Samir Gamal Ishak (NPI# 1548257488, PAC ID# 4880655331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1548257488 |
| PAC ID by PECOS | 4880655331 |
| Professional Enrollment ID | I20041019001023 |
| Full Name | Samir Gamal Ishak |
| Address |
500 W Votaw Jay County Hospital Portland IN 47371-1322 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150045 | DEKALB HEALTH |
| 151320 | JAY COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1100 Mercer Ave, Decatur, IN 46733-2303 | 2607242145 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 1300 Mercer Ave, Decatur, IN 46733-2407 | 2607242145 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2604812718 | PARK CENTER INC |
| 220 S Main St, Kendallville, IN 46755-1718 | 2603472453 | NORTHEASTERN CENTER, INC |
| 500 W Votaw, Jay County Hospital, Portland, IN 47371-1322 |
| Street Address |
500 W VOTAW JAY COUNTY HOSPITAL |
| City | PORTLAND |
| State | IN |
| Zip | 47371-1322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roy W Adams | Physical Therapy | 111 W N St, Portland, IN 47371-1153 | |
| Courtney Bible | Physical Therapy | Adams Physical Therapy Services Inc | 111 W N St, Portland, IN 47371-1153 |
| Joseph Francis Vormohr | Internal Medicine | Indiana University Health Ball Memorial Physicians Inc | 430 W Votaw St, Portland, IN 47371-1302 |
| Camille A Elick Shawver | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 428 W Votaw St, Portland, IN 47371-1302 |
| David M Brown | Emergency Medicine | Indiana University Health Ball Memorial Physicians Inc | 500 W Votaw St, Portland, IN 47371-1322 |
| Anne E. Hardesty | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 500 W Votaw St, Portland, IN 47371-1322 |
| Monzur Haque | General Surgery | Indiana University Health Ball Memorial Physicians Inc | 500 W Votaw St, Portland, IN 47371-1322 |
| Carla Ford | Clinical Social Worker | Jay County Hospital | 500 W Votaw St, Portland, IN 47371-1322 |
| Shaun M Roberts | Chiropractic | Schmit Chiropractic Offices, LLC | 207 W Main St, Portland, IN 47371-2124 |
| Cassandra Louise Alexander | Clinical Social Worker | Indiana University Health Ball Memorial Physicians Inc | 1758 W 100, Portland, IN 47371-8204 |
| Find all physicians in zip 47371 | |||
| City | PORTLAND |
| Zip Code | 47371 |
| Specialty | PSYCHIATRY |
| City + Specialty | PORTLAND + PSYCHIATRY |
Please comment or provide details below to improve the information on Samir Gamal Ishak.
| 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.