Mohammad Farooq (NPI# 1396704581, PAC ID# 5698711471) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1396704581 |
| PAC ID by PECOS | 5698711471 |
| Professional Enrollment ID | I20100929000813 |
| Full Name | Mohammad Farooq |
| Organization Legal Name | BLOOM GERIATRICS LLC |
| Address |
1714 E Hundred Rd Suite 101 Chester VA 23836-3310 |
| Phone Number | 8047219145 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PULMONARY DISEASE |
| Group Practice PAC ID | 9537404967 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490067 | SOUTHSIDE REGIONAL MEDICAL CENTER |
| 490020 | JOHN RANDOLPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1714 E Hundred Rd, Suite 101, Chester, VA 23836-3310 | 8047219145 | BLOOM GERIATRICS LLC |
| Organization Legal Name | BLOOM GERIATRICS LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mishii Strother Hamlor | Nurse Practitioner | Bloom Geriatrics LLC | 1714 E Hundred Rd, Suite 101, Chester, VA 23836-3310 |
| Angeline Tonette Gallant | Nurse Practitioner | Bloom Geriatrics LLC | 1714 E Hundred Rd, Suite 101, Chester, VA 23836-3310 |
| Street Address |
1714 E HUNDRED RD SUITE 101 |
| City | CHESTER |
| State | VA |
| Zip | 23836-3310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gohar M Abbasi | Internal Medicine | Prime Care Health Services PC | 1714 E Hundred Rd, Suite 101, Chester, VA 23836-3310 |
| Lisa Danielle Welcher | Nurse Practitioner | Prime Care Health Services PC | 1714 E Hundred Rd, Suite 101, Chester, VA 23836-3310 |
| Gregory K Lemite | Gastroenterology | 1714 E Hundred Rd, Suite 104, Chester, VA 23836-3310 | |
| Daniela Cioflec | Internal Medicine | 1714 E Hundred Rd, Suite 101, Chester, VA 23831-3310 | |
| Mishii Strother Hamlor | Nurse Practitioner | Bloom Geriatrics LLC | 1714 E Hundred Rd, Suite 101, Chester, VA 23836-3310 |
| Beth E. Eargle | Certified Registered Nurse Anesthetist (crna) | Greensboro Anesthesia Specialists Inc | 1714 E Hundred Rd, Suite 104, Chester, VA 23836-3310 |
| Angeline Tonette Gallant | Nurse Practitioner | Bloom Geriatrics LLC | 1714 E Hundred Rd, Suite 101, Chester, VA 23836-3310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Snyder | Interventional Pain Management | Mcv Associated Physicians | 13034 Rivers Bend Rd, Chester, VA 23836-2564 |
| Allan S Wax | Podiatry | Mcv Associated Physicians | 13048 Rivers Bend Rd, Chester, VA 23836-2564 |
| Dawn T Voros | Physical Therapy | Colonial Orthopaedics, Inc | 13048 Rivers Bend Rd, Chester, VA 23836-2564 |
| Heather C Buckner | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 221 E Hundred Rd, Chester, VA 23836-2613 |
| Sheila Hautbois | Physician Assistant | Morris Cardiovascular and Risk Reduction Center PC | 228 Johnson Creek Dr, Chester, VA 23836-2840 |
| Inderpreet K Datta | Optometry | 204 Johnson Creek Dr, Chester, VA 23836-2840 | |
| Phillip B Duncan | Cardiovascular Disease (cardiology) | 288 Johnson Creek Dr, Chester, VA 23836-2840 |
| City | CHESTER |
| Zip Code | 23836 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHESTER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mohammad Farooq.
| 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.