Samir K Kassicieh (NPI# 1730254350, PAC ID# 4789742099) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1730254350 |
| PAC ID by PECOS | 4789742099 |
| Professional Enrollment ID | I20081015000106 |
| Full Name | Samir K Kassicieh |
| Address |
1010 Bridge Blvd Sw Suite A Albuquerque NM 87105-3765 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE, PHYSICAL MEDICINE AND REHABILITATION |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320021 | PRESBYTERIAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1010 Bridge Blvd Sw, Suite A, Albuquerque, NM 87105-3765 |
| Street Address |
1010 BRIDGE BLVD SW SUITE A |
| City | ALBUQUERQUE |
| State | NM |
| Zip | 87105-3765 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna Marie Jaramillo | Physician Assistant | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Carol Bellistri | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Dolores J Cordova | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Virginia Valentine | Certified Clinical Nurse Specialist (cns) | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Susette L Eaves | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Jennifer Lynne Pantoja | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Jose R Flores | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Carla R Kychik | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Ramon R Duarte | Internal Medicine | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Sean Edward Portman | Physician Assistant | Carlos J Esparza Md PC | 801 Encino Pl Ne, Suite 3, Albuquerque, NM 87105-2639 |
| Find all physicians in zip 87105 | |||
| City | ALBUQUERQUE |
| Zip Code | 87105 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ALBUQUERQUE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Samir K Kassicieh.
| 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.