Purushottam K Garg (NPI# 1578549085, PAC ID# 7618942145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1578549085 |
| PAC ID by PECOS | 7618942145 |
| Professional Enrollment ID | I20100107000483 |
| Full Name | Purushottam K Garg |
| Organization Legal Name | PEA RIDGE FAMILY CARE CENTER INC |
| Address |
5500 N Davis Hwy Suite 2 Pensacola FL 32503-2063 |
| Phone Number | 8509958811 |
| Gender | M |
| Graduation Year | 1973 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4284609710 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100048 | JAY HOSPITAL |
| 010091 | GROVE HILL MEMORIAL HOSPITAL |
| 010150 | L V STABLER MEMORIAL HOSPITAL |
| 100093 | BAPTIST HOSPITAL |
| 100124 | SANTA ROSA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 29 L V Stabler Dr, Greenville, AL 36037-3850 | 3343822671 | SHERLING EMERGENCY PHYSICIANS LLC |
| 295 S Jackson St, Grove Hill, AL 36451-3231 | 2512754043 | WOODLOT EMERGENCY PHYSICIANS, LLC |
| 5553 Hwy 90, Pace, FL 32571-1540 | 8509958811 | PEA RIDGE FAMILY CARE CENTER INC |
| 5500 N Davis Hwy, Suite 2, Pensacola, FL 32503-2063 | 8509958811 | PEA RIDGE FAMILY CARE CENTER INC |
| Organization Legal Name | PEA RIDGE FAMILY CARE CENTER INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Brighenti | Physician Assistant | Pea Ridge Family Care Center Inc | 5500 N Davis Hwy, Suite 2, Pensacola, FL 32503-2063 |
| Anju Garg | Family Practice | Pea Ridge Family Care Center Inc | 5500 N Davis Hwy, Suite 2, Pensacola, FL 32503-2063 |
| Street Address |
5500 N DAVIS HWY SUITE 2 |
| City | PENSACOLA |
| State | FL |
| Zip | 32503-2063 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Brighenti | Physician Assistant | Pea Ridge Family Care Center Inc | 5500 N Davis Hwy, Suite 2, Pensacola, FL 32503-2063 |
| Usha Kundu | Obstetrics/gynecology | 5500 N Davis Hwy, Suite 1, Pensacola, FL 32503-2064 | |
| Anju Garg | Family Practice | Pea Ridge Family Care Center Inc | 5500 N Davis Hwy, Suite 2, Pensacola, FL 32503-2063 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joumana Sarkhoche | Family Practice | 5500 N Davis Hwy 3, Pensacola, FL 32503 | |
| Peter A Marco | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Luis Carlos Murillo | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Peter A Bercz | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Enrique Diaz Guzman Zavala | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| John George Wagner | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Sean Michael Roark | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Brandy M Miles | Physician Assistant | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| John M Bray | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Frank V Messina | Pulmonary Disease | Pensacola Lung Group, M.d.'s, P.a. | 4700 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 |
| Find all physicians in zip 32503 | |||
| City | PENSACOLA |
| Zip Code | 32503 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PENSACOLA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Purushottam K Garg.
| 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.