Vsevolod Kohutiak (NPI# 1366410854, PAC ID# 5294798799) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1366410854 |
| PAC ID by PECOS | 5294798799 |
| Professional Enrollment ID | I20041109000010 |
| Full Name | Vsevolod Kohutiak |
| Organization Legal Name | LIMA GERONTOLOGY ASSOCIATES LLP |
| Address |
340 N Middletown Rd Lima PA 19063-5505 |
| Phone Number | 6108915840 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1960 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3274595103 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390222 | RIDDLE MEMORIAL HOSPITAL |
| 390180 | CROZER CHESTER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 340 N Middletown Rd, Lima, PA 19063-5505 | 6108915840 | LIMA GERONTOLOGY ASSOCIATES LLP |
| Organization Legal Name | LIMA GERONTOLOGY ASSOCIATES LLP |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Colton Brod | Geriatric Medicine | Lima Gerontology Associates LLP | 340 N Middletown Rd, Lima, PA 19063-5505 |
| Street Address |
340 N MIDDLETOWN RD |
| City | LIMA |
| State | PA |
| Zip | 19063-5505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert Joseph Woodring | Otolaryngology | Hearsay Ent Docs LLC | 340 N Middletown Rd, Fair Acres Nursing Home, Media, PA 19063-5597 |
| Martia B Good | Audiologist | Hearsay Ent Docs LLC | 340 N Middletown Rd, Fair Acres Nursing Home, Media, PA 19063-5597 |
| Robert Colton Brod | Geriatric Medicine | Lima Gerontology Associates LLP | 340 N Middletown Rd, Lima, PA 19063-5505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Bankes | Nurse Practitioner | Rose Tree Medical Associates LLC | 1098 Baltimore Pike, Media, PA 19063 |
| Jay Joseph Constantine | Endocrinology | 100 W 6th St, Suite 5, Media, PA 19063 | |
| Leon G De Masi | Preventative Medicine | Rose Tree Medical Associates LLC | 1098 Baltimore Pike, Media, PA 19063 |
| Roger C Sealy | Psychologist, Clinical | 890 Paxon Hollow Rd, Media, PA 19063-1003 | |
| Sonya Ombima | Nurse Practitioner | Inpatient Consultants of Pennsylvania PC | 100 Halcyon Dr, Media, PA 19063-1041 |
| Valentine B Czubaroff | Psychiatry | 4 Saddlebrook Cir, Media, PA 19063-1053 | |
| Mitchell Jay Cohen | Clinical Psychologist | 11 Martins Run, Media, PA 19063-1057 | |
| Robert W Guerra | Optometry | 1315 N Providence Rd, Media, PA 19063-1205 | |
| Patrick Joseph Mchugh | Psychologist, Clinical | 1223 N Providence Rd, Rose Tree Office Campus Suite 3, Media, PA 19063-1235 | |
| Jerry M Lazaroff | Psychologist, Clinical | 1029 N Providence Rd, Media, PA 19063-1404 | |
| Find all physicians in zip 19063 | |||
| City | LIMA |
| Zip Code | 19063 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LIMA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Vsevolod Kohutiak.
| 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.