Thomas R Mirsen (NPI# 1902980352, PAC ID# 7618162702) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1902980352 |
| PAC ID by PECOS | 7618162702 |
| Professional Enrollment ID | I20101115001123 |
| Full Name | Thomas R Mirsen |
| Organization Legal Name | CMC DEPARTMENT OF MEDICINE GROUP PA |
| Address |
Bnkr Hl Plz Suite 103 Sewell NJ 08080 |
| Phone Number | 8562704080 |
| Gender | M |
| Graduation Year | 1982 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 2163335878 |
| Number of Group Practice Members | 164 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310014 | COOPER UNIVERSITY HOSPITAL |
| 310022 | VIRTUA WEST JERSEY HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 3 Cooper Plz, Suite 215, Camden, NJ 08103-1438 | 8563422439 | CMC DEPARTMENT OF MEDICINE GROUP PA |
| Bnkr Hl Plz, Suite 103, Sewell, NJ 08080 | 8562704080 | CMC DEPARTMENT OF MEDICINE GROUP PA |
| Organization Legal Name | CMC DEPARTMENT OF MEDICINE GROUP PA |
| Physicians | 205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Ernest Siegler | Neurology | Cmc Department of Medicine Group Pa | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 |
| Ashley Decker | Dermatology | Cmc Department of Medicine Group Pa | 1000 Sagemore Dr, Marlton, NJ 08053-4301 |
| Colleen Brown | Physician Assistant | Cmc Department of Medicine Group Pa | 900 Centennial Blvd M, Voorhees, NJ 08043-4637 |
| Alice Mulorz | Nurse Practitioner | Cmc Department of Medicine Group Pa | 1000 Rev Dr Martin Luther King Jr Dr C, Willingboro, NJ 08046-2852 |
| Jessica L Bryson | Physician Assistant | Cmc Department of Medicine Group Pa | 196 Grove Ave C, West Deptford, NJ 08086-2139 |
| Amy Colcher | Neurology | Cmc Department of Medicine Group Pa | 3740 W Chester Pike, Newtown Square, PA 19073-3223 |
| Stephen M Akers | Pulmonary Disease | Cmc Department of Medicine Group Pa | 218 Sunset Rd C, Willingboro, NJ 08046-1110 |
| Kevin J Callahan | Hematology/oncology | Cmc Department of Medicine Group Pa | 2 Cooper Plz, Camden, NJ 08103-1461 |
| Donna J Hogue | Pulmonary Disease | Cmc Department of Medicine Group Pa | 900 Centennial Blvd K, Voorhees, NJ 08043-4637 |
| Kristi A Kennedy | Nurse Practitioner | Cmc Department of Medicine Group Pa | 900 Centennial Blvd M, Voorhees, NJ 08043-4637 |
| Street Address |
BNKR HL PLZ SUITE 103 |
| City | SEWELL |
| State | NJ |
| Zip | 08080 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miles A Brumberg | Family Medicine | 601 Hurffville Crosskeys Rd, Sewell, NJ 08080-1748 | |
| Kevin J Kargman | Pediatric Medicine | 438 Ganttown Rd, Suite A7, Sewell, NJ 08080-1886 | |
| Raymond A Ferrara | Podiatry | Hess Bondi LLC | 438 Ganttown Rd, B4, Sewell, NJ 08080-1887 |
| Jack Bondi | Podiatry | Hess Bondi LLC | 438 Ganttown Rd, B4, Sewell, NJ 08080-1887 |
| David O Phillips | Chiropractic | 432 Ganttown Rd, Suite 106, Sewell, NJ 08080-1895 | |
| Maria Morris | Nurse Practitioner | Cavallaro Family Practice | 432 Ganttown Rd, Suite 202, Sewell, NJ 08080-1896 |
| Floriya Tkachuk Mattioli | Nurse Practitioner | Cavallaro Family Practice | 432 Ganttown Rd, Suite 202, Sewell, NJ 08080-1896 |
| Joseph Cavallaro | Family Medicine | Cavallaro Family Practice | 432 Ganttown Rd, Suite 202, Sewell, NJ 08080-1896 |
| David M Ringel | Ophthalmology | David M. Ringel, Do Pa | 101 A Kings Way W, Sewell, NJ 08080-2233 |
| Carlos Obregon | Pulmonary Disease | 100 A Kings Way W, Sewell, NJ 08080-2235 | |
| Find all physicians in zip 08080 | |||
| City | SEWELL |
| Zip Code | 08080 |
| Specialty | NEUROLOGY |
| City + Specialty | SEWELL + NEUROLOGY |
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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.