2616 Memorial Blvd B, Connellsville, PA 15425-1418 |
| Jason P Willis | Physician Assistant | Excela Health Physician Practices, Inc | 2618 Memorial Blvd, Suite B, Connellsville, PA 15425-1419 |
| Ralph Passarelli | Orthopedic Surgery | Excela Health Physician Practices, Inc | 2618 Memorial Blvd, Suite B, Connellsville, PA 15425-1419 |
| Felix Brizuela Jr. | Neurology | Felix Brizuela Do Pllc | 2618 Memorial Blvd, Suite D, Connellsville, PA 15425-1419 |
| James R Hurley | Chiropractic | 2620 E Memorial Blvd, Connellsville, PA 15425-1488 | |
| William Joseph Kozak Jr. | Family Medicine | 2620 Memorial Blvd, Suite C, Connellsville, PA 15425-1488 | |
| Find all physicians in zip 15425 | |||
| City | CONNELLSVILLE |
| Zip Code | 15425 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CONNELLSVILLE + PHYSICIAN ASSISTANT |
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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.