Christopher Alade Ibikunle (NPI# 1992981302, PAC ID# 7416031489) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1992981302 |
PAC ID by PECOS | 7416031489 |
Professional Enrollment ID | I20110824000403 |
Full Name | Christopher Alade Ibikunle |
Organization Legal Name | GEORGIA SURGICARE |
Address |
367 Athens Hwy Bldg 100 Suite 100 Loganville GA 30052-2207 |
Phone Number | 6764666760 |
Gender | M |
Graduation Year | 1996 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 8325217714 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110192 | EASTSIDE MEDICAL CENTER |
110230 | EMORY JOHNS CREEK HOSPITAL |
Address | Phone | Organization |
---|---|---|
367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 | 6764666760 | GEORGIA SURGICARE |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_047_overall | Care Plan | 2% | |
MIPS_EC_047_overall | Care Plan | 2% | |
MIPS_EC_047_overall | Care Plan | 2% |
Organization Legal Name | GEORGIA SURGICARE |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Angelina Postoev | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
Angel F Farinas | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
Christian X Cruz Pico | General Surgery | Georgia Surgicare | 367 Athens Hwy, Loganville, GA 30052-2207 |
Street Address |
367 ATHENS HWY BLDG 100 SUITE 100 |
City | LOGANVILLE |
State | GA |
Zip | 30052-2207 |
Name | Specialty | Organization | Address |
---|---|---|---|
Roberto Norniella | Psychiatry | Neuro Behavioral Health Associates, LLC | 367 Athens Hwy, Suite 1800, Loganville, GA 30052-8293 |
Angelina Postoev | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
Olufunke Adewunmi | Nurse Practitioner | Neuro Behavioral Health Associates, LLC | 367 Athens Hwy, Suite 1800, Loganville, GA 30052-8293 |
Angel F Farinas | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
Christian X Cruz Pico | General Surgery | Georgia Surgicare | 367 Athens Hwy, Loganville, GA 30052-2207 |
Muntzra K Qadri | Psychiatry | Neuro Behavioral Health Associates, LLC | 367 Athens Hwy, Loganville, GA 30052-8293 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elizabeth Z Mikrut | Internal Medicine | 902 Athens Hwy, Loganville, GA 30052 | |
Germaine D Cummings | Family Medicine | 4480 Atlanta Hwy, Loganville, GA 30052 | |
Harrison C Ojimma | Certified Registered Nurse Anesthetist (crna) | 367 Athens Hwy 100, Loganville, GA 30052-2207 | |
Jean Cadet | Nurse Practitioner | Neuro Behavioral Health Associates, LLC | 367 Athens Hwy 1050, Loganville, GA 30052-2270 |
Kenyatta Merriweather | Nurse Practitioner | Neuro Behavioral Health Associates, LLC | 367 Athens Hwy 1050, Loganville, GA 30052-2270 |
Mandy Michelle Miller | Clinical Social Worker | 125 Lee Byrd Rd, Loganville, GA 30052-2310 | |
Kirk D Saddler | Dermatology | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
Amy K Goodman | Physician Assistant | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
Jessica J Mercer | Pathology | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
Keith Wright | Dermatology | Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners | 117 Lee Byrd Rd, Loganville, GA 30052-2310 |
Find all physicians in zip 30052 |
City | LOGANVILLE |
Zip Code | 30052 |
Specialty | GENERAL SURGERY |
City + Specialty | LOGANVILLE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Christopher Alade Ibikunle.
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.