Pradeepa Vimalachandran (NPI# 1265848949, PAC ID# 4385923457) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1265848949 |
PAC ID by PECOS | 4385923457 |
Professional Enrollment ID | I20180227002101 |
Full Name | Pradeepa Vimalachandran |
Organization Legal Name | OAKLAND MERCY HOSPITAL |
Address |
211 N Engdahl Ave Mercyone Oakland Family Medicine Oakland NE 68045-1431 |
Phone Number | 4026855116 |
Gender | F |
Graduation Year | 2011 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 4981604949 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
281321 | OAKLAND MERCY HOSPITAL |
Address | Phone | Organization |
---|---|---|
211 N Engdahl Ave, Mercyone Oakland Family Medicine, Oakland, NE 68045-1431 | 4026855116 | OAKLAND MERCY HOSPITAL |
Organization Legal Name | OAKLAND MERCY HOSPITAL |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tracie A Martin | Family Medicine | Oakland Mercy Hospital | 601 E 2nd St, Mercyone Oakland Medical Center Prof Services, Oakland, NE 68045-1400 |
Peter J Thiele | Physician Assistant | Oakland Mercy Hospital | 220 Main St, Lyons, NE 68038-2676 |
Bret R Elliott | Family Medicine | Oakland Mercy Hospital | 601 E 2nd St, Mercyone Oakland Medical Center Prof Services, Oakland, NE 68045-1400 |
Amber J Hansen | Physician Assistant | Oakland Mercy Hospital | 601 E 2nd St, Oakland, NE 68045-1400 |
Street Address |
211 N ENGDAHL AVE MERCYONE OAKLAND FAMILY MEDICINE |
City | OAKLAND |
State | NE |
Zip | 68045-1431 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher J Johnson | Physical Therapy | 312 N Oakland Ave, Oakland, NE 68045-1196 | |
Paul E Johnson | General Surgery | Midlands Clinic PC | 601 E 2nd St, Oakland, NE 68045-1400 |
Tracie A Martin | Family Medicine | Oakland Mercy Hospital | 601 E 2nd St, Mercyone Oakland Medical Center Prof Services, Oakland, NE 68045-1400 |
Bret R Elliott | Family Medicine | Oakland Mercy Hospital | 601 E 2nd St, Mercyone Oakland Medical Center Prof Services, Oakland, NE 68045-1400 |
Amber J Hansen | Physician Assistant | Oakland Mercy Hospital | 601 E 2nd St, Oakland, NE 68045-1400 |
City | OAKLAND |
Zip Code | 68045 |
Specialty | FAMILY MEDICINE |
City + Specialty | OAKLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Pradeepa Vimalachandran.
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.