Tennyson Maliro (NPI# 1740427467, PAC ID# 6002968708) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1740427467 |
| PAC ID by PECOS | 6002968708 |
| Professional Enrollment ID | I20090709000739 |
| Full Name | Tennyson Maliro |
| Organization Legal Name | GETTYSBURG DIAGNOSTIC IMAGING, PC |
| Address |
147 Gettys St Gettysburg PA 17325-2534 |
| Phone Number | 7173371105 |
| Gender | M |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0648257733 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390125 | WAYNE MEMORIAL HOSPITAL |
| 390065 | GETTYSBURG HOSPITAL |
| 230036 | MIDMICHIGAN MEDICAL CENTER - ALPENA |
| 230030 | MIDMICHIGAN MEDICAL CENTER-GRATIOT |
| 390211 | SHARON REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1001 E 2nd St, Coudersport, PA 16915-8161 | 8142749300 | FOUNDATION RADIOLOGY GROUP PC |
| 14395 Howard Rd, Dayton, MD 21036-1014 | 4122308200 | FOUNDATION RADIOLOGY GROUP PC |
| 147 Gettys St, Gettysburg, PA 17325-2534 | 7173371105 | GETTYSBURG DIAGNOSTIC IMAGING, PC |
| 601 Park St, Honesdale, PA 18431-1445 | 5702538100 | FOUNDATION RADIOLOGY GROUP PC |
| 1 Nolte Dr, Kittanning, PA 16201-7111 | 7245438500 | FOUNDATION RADIOLOGY GROUP PC |
| 740 E State St, Sharon, PA 16146-3328 | 7249833911 | MDIG OF PENNSYLVANIA LLC |
| Organization Legal Name | GETTYSBURG DIAGNOSTIC IMAGING, PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie Spagnoli | Diagnostic Radiology | Gettysburg Diagnostic Imaging, PC | 2060 Carlisle Rd, Aspers, PA 17304-9707 |
| Amy Beth Garazo | Diagnostic Radiology | Gettysburg Diagnostic Imaging, PC | 2060 Carlisle Rd, Aspers, PA 17304-9707 |
| Wilson S Tan | Diagnostic Radiology | Gettysburg Diagnostic Imaging, PC | 2060 Carlisle Rd, Aspers, PA 17304-9707 |
| Tanya Geiger Bromery | Diagnostic Radiology | Gettysburg Diagnostic Imaging, PC | 2060 Carlisle Rd, Aspers, PA 17304-9707 |
| Rukhsana K Rahman | Diagnostic Radiology | Gettysburg Diagnostic Imaging, PC | 147 Gettys St, Gettysburg, PA 17325-2534 |
| Street Address |
147 GETTYS ST |
| City | GETTYSBURG |
| State | PA |
| Zip | 17325-2534 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elena Y Nebrat | Nurse Practitioner | Wellspan Medical Group | 147 Gettys St, Gettysburg, PA 17325-2534 |
| Segun T Dawodu | Pain Management | Wellspan Medical Group | 147 Gettys St, Gettysburg, PA 17325-2534 |
| David M Drew | Anesthesiology | The Gettysburg Hospital | 147 Gettys St, Gettysburg, PA 17325-2534 |
| Robert Fine | Emergency Medicine | The Gettysburg Hospital | 147 Gettys St, Gettysburg, PA 17325-2534 |
| William J Kirk | Anesthesiology | The Gettysburg Hospital | 147 Gettys St, Gettysburg, PA 17325-2534 |
| Gerald J Diskin | Emergency Medicine | The Gettysburg Hospital | 147 Gettys St, Gettysburg, PA 17325-2534 |
| Angela S Brooks | Pathology | The Gettysburg Hospital | 147 Gettys St, Gettysburg, PA 17325-2534 |
| Renee R Francisco | Certified Registered Nurse Anesthetist (crna) | The Gettysburg Hospital | 147 Gettys St, Gettysburg, PA 17325-2534 |
| Gwen M Jensen | Certified Registered Nurse Anesthetist (crna) | The Gettysburg Hospital | 147 Gettys St, Gettysburg, PA 17325-2534 |
| Sabyr K Tabaldiev | Internal Medicine | Wellspan Medical Group | 147 Gettys St, Gettysburg, PA 17325-2534 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas S Arnson | Diagnostic Radiology | Satish A Shah Md PC | 20 Expedition Trail, 103 Adams Diagnostic Imaging, Gettysburg, PA 17325 |
| Nalini Bharat Mehta | Radiation Oncology | Satish A Shah Md PC | 20 Expedition Trail, 100 Gettysburg Radiation Oncology, Gettysburg, PA 17325 |
| Naresh Chander Gupta | Nuclear Medicine | Satish A Shah Md PC | 20 Expedition Trail, 103 Adams Diagnostic Imaging, Gettysburg, PA 17325 |
| Michael E Pasinski | Clinical Social Worker | 395 Buford Ave, Suite 6, Gettysburg, PA 17325-1158 | |
| Rajesh Bajaj | Gastroenterology | 147 N Washington St, Gettysburg, PA 17325-1420 | |
| Heather L Salvaggio | Dermatology | Dermatology Associates of York Inc | 246 Hanover St, Gettysburg, PA 17325-1911 |
| John G Stoner Jr. | Dermatology | Dermatology Associates of York Inc | 246 Hanover St, Gettysburg, PA 17325-1911 |
| Miriam E Chesky | Physician Assistant | Dermatology Associates of York Inc | 246 Hanover St, Gettysburg, PA 17325-1911 |
| Steven E Caplan | Dermatology | Dermatology Associates of York Inc | 246 Hanover St, Gettysburg, PA 17325-1911 |
| Luciano J Iorizzo | Dermatology | Dermatology Associates of York Inc | 246 Hanover St, Gettysburg, PA 17325-1911 |
| Find all physicians in zip 17325 | |||
| City | GETTYSBURG |
| Zip Code | 17325 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GETTYSBURG + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Tennyson Maliro.
| 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.