Desmond Jy Wah (NPI# 1366673568, PAC ID# 5496901787) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1366673568 |
| PAC ID by PECOS | 5496901787 |
| Professional Enrollment ID | I20140829000732 |
| Full Name | Desmond Jy Wah |
| Organization Legal Name | RURAL PHYSICIANS GROUP PANNU PLLC |
| Address |
555 Prospect Ave Estes Park CO 80517-6312 |
| Phone Number | 9705774342 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0345467486 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151329 | MARGARET MARY COMMUNITY HOSPITAL INC |
| 151318 | DUKES MEMORIAL HOSPITAL |
| 240088 | CARRIS HEALTH LLC |
| Address | Phone | Organization |
|---|---|---|
| 321 Mitchell Ave, Batesville, IN 47006-8909 | 3033901967 | RURAL PHYSICIANS GROUP PANNU PLLC |
| 1501 E 3rd St, Delta, CO 81416-2815 | 9708747681 | RURAL PHYSICIANS GROUP PANNU PLLC |
| 555 Prospect Ave, Estes Park, CO 80517-6312 | 9705774342 | RURAL PHYSICIANS GROUP PANNU PLLC |
| 4455 Edison Lakes Pkwy, 100 Unity Medical and Surgical Hospital, Mishawaka, IN 46545-1414 | 3033901967 | RURAL PHYSICIANS GROUP PANNU PLLC |
| Organization Legal Name | RURAL PHYSICIANS GROUP PANNU PLLC |
| Physicians | 92 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan M Sandmann | Family Medicine | Rural Physicians Group Pannu Pllc | 895 N 6th, Mountain Home, ID 83647-2207 |
| Eric T Wang | Internal Medicine | Rural Physicians Group Pannu Pllc | 750 Hospital Loop, Craig, CO 81625-8750 |
| Prachi Toni Patel | Internal Medicine | Rural Physicians Group Pannu Pllc | 1690 Meade St, Denver, CO 80204-1552 |
| Ralph Avedisian | Internal Medicine | Rural Physicians Group Pannu Pllc | 200 E M, Suite 55, Tawas City, MI 48763-9237 |
| Curtis R Nerness | Internal Medicine | Rural Physicians Group Pannu Pllc | 1000 3rd St, Tillamook, OR 97141-3430 |
| Kari L. Grabowsky | Hospitalist | Rural Physicians Group Pannu Pllc | 210 9th Sest, Rochester, MN 55904-6756 |
| Frederick M Workman | Internal Medicine | Rural Physicians Group Pannu Pllc | 1338 Phay Ave, Canon City, CO 81212-2311 |
| Chi Lun Pui | Internal Medicine | Rural Physicians Group Pannu Pllc | 502 W 4th Ave, Toppenish, WA 98948-1616 |
| Ryan M Kealy | Hospitalist | Rural Physicians Group Pannu Pllc | 1000 3rd St, Tillamook, OR 97141-3430 |
| Marina Vladimirovna Bachurina | Internal Medicine | Rural Physicians Group Pannu Pllc | 1690 Meade St, Denver, CO 80204-1552 |
| Street Address |
555 PROSPECT AVE |
| City | ESTES PARK |
| State | CO |
| Zip | 80517-6312 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bridget A Dunn | General Practice | Park Hospital District | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| James Carl Atha | Certified Registered Nurse Anesthetist (crna) | Park Hospital District | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Elise J Booth | Nurse Practitioner | Park Hospital District | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Jason R Goodwin | Certified Registered Nurse Anesthetist (crna) | Park Hospital District | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Mark J Hansen | Diagnostic Radiology | 555 Prospect Ave, Estes Park, CO 80517-6312 | |
| Michelle Lynn Furmaga | Neurology | Park Hospital District | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| John Thieszen | Internal Medicine | Rural Physicians Group Pannu Pllc | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| John J Meyer | Emergency Medicine | 555 Prospect Ave, Estes Park, CO 80517-6312 | |
| Chad L Stoltz | Interventional Cardiology | Park Hospital District | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Ross W Mcfarland | Hematology/oncology | Poudre Valley Medical Group LLC | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan R Anderson | Clinical Social Worker | 363 E Elkhorn Ave, Suite 301, Estes Park, CO 80517 | |
| Lynn Harris | Clinical Psychologist | 363 E Elkhorn Ave, Suite 311, Estes Park, CO 80517-1592 | |
| Cory Workman | Qualified Audiologist | 1186 Graves Ave, Unit B, Estes Park, CO 80517-5439 | |
| Wendy Koenig Schuett | Audiologist | Community Hearing Center,inc | 1186 Graves Ave B, Estes Park, CO 80517-5439 |
| Velusamy Kailasam | Allergy/immunology | Allergy Partners of Colorado, PC | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Martin A Koschnitzke | Obstetrics/gynecology | Park Hospital District | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Yvonne Bodemann | Hospitalist | Rural Physicians Group Pannu Pllc | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Anne Lassiter | Physician Assistant | Poudre Valley Medical Group LLC | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Shahram D Asadi | Internal Medicine | 555 Prospect Ave, Estes Park, CO 80517-6312 | |
| Amanda Bisby | Nurse Practitioner | Park Hospital District | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Find all physicians in zip 80517 | |||
| City | ESTES PARK |
| Zip Code | 80517 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ESTES PARK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Desmond Jy Wah.
| 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.