Erica R Dallas (NPI# 1801236260, PAC ID# 6608017876) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1801236260 |
| PAC ID by PECOS | 6608017876 |
| Professional Enrollment ID | I20130731000122 |
| Full Name | Erica R Dallas |
| Organization Legal Name | MYRIAD EMERGENCY PHYSICIANS LLC |
| Address |
1140 Route 72 W Southern Ocean Medical Center Manahawkin NJ 08050-2412 |
| Phone Number | 6099783080 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4082906391 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1140 Route 72 W, Southern Ocean Medical Center, Manahawkin, NJ 08050-2412 | 6099783080 | MYRIAD EMERGENCY PHYSICIANS LLC |
| 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 6099783080 | MYRIAD EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | MYRIAD EMERGENCY PHYSICIANS LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose E Dugenio | Emergency Medicine | Myriad Emergency Physicians LLC | 1517 Richmond Ave, Point Pleasant Boro, NJ 08742-3056 |
| Bronislaw J Partyka | Emergency Medicine | Myriad Emergency Physicians LLC | 425 Jack Martin Blvd, Brick, NJ 08724-7732 |
| Antonio L Marra | Emergency Medicine | Myriad Emergency Physicians LLC | 1945 Corlies Ave, Neptune, NJ 07753-4859 |
| John P Mcdermott | Emergency Medicine | Myriad Emergency Physicians LLC | 1945 Corlies Ave, Neptune, NJ 07753-4859 |
| Robert L Sweeney | Pediatric Medicine | Myriad Emergency Physicians LLC | 1140 Route 72 W, Southern Ocean Medical Center, Manahawkin, NJ 08050-2412 |
| Rajendra K Patel | Emergency Medicine | Myriad Emergency Physicians LLC | 1945 Corlies Ave, Neptune, NJ 07753-4859 |
| Bradley Pulver | Emergency Medicine | Myriad Emergency Physicians LLC | 425 Jack Martin Blvd, Brick, NJ 08724-7732 |
| Christine M Lang | Physician Assistant | Myriad Emergency Physicians LLC | 1945 Corlies Ave, Neptune, NJ 07753-4859 |
| Gina Maniar | Emergency Medicine | Myriad Emergency Physicians LLC | 425 Jack Martin Blvd, Brick, NJ 08724-7732 |
| Ramanand Panse | Emergency Medicine | Myriad Emergency Physicians LLC | 1945 Corlies Ave, Neptune, NJ 07753-4859 |
| Street Address |
1140 ROUTE 72 W SOUTHERN OCEAN MEDICAL CENTER |
| City | MANAHAWKIN |
| State | NJ |
| Zip | 08050-2412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay M Thornton | Diagnostic Radiology | Coastal Imaging LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Maureen Wood | Internal Medicine | Route Intensivists Services LLC | 1140 Route 72 W, Southern Ocean Medical Center, Manahawkin, NJ 08050-2412 |
| Kristen Renee Beer | Nurse Practitioner | Meridian Medical Group-specialty Care PC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Pinakin C Patel | Internal Medicine | Plover Inpatient Services LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Edeck S Pierre | Internal Medicine | Plover Inpatient Services LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Michelle Marie Bouyea | Anesthesiology | Jersey Shore Anesthesiology Associates Pa | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Leo J Fontana | Diagnostic Radiology | Coastal Imaging LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Brian Lee | Diagnostic Radiology | Coastal Imaging LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Mark A Singer | Diagnostic Radiology | Coastal Imaging LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Natasha Ann-marie Kargbo | Nurse Practitioner | Plover Inpatient Services LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Michael Madden | Allergy/immunology | 400 E Bay Ave, Manahawkin, NJ 08050-0430 | |
| Purviben R Shah | Internal Medicine | Plover Inpatient Services LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Charles A Saniewski | Diagnostic Radiology | Coastal Imaging LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Nicholas Anthony Perosi | Diagnostic Radiology | Coastal Imaging LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Alexander Klyashtorny | Anesthesiology | Jersey Shore Anesthesiology Associates Pa | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Jianhua Guo | Anesthesiology | Jersey Shore Anesthesiology Associates Pa | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Emad T Faragalla | Anesthesiology | Jersey Shore Anesthesiology Associates Pa | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Mohammad Abdeljawad | Family Medicine | Plover Inpatient Services LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Tammy A Yanci | Nurse Practitioner | Meridian Medical Group-specialty Care PC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Hollie N Corcory | Certified Registered Nurse Anesthetist (crna) | Jersey Shore Anesthesiology Associates Pa | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Find all physicians in zip 08050 | |||
| City | MANAHAWKIN |
| Zip Code | 08050 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MANAHAWKIN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Erica R Dallas.
| 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.