Paul J Tolentino (NPI# 1023067261, PAC ID# 6901865864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1023067261 |
| PAC ID by PECOS | 6901865864 |
| Professional Enrollment ID | I20041006000776 |
| Full Name | Paul J Tolentino |
| Organization Legal Name | REGIONAL BRAIN AND SPINE LLC |
| Address |
1723 Broadway St Suite 410 Cape Girardeau MO 63701-4556 |
| Phone Number | 5733327746 |
| Gender | M |
| Credential | MD |
| Medical School | HARVARD MEDICAL SCHOOL |
| Graduation Year | 1995 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 0749237808 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260110 | SOUTHEASTHEALTH |
| 260113 | MISSOURI DELTA MEDICAL CENTER |
| 260119 | POPLAR BLUFF REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 | 5733327746 | REGIONAL BRAIN AND SPINE LLC |
| 913 W Business Us Hwy 60, Dexter, MO 63841-2704 | 5736246405 | SELECT PHYSICAL THERAPY HOLDINGS INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | REGIONAL BRAIN AND SPINE LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gladys G Kamanga-sollo | Physical Medicine and Rehabilitation | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Christopher L Reis | Interventional Pain Management | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Tyler J Greenwood | Physician Assistant | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Jason L Bowers | Physician Assistant | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Kyle O Colle | Neurosurgery | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Tyler A Ptacek | Interventional Pain Management | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Jacob L Muckerman | Nurse Practitioner | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Susan L Weaver | Nurse Practitioner | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Stephanie L Riley | Nurse Practitioner | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Jared M Lewis | Physician Assistant | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Street Address |
1723 BROADWAY ST SUITE 410 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip | 63701-4556 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gladys G Kamanga-sollo | Physical Medicine and Rehabilitation | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Christopher L Reis | Interventional Pain Management | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Tyler J Greenwood | Physician Assistant | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Crystal Iwuchukwu | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 1723 Broadway St, Suite 310, Cape Girardeau, MO 63701-4556 |
| Jimmy D Bowen | Sports Medicine | Southeast Missouri Hospital Physicians LLC | 1723 Broadway St, Suite 315, Cape Girardeau, MO 63701-4556 |
| Jason L Bowers | Physician Assistant | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Sivagamy Nyanzi | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 1723 Broadway St, Suite 315, Cape Girardeau, MO 63701-4556 |
| Kyle O Colle | Neurosurgery | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Tyler A Ptacek | Interventional Pain Management | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Jacob L Muckerman | Nurse Practitioner | Regional Brain and Spine LLC | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4556 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven R Schoolman | Maxillofacial Surgery | 1325 N Mt Auburn Rd, Cape Girardeau, MO 63701-1722 | |
| Byron C Glenn | Family Practice | 1353 N Mount Auburn Rd, Suite B, Cape Girardeau, MO 63701-1723 | |
| Robert D Bieser | Family Medicine | Cape Family Care LLC | 2907 Keystone Dr, Cape Girardeau, MO 63701-1724 |
| Crystal L Heck | Nurse Practitioner | Cape Family Care LLC | 2907 Keystone Dr, Cape Girardeau, MO 63701-1724 |
| Sandra R Buchheit | Nurse Practitioner | Cape Family Care LLC | 2907 Keystone Dr, Cape Girardeau, MO 63701-1724 |
| Shuang Ying Bao | Nephrology | Cape Girardeau Nephrology Associates, PC | 1349 N Mount Auburn Rd, Fresenius Medical Care, Cape Girardeau, MO 63701-1727 |
| Ravi K Thimmisetty | Nephrology | Cape Girardeau Nephrology Associates, PC | 1349 N Mount Auburn Rd, Fresenius Medical Care, Cape Girardeau, MO 63701-1727 |
| Swetha Makkapati | Nephrology | Cape Girardeau Nephrology Associates, PC | 1349 N Mount Auburn Rd, Fresenius Medical Care, Cape Girardeau, MO 63701-1727 |
| Frank W Braxton | Nephrology | Cape Girardeau Nephrology Associates, PC | 1349 N Mount Auburn Rd, Fresenius Medical Care, Cape Girardeau, MO 63701-1727 |
| Debra L Burton | Nurse Practitioner | Cape Girardeau Nephrology Associates, PC | 1349 N Mount Auburn Rd, Fresenius Medical Care, Cape Girardeau, MO 63701-1727 |
| Find all physicians in zip 63701 | |||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
| Specialty | NEUROSURGERY |
| City + Specialty | CAPE GIRARDEAU + NEUROSURGERY |
Please comment or provide details below to improve the information on Paul J Tolentino.
| 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.