Michael L Komasinski (NPI# 1356330716, PAC ID# 7315014982) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1356330716 |
PAC ID by PECOS | 7315014982 |
Professional Enrollment ID | I20080923000752 |
Full Name | Michael L Komasinski |
Address |
106 Legacy Plz W La Porte IN 46350-5298 |
Phone Number | 2193622685 |
Gender | M |
Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
Graduation Year | 1985 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150006 | LA PORTE HOSPITAL |
150015 | FRANCISCAN ST ANTHONY HEALTH - MICHIGAN CITY |
Address | Phone | Organization |
---|---|---|
106 Legacy Plz W, La Porte, IN 46350-5298 | 2193622685 |
Street Address |
106 LEGACY PLZ W |
City | LA PORTE |
State | IN |
Zip | 46350-5298 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kayla Rae Nebelsick | Obstetrics/gynecology | Franciscan Physician Network | 309 W Johnson Rd, La Porte, IN 46350-1943 |
Nancy Hoback | Clinical Social Worker | 245 W Johnson Rd, Suite 2, La Porte, IN 46350-2026 | |
Amer Mahmud Kazi | Neurology | 286 W Johnson Rd E, Indiana Pain and Spine Clinic, Laporte, IN 46350-2060 | |
Mary Beth Schramlin | Clinical Social Worker | 2626 N State Rd 39, Suite 4, La Porte, IN 46350-2074 | |
Mark C Grant | Chiropractic | 611 Pine Lake Ave, Laporte, IN 46350-2318 | |
Diana M Correll | Physician Assistant | La Porte Clinic Company LLC | 304 Detroit St, La Porte, IN 46350-2497 |
Mackenzie Jacquelyn Blust | Physician Assistant | La Porte Clinic Company LLC | 304 Detroit St, La Porte, IN 46350-2497 |
Neil W Wangstrom | Otolaryngology | La Porte Clinic Company LLC | 304 Detroit St, La Porte, IN 46350-2497 |
Jessica L Barr | Qualified Audiologist | La Porte Clinic Company LLC | 304 Detroit St, La Porte, IN 46350-2497 |
Jessie B Batchelor | Audiologist | La Porte Clinic Company LLC | 304 Detroit St, La Porte, IN 46350-2497 |
Find all physicians in zip 46350 |
City | LA PORTE |
Zip Code | 46350 |
Specialty | OPTOMETRY |
City + Specialty | LA PORTE + OPTOMETRY |
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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.