Nicole Darty (NPI# 1760909436, PAC ID# 7214293836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1760909436 |
PAC ID by PECOS | 7214293836 |
Professional Enrollment ID | I20171114001910 |
Full Name | Nicole Darty |
Organization Legal Name | DAVID J. CORALLO, D.O. |
Address |
18586 W 5th St Beloit OH 44609-9799 |
Phone Number | 3309383333 |
Gender | F |
Graduation Year | 2017 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 1153466438 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
18586 W 5th St, Beloit, OH 44609-9799 | 3309383333 | DAVID J. CORALLO, D.O. |
Organization Legal Name | DAVID J. CORALLO, D.O. |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
David Corallo | Dermatology | David J. Corallo, D.o. | 18586 W 5th St, Beloit, OH 44609-9799 |
Street Address |
18586 W 5TH ST |
City | BELOIT |
State | OH |
Zip | 44609-9799 |
Name | Specialty | Organization | Address |
---|---|---|---|
David Corallo | Dermatology | David J. Corallo, D.o. | 18586 W 5th St, Beloit, OH 44609-9799 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marco Rosario Corallo | Endocrinology | Marco R Corallo Do LLC | 18586 5th St, Beloit, OH 44609-9799 |
Brook A Gram | Physician Assistant | Marco R Corallo Do LLC | 18586 5th St, Beloit, OH 44609-9799 |
Krista Rubosky | Physician Assistant | Marco R Corallo Do LLC | 18586 5th St, Beloit, OH 44609-9799 |
City | BELOIT |
Zip Code | 44609 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | BELOIT + PHYSICIAN ASSISTANT |
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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.