Tyler T Phan (NPI# 1306250931, PAC ID# 4880812072) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1306250931 |
| PAC ID by PECOS | 4880812072 |
| Professional Enrollment ID | I20140829002194 |
| Full Name | Tyler T Phan |
| Organization Legal Name | SBH PHYSICANS, PC |
| Address |
4422 3rd Ave Bronx NY 10457-2545 |
| Phone Number | 7189609000 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3072798941 |
| Number of Group Practice Members | 179 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330399 | ST BARNABAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 260 E 188th St, Bronx, NY 10458-5302 | 7186188236 | UNION COMMUNITY HEALTH CENTER, INC |
| 4422 3rd Ave, Bronx, NY 10457-2545 | 7189609000 | SBH PHYSICANS, PC |
| Organization Legal Name | SBH PHYSICANS, PC |
| Physicians | 181 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Jamison | Emergency Medicine | Sbh Physicans, PC | 4422 3rd Ave, Bronx, NY 10457-2545 |
| Robert Menkel | Critical Care (intensivists) | Sbh Physicans, PC | 4487 3rd Ave, Bronx, NY 10457-1526 |
| Ronald Verrier | General Surgery | Sbh Physicans, PC | 4422 3rd Ave, Bronx, NY 10457-2545 |
| Karl P Neddermeyer | Physician Assistant | Sbh Physicans, PC | 4487 3rd Ave, Bronx, NY 10457-1526 |
| Cecilia Aboagye | Nurse Practitioner | Sbh Physicans, PC | 4422 3rd Ave, Bronx, NY 10457-2545 |
| Jeremy Shugar | Osteopathic Manipulative Medicine | Sbh Physicans, PC | 4422 3rd Ave, Bronx, NY 10457-2545 |
| Srikanth Maddika | Internal Medicine | Sbh Physicans, PC | 4422 3rd Ave, Bronx, NY 10457-2545 |
| Riti Chhibba | Optometry | Sbh Physicans, PC | 4487 3rd Ave, Bronx, NY 10457-1526 |
| George Owens | Urology | Sbh Physicans, PC | 4422 3rd Ave, Bronx, NY 10457-2545 |
| Mehrdad Alaie | Emergency Medicine | Sbh Physicans, PC | 4422 3rd Ave, Bronx, NY 10457-2545 |
| Street Address |
4422 3RD AVE |
| City | BRONX |
| State | NY |
| Zip | 10457-2545 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Jamison | Emergency Medicine | Sbh Physicans, PC | 4422 3rd Ave, Bronx, NY 10457-2545 |
| Ronald Verrier | General Surgery | Sbh Physicans, PC | 4422 3rd Ave, Bronx, NY 10457-2545 |
| Cecilia Aboagye | Nurse Practitioner | Sbh Physicans, PC | 4422 3rd Ave, Bronx, NY 10457-2545 |
| Jeremy Shugar | Osteopathic Manipulative Medicine | Sbh Physicans, PC | 4422 3rd Ave, Bronx, NY 10457-2545 |
| Srikanth Maddika | Internal Medicine | Sbh Physicans, PC | 4422 3rd Ave, Bronx, NY 10457-2545 |
| George Owens | Urology | Sbh Physicans, PC | 4422 3rd Ave, Bronx, NY 10457-2545 |
| Mehrdad Alaie | Emergency Medicine | Sbh Physicans, PC | 4422 3rd Ave, Bronx, NY 10457-2545 |
| Lissette Pichardo | Anesthesiology | Bronx Anesthesia Services, PC | 4422 3rd Ave, Bronx, NY 10457-2545 |
| Scott M Segan | Neurology | 4422 3rd Ave, Bronx, NY 10457-2545 | |
| Paul Beyer | Emergency Medicine | Sbh Physicans, PC | 4422 3rd Ave, Bronx, NY 10457-2545 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Menkel | Critical Care (intensivists) | Sbh Physicans, PC | 4487 3rd Ave, Bronx, NY 10457-1526 |
| Karl P Neddermeyer | Physician Assistant | Sbh Physicans, PC | 4487 3rd Ave, Bronx, NY 10457-1526 |
| Riti Chhibba | Optometry | Sbh Physicans, PC | 4487 3rd Ave, Bronx, NY 10457-1526 |
| Stephen M Kramer | Psychiatry | Sbh Physicans, PC | 4487 3rd Ave, Bronx, NY 10457-1526 |
| Kunti Hanif | Physician Assistant | Sbh Physicans, PC | 4487 3rd Ave, Bronx, NY 10457-1526 |
| Raghu S Loganathan | Critical Care (intensivists) | Sbh Physicans, PC | 4487 3rd Ave, Bronx, NY 10457-1526 |
| Marlene Minarik | Physician Assistant | Sbh Physicans, PC | 4487 3rd Ave, Bronx, NY 10457-1526 |
| Jonathan H Klein | Radiation Oncology | Montefiore Medical Center | 4487 3rd Ave, Bronx, NY 10457-1526 |
| Manisha Kulshreshtha | Internal Medicine | Sbh Physicans, PC | 4487 3rd Ave, Bronx, NY 10457-1526 |
| Richard R Hwang | Pathology | Sbh Physicans, PC | 4487 3rd Ave, Bronx, NY 10457-1526 |
| Find all physicians in zip 10457 | |||
| City | BRONX |
| Zip Code | 10457 |
| Specialty | OPTOMETRY |
| City + Specialty | BRONX + OPTOMETRY |
Please comment or provide details below to improve the information on Tyler T Phan.
| 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.