Issam N. Eid (NPI# 1609057934, PAC ID# 6709028871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1609057934 |
| PAC ID by PECOS | 6709028871 |
| Professional Enrollment ID | I20180926002141 |
| Full Name | Issam N. Eid |
| Organization Legal Name | ST JOHN PHYSICIANS INC |
| Address |
1000 W Boise Circle Emergency Room Broken Arrow OK 74012-4900 |
| Phone Number | 9189948000 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 2567366495 |
| Number of Group Practice Members | 321 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370235 | ST JOHN BROKEN ARROW, INC |
| 370114 | ST JOHN MEDICAL CENTER, INC |
| 390027 | TEMPLE UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 W Boise Circle, Emergency Room, Broken Arrow, OK 74012-4900 | 9189948000 | ST JOHN PHYSICIANS INC |
| 333 Cottman Ave, Otolaryn Assoc of Fccc Mgi, Philadelphia, PA 19111-2434 | 2157286900 | FOX CHASE CANCER CENTER MEDICAL GROUP, INC |
| 3509 N Broad St, Philadelphia, PA 19140-4105 | 2157072111 | TEMPLE FACULTY PRACTICE PLAN INC |
| 7604 Central Ave, Philadelphia, PA 19111-2433 | 2159699103 | TEMPLE FACULTY PRACTICE PLAN INC |
| 1705 E 19th St, Tulsa, OK 74104-5410 | ST JOHN PHYSICIANS INC | |
| 1923 S Utica Ave, Lower Level, Tulsa, OK 74104-6520 | 9187442071 | ST JOHN PHYSICIANS INC |
| 2000 S Wheeling Ave, Suite 900, Tulsa, OK 74104-5647 | 9187487598 | ST JOHN PHYSICIANS INC |
| Organization Legal Name | ST JOHN PHYSICIANS INC |
| Physicians | 353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Ann Wilson | Physician Assistant | St John Physicians Inc | 112 N 5th St, Barnsdall, OK 74002-6616 |
| Cara Leanne Thompson | Obstetrics/gynecology | St John Physicians Inc | 12455 E 100th St N, Suite 220, Owasso, OK 74055-4675 |
| Megan E Renz | Certified Clinical Nurse Specialist (cns) | St John Physicians Inc | 3550 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 |
| Patricia Jumelle | Pain Management | St John Physicians Inc | 8131 S Memorial, Suite 100, Tulsa, OK 74133 |
| Jodi Oder | Nurse Practitioner | St John Physicians Inc | 1505 W 11th St, Coffeyville Office, Coffeyville, KS 67337-3622 |
| Tyler Auschwitz | Neurosurgery | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Jennifer M Minadeo | Internal Medicine | St John Physicians Inc | 1000 W Boise Circle, Emergency Room, Broken Arrow, OK 74012-4900 |
| James M Carver | Family Medicine | St John Physicians Inc | 218 W 4th Ave, Caney Office, Caney, KS 67333-1462 |
| Teressa H Lemaster | Certified Clinical Nurse Specialist (cns) | St John Physicians Inc | 1705 E 19th St, Suite 302, Tulsa, OK 74104-5410 |
| Casie Nicole Brim | Nurse Practitioner | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Street Address |
1000 W BOISE CIRCLE EMERGENCY ROOM |
| City | BROKEN ARROW |
| State | OK |
| Zip | 74012-4900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer M Minadeo | Internal Medicine | St John Physicians Inc | 1000 W Boise Circle, Emergency Room, Broken Arrow, OK 74012-4900 |
| Bradley R Mons | Otolaryngology | St John Physicians Inc | 1000 W Boise Circle, Emergency Room, Broken Arrow, OK 74012-4900 |
| Mark A Trimble | Cardiovascular Disease (cardiology) | St John Physicians Inc | 1000 W Boise Circle, Emergency Room, Broken Arrow, OK 74012-4900 |
| Eric S Franklin | Physician Assistant | St John Physicians Inc | 1000 W Boise Circle, Emergency Room, Broken Arrow, OK 74012-4900 |
| Vishal Mundra | Internal Medicine | St John Physicians Inc | 1000 W Boise Circle, Emergency Room, Broken Arrow, OK 74012-4900 |
| David J Olson | Physician Assistant | St John Physicians Inc | 1000 W Boise Circle, Emergency Room, Broken Arrow, OK 74012-4900 |
| Jill D Holleman | Certified Clinical Nurse Specialist (cns) | St John Physicians Inc | 1000 W Boise Circle, Emergency Room, Broken Arrow, OK 74012-4900 |
| Richelle Christine Voth | Physician Assistant | St John Physicians Inc | 1000 W Boise Circle, Emergency Room, Broken Arrow, OK 74012-4900 |
| Scott Allen Keller | Family Medicine | St John Physicians Inc | 1000 W Boise Circle, Emergency Room, Broken Arrow, OK 74012-4900 |
| Ravi Kiran Kode | Cardiovascular Disease (cardiology) | St John Physicians Inc | 1000 W Boise Circle, Emergency Room, Broken Arrow, OK 74012-4900 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Hibbets | Optometry | 433 Stone Wood Dr, Broken Arrow, OK 74012-1026 | |
| Brad F Wells | Optometry | 433 Stone Wood Dr, Broken Arrow, OK 74012-1026 | |
| Travis D Ring | Chiropractic | 2433 N Aspen Ave, Broken Arrow, OK 74012-1142 | |
| Marilyn Sue Taylor | Physician Assistant | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Jeffrey L Halford | Physical Medicine and Rehabilitation | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Jo-anna Coppin Lohr | Nurse Practitioner | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Brent W Henderson | Anesthesiology | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Dena Marie Brunk | Physical Therapy | Redbud Physical Therapy LLC | 1700 W Albany St, Suite 310, Broken Arrow, OK 74012-1478 |
| Amira A Al Jiboori | Physical Therapy | Redbud Physical Rehabilitation PC | 1700 W Albany, Suite 310, Broken Arrow, OK 74012-1478 |
| Emily Lynne Sweeney | Physical Therapy | Redbud Physical Therapy LLC | 1700 W Albany St, Suite 310, Broken Arrow, OK 74012-1478 |
| Find all physicians in zip 74012 | |||
| City | BROKEN ARROW |
| Zip Code | 74012 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | BROKEN ARROW + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Issam N. Eid.
| 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.