Gerald Holtz (NPI# 1578649554, PAC ID# 6507759867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1578649554 |
| PAC ID by PECOS | 6507759867 |
| Professional Enrollment ID | I20040203000052 |
| Full Name | Gerald Holtz |
| Organization Legal Name | VISTA IMAGING ASSOCIATES SC |
| Address |
1324 N Sheridan Rd Waukegan IL 60085-2161 |
| Phone Number | 8472493900 |
| Gender | M |
| Credential | MD |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1968 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6002806734 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140084 | VISTA MEDICAL CENTER EAST |
| 140130 | NORTHWESTERN LAKE FOREST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 8472493900 | VISTA IMAGING ASSOCIATES SC |
| Organization Legal Name | VISTA IMAGING ASSOCIATES SC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Dickstein | Diagnostic Radiology | Vista Imaging Associates Sc | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 |
| Jason Benjamin | Diagnostic Radiology | Vista Imaging Associates Sc | 60 S Greenleaf St, Gurnee, IL 60031-3300 |
| James Song | Diagnostic Radiology | Vista Imaging Associates Sc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Craig A Davishoff | Diagnostic Radiology | Vista Imaging Associates Sc | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 |
| Neil H Puller | Diagnostic Radiology | Vista Imaging Associates Sc | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 |
| Marcy A Mcintosh | Diagnostic Radiology | Vista Imaging Associates Sc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Street Address |
1324 N SHERIDAN RD |
| City | WAUKEGAN |
| State | IL |
| Zip | 60085-2161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adeel Kamal | Physician Assistant | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Josia N Henry | Internal Medicine | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Haili Campanella | Nurse Practitioner | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Jeffrey B Helwig | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| James Song | Diagnostic Radiology | Vista Imaging Associates Sc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| David N Zull | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Wei Wei | Physician Assistant | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Marina A Sodagar | Physician Assistant | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Sara Ferrera | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Harold L Evans | Pathology | Lake Shore Pathologists Sc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas M Winslow | Chiropractic | 1390 N Green Bay Rd, Waukegan, IL 60085-1104 | |
| Robert Paul Cafe | Nurse Practitioner | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Paolo Mercado | Nurse Practitioner | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Smita Singh | Internal Medicine | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Todd William Arbiture | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Kenji Oyasu | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Calvin B Terrell | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Lea R Wrobel | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Amber Servatius | Internal Medicine | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Rajyalakshmi M Gannu | Internal Medicine | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Find all physicians in zip 60085 | |||
| City | WAUKEGAN |
| Zip Code | 60085 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WAUKEGAN + DIAGNOSTIC RADIOLOGY |
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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.