Jacek E Lyszkowicz (NPI# 1902859044, PAC ID# 5092705095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1902859044 |
| PAC ID by PECOS | 5092705095 |
| Professional Enrollment ID | I20040513000028 |
| Full Name | Jacek E Lyszkowicz |
| Address |
1015 Milstead Neave Suite 100 Conyers GA 30012-4515 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1970 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110091 | PIEDMONT ROCKDALE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1015 Milstead Neave, Suite 100, Conyers, GA 30012-4515 |
| Street Address |
1015 MILSTEAD NEAVE SUITE 100 |
| City | CONYERS |
| State | GA |
| Zip | 30012-4515 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Wilder | Chiropractic | 1091 W Ave Sw, Conyers, GA 30012 | |
| Sitharam Chowdary Nandigam | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Ekundayo A Falase | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Yilikal Tassew Kassa | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Nardos Ketema Belayneh | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Neil A Trossevin | Physician Assistant | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Allen A Futral | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Bert T Chen | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Froylan C Gonzales | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Kisha Adderley | Nurse Practitioner | Rockdale Physician Practices LLC | 1301 Sigman Rd Ne, Suite 125, Conyers, GA 30012-3812 |
| Find all physicians in zip 30012 | |||
| City | CONYERS |
| Zip Code | 30012 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CONYERS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jacek E Lyszkowicz.
| 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.