Jonathan I Meyer (NPI# 1265481725, PAC ID# 6709847833) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1265481725 |
| PAC ID by PECOS | 6709847833 |
| Professional Enrollment ID | I20090430000249 |
| Full Name | Jonathan I Meyer |
| Organization Legal Name | MDIG OF ARIZONA, LLC |
| Address |
1319 Central Ave Wilmette IL 60091-2512 |
| Phone Number | 48099910918008 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1988 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5294080891 |
| Number of Group Practice Members | 62 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 031302 | NORTHERN COCHISE COMMUNITY HOSPITAL, INC. |
| 031312 | COPPER QUEEN COMMUNITY HOSPITAL |
| 321309 | MIMBRES MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1319 Central Ave, Wilmette, IL 60091-2512 | 48099910918008 | MDIG OF ARIZONA, LLC |
| Organization Legal Name | MDIG OF ARIZONA, LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Mark Mamalakis | Diagnostic Radiology | Mdig of Arizona, LLC | 1579 Prescott View Pl, Prescott, AZ 86301-1551 |
| Lance Holbrook Knecht | Diagnostic Radiology | Mdig of Arizona, LLC | 10069 N 107th St, Scottsdale, AZ 85258-6093 |
| Phillip M Moeser | Diagnostic Radiology | Mdig of Arizona, LLC | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 |
| Vevek Parikh | Diagnostic Radiology | Mdig of Arizona, LLC | 1800 E Van Buren St, Phoenix, AZ 85006-3742 |
| Traci Pritchard | Diagnostic Radiology | Mdig of Arizona, LLC | 2400 S Ave A, Yuma, AZ 85364-7127 |
| David M Madden | Diagnostic Radiology | Mdig of Arizona, LLC | 2400 S Ave A, Yuma, AZ 85364-7127 |
| Curtis D Qin | Diagnostic Radiology | Mdig of Arizona, LLC | 10069 N 107th St, Scottsdale, AZ 85258-6093 |
| Brandt A Jamroz | Diagnostic Radiology | Mdig of Arizona, LLC | 2400 S Ave A, Yuma, AZ 85364-7127 |
| Robert J Tucker Jr. | Diagnostic Radiology | Mdig of Arizona, LLC | 2400 S Ave A, Yuma, AZ 85364-7127 |
| Gaurav M Patel | Diagnostic Radiology | Mdig of Arizona, LLC | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 |
| Street Address |
1319 CENTRAL AVE |
| City | WILMETTE |
| State | IL |
| Zip | 60091-2512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander Stukalov | Anesthesiology | Windy City Anesthesia PC | 3612 Lake Ave, Wilmette, IL 60091-1000 |
| Lisa C Verderber | Ophthalmology | 3612 Lake Ave, 2c, Wilmette, IL 60091-1000 | |
| Deborah R Fishman | Ophthalmology | Pediatric Eye Associates PC | 3612 Lake Ave, 2c, Wilmette, IL 60091-1000 |
| Danica Buric | Physical Therapy | Center for Physical Therapy Inc. | 3545 Lake Ave, Suite 100, Wilmette, IL 60091-1058 |
| Nanci J Priest | Clinical Social Worker | Family Service Center of Wilmette Glenview Northbrook Kenilworth | 3545 Lake Ave, Suite 200, Wilmette, IL 60091-1058 |
| Renee Z Dominguez | Psychologist, Clinical | Family Service Center of Wilmette Glenview Northbrook Kenilworth | 3545 Lake Ave, Suite 200, Wilmette, IL 60091-1058 |
| Robin L Lake | Clinical Social Worker | Family Service Center of Wilmette Glenview Northbrook Kenilworth | 3545 Lake Ave, Suite 200, Wilmette, IL 60091-1058 |
| Michael L Belba | Chiropractic | 3207 Lake Ave, Suite 5a, Wilmette, IL 60091-1070 | |
| Joel Sammarco | Chiropractic | 3207 Lake Ave, 5a, Wilmette, IL 60091-1070 | |
| William Piccione | Vascular Surgery | 1000 Skokie Blvd, Suite 360, Wilmette, IL 60091-1146 | |
| Find all physicians in zip 60091 | |||
| City | WILMETTE |
| Zip Code | 60091 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WILMETTE + 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.