Brian M Willard (NPI# 1346340502, PAC ID# 5799864476) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1346340502 |
| PAC ID by PECOS | 5799864476 |
| Professional Enrollment ID | I20080506000741 |
| Full Name | Brian M Willard |
| Address |
1108 Van Buren Rd Suite 202 Easton PA 18045-2034 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1989 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390049 | ST LUKE'S HOSPITAL BETHLEHEM |
| 390326 | ST LUKE'S HOSPITAL - ANDERSON CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 1108 Van Buren Rd, Suite 202, Easton, PA 18045-2034 |
| Street Address |
1108 VAN BUREN RD SUITE 202 |
| City | EASTON |
| State | PA |
| Zip | 18045-2034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hamad Saleemi | Physical Medicine and Rehabilitation | St Lukes Physician Group Inc | 1700 St Lukes Bld, Suite 200, Easton, PA 18045 |
| Stephanie L Lum | Obstetrics/gynecology | St Lukes Physician Group Inc | 2200 St Luke's Blvd, Suite 200, Easton, PA 18045-0000 |
| Danielle B Johnson | Obstetrics/gynecology | St Lukes Physician Group Inc | 2200 St Luke's Blvd, Suite 200, Easton, PA 18045-0000 |
| Mary H Bartek | Chiropractic | 3225 Nazareth Rd, Easton, PA 18045-2015 | |
| Nancy J Odonnell | Obstetrics/gynecology | 3311 Nazareth Rd, Easton, PA 18045-2017 | |
| Maneesh Ailawadi | Surgical Oncology | 190 S Greenwood Ave, Easton, PA 18045-2548 | |
| Deanne Babio | Nurse Practitioner | Twin Rivers Gastroenterology Center, Inc | 20 Community Dr, Easton, PA 18045-2658 |
| Amit B Sohagia | Gastroenterology | Twin Rivers Gastroenterology Center, Inc | 20 Community Dr, Easton, PA 18045-2658 |
| Shanker Mukherjee | Gastroenterology | Twin Rivers Gastroenterology Center, Inc | 20 Community Dr, Easton, PA 18045-2658 |
| Mohamed A Abdulla | Pathology | Twin Rivers Gastroenterology Center, Inc | 20 Community Dr, Easton, PA 18045-2658 |
| Find all physicians in zip 18045 | |||
| City | EASTON |
| Zip Code | 18045 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | EASTON + OPHTHALMOLOGY |
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| 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.