Randall Patkin (NPI# 1366447864, PAC ID# 7416974910) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1366447864 |
| PAC ID by PECOS | 7416974910 |
| Professional Enrollment ID | I20051024000986 |
| Full Name | Randall Patkin |
| Organization Legal Name | EYE CENTER OF THE NORTH SHORE, LLC |
| Address |
400 Highland Ave Suite 20 Salem MA 01970-1783 |
| Phone Number | 9787441177 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 2264561174 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220035 | NORTH SHORE MEDICAL CENTER - |
| Address | Phone | Organization |
|---|---|---|
| 400 Highland Ave, Suite 20, Salem, MA 01970-1783 | 9787441177 | EYE CENTER OF THE NORTH SHORE, LLC |
| Organization Legal Name | EYE CENTER OF THE NORTH SHORE, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jannet J Ung | Ophthalmology | Eye Center of The North Shore, LLC | 400 Highland Ave, Suite 20, Salem, MA 01970-1783 |
| Robert A Freedman | Ophthalmology | Eye Center of The North Shore, LLC | 400 Highland Ave, Suite 20, Salem, MA 01970-1783 |
| Robert G Levy | Ophthalmology | Eye Center of The North Shore, LLC | 400 Highland Ave, Suite 20, Salem, MA 01970-1783 |
| Street Address |
400 HIGHLAND AVE SUITE 20 |
| City | SALEM |
| State | MA |
| Zip | 01970-1783 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harry H Dinsmore Jr. | Orthopedic Surgery | Geisinger Clinic | 400 Highland Ave, Lewistown, PA 17044-1167 |
| Corrine Blumling Miller | General Surgery | Geisinger Clinic | 400 Highland Ave, Lewistown, PA 17044-1167 |
| Sarah E Kane | Pathology | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Rachel S Kish | Podiatry | Geisinger Clinic | 400 Highland Ave, Lewistown, PA 17044-1167 |
| Vsevolod Dounaevski | Anesthesiology | Geisinger Clinic | 400 Highland Ave, Lewistown, PA 17044-1167 |
| Eric M Long | Anesthesiology | Geisinger Clinic | 400 Highland Ave, Lewistown, PA 17044-1167 |
| Yineng Fu | Pathology | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Michele M Herrera | Physician Assistant | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Ismail O Dedeoglu | Pediatric Medicine | Geisinger Clinic | 400 Highland Ave, Lewistown, PA 17044-1167 |
| Dariusz P Bulczak | Diagnostic Radiology | Geisinger Clinic | 400 Highland Ave, Lewistown, PA 17044-1167 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noel P Defelippo | Urology | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Mandy Ladner | Nurse Practitioner | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Sheaumei Tsai | Urology | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Mark A Tulecke | Pathology | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Michael C Kearney | Urology | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Graziella M Abu Jawdeh | Pathology | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Jannet J Ung | Ophthalmology | Eye Center of The North Shore, LLC | 400 Highland Ave, Suite 20, Salem, MA 01970-1783 |
| Austin G Turner | Pathology | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Robert A Freedman | Ophthalmology | Eye Center of The North Shore, LLC | 400 Highland Ave, Suite 20, Salem, MA 01970-1783 |
| Ha T Nishino | Pathology | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Find all physicians in zip 01970 | |||
| City | SALEM |
| Zip Code | 01970 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | SALEM + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Randall Patkin.
| 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.