Jeffrey Thomas Omer (NPI# 1821062605, PAC ID# 4587751912) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1821062605 |
| PAC ID by PECOS | 4587751912 |
| Professional Enrollment ID | I20100715001058 |
| Full Name | Jeffrey Thomas Omer |
| Organization Legal Name | GREATER LOUISVILLE INTERNAL MEDICINE PSC |
| Address |
9517 Us Hwy 42 Prospect KY 40059-9237 |
| Phone Number | 5025870521 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9032191143 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180040 | JEWISH HOSPITAL & ST MARY'S HEALTHCARE |
| 180088 | NORTON HOSPITALS, INC |
| 180130 | BAPTIST HEALTH LOUISVILLE |
| 150044 | BAPTIST HEALTH FLOYD |
| Address | Phone | Organization |
|---|---|---|
| 250 E Liberty St, Suite 410, Louisville, KY 40202-1535 | 5025870521 | GREATER LOUISVILLE INTERNAL MEDICINE PSC |
| 9517 Us Hwy 42, Prospect, KY 40059-9237 | 5025870521 | GREATER LOUISVILLE INTERNAL MEDICINE PSC |
| Organization Legal Name | GREATER LOUISVILLE INTERNAL MEDICINE PSC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harry L Renco | Internal Medicine | Greater Louisville Internal Medicine Psc | 9517 Us Hwy 42, Prospect, KY 40059-9237 |
| Gregory John Ciliberti | Internal Medicine | Greater Louisville Internal Medicine Psc | 9403 Westport Rd, Louisville, KY 40241-2219 |
| Padmapriya Balakrishna | Internal Medicine | Greater Louisville Internal Medicine Psc | 9517 Us Hwy 42, Prospect, KY 40059-9237 |
| Salvatore Anthony Ciliberti | Internal Medicine | Greater Louisville Internal Medicine Psc | 9517 Us Hwy 42, Prospect, KY 40059-9237 |
| Michael D Chesnut | Internal Medicine | Greater Louisville Internal Medicine Psc | 9517 Us Hwy 42, Prospect, KY 40059-9237 |
| Jennifer Lynn Walden-fain | Internal Medicine | Greater Louisville Internal Medicine Psc | 250 E Liberty St, Suite 410, Louisville, KY 40202-1535 |
| James William Bosler Iii | Internal Medicine | Greater Louisville Internal Medicine Psc | 9517 Us Hwy 42, Prospect, KY 40059-9237 |
| Isabelita P Wijangco | Internal Medicine | Greater Louisville Internal Medicine Psc | 250 E Liberty St, Suite 410, Louisville, KY 40202-1535 |
| Street Address |
9517 US HWY 42 |
| City | PROSPECT |
| State | KY |
| Zip | 40059-9237 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harry L Renco | Internal Medicine | Greater Louisville Internal Medicine Psc | 9517 Us Hwy 42, Prospect, KY 40059-9237 |
| Padmapriya Balakrishna | Internal Medicine | Greater Louisville Internal Medicine Psc | 9517 Us Hwy 42, Prospect, KY 40059-9237 |
| Salvatore Anthony Ciliberti | Internal Medicine | Greater Louisville Internal Medicine Psc | 9517 Us Hwy 42, Prospect, KY 40059-9237 |
| Michael D Chesnut | Internal Medicine | Greater Louisville Internal Medicine Psc | 9517 Us Hwy 42, Prospect, KY 40059-9237 |
| James William Bosler Iii | Internal Medicine | Greater Louisville Internal Medicine Psc | 9517 Us Hwy 42, Prospect, KY 40059-9237 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clint M Tucker | Dermatology | Dr William M Parsley Md Psc | 10619 Meeting St, Suite 106, Prospect, KY 40059-6555 |
| Logan E Turner | Dermatology | Dr William M Parsley Md Psc | 10619 Meeting St, Suite 106, Prospect, KY 40059-6555 |
| William M Parsley | Dermatology | Dr William M Parsley Md Psc | 10619 Meeting St, Suite 106, Prospect, KY 40059-6555 |
| Kellie Sheehy | Nurse Practitioner | 9414 Norton Commons Blvd, Unit 201, Prospect, KY 40059-6573 | |
| Muhammad Yasin | Pulmonary Disease | 13304 Ridgemoor Dr, Prospect, KY 40059-7139 | |
| Vedad Seremet | Family Medicine | Town Family Doctor, Pllc | 9501 Norton Commons Blvd, Unit B, Prospect, KY 40059-7522 |
| Dzanan Gusic | Nurse Practitioner | Town Family Doctor, Pllc | 9501 Norton Commons Blvd, Unit B, Prospect, KY 40059-7522 |
| Andrea S Burch | Dermatology | Tamella Buss Cassis Md Pllc | 9301 Dayflower St, Suite 100, Prospect, KY 40059-7585 |
| Catherine B Booker | Physician Assistant | Tamella Buss Cassis Md Pllc | 9301 Dayflower St, Suite 100, Prospect, KY 40059-7585 |
| Heather Janes | Physician Assistant | Tamella Buss Cassis Md Pllc | 9301 Dayflower St, Suite 100, Prospect, KY 40059-7585 |
| Find all physicians in zip 40059 | |||
| City | PROSPECT |
| Zip Code | 40059 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PROSPECT + INTERNAL MEDICINE |
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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.