Asmitha Buddam (NPI# 1417113192, PAC ID# 7810166097) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1417113192 |
| PAC ID by PECOS | 7810166097 |
| Professional Enrollment ID | I20121001000303 |
| Full Name | Asmitha Buddam |
| Organization Legal Name | DAVID J COHEN MD PLLC |
| Address |
1008 Bittersweet Branch Ct Saint Johns FL 32259-5261 |
| Phone Number | 4084600678 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3375793383 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030108 | THE CORE INSTITUTE SPECIALTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6501 N 19th Ave, Radiology Dept, Phoenix, AZ 85015-1646 | 6023144280 | DAVID J COHEN MD PLLC |
| 1008 Bittersweet Branch Ct, Saint Johns, FL 32259-5261 | 4084600678 | DAVID J COHEN MD PLLC |
| Organization Legal Name | DAVID J COHEN MD PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Whiteman | Diagnostic Radiology | David J Cohen Md Pllc | 6501 N 19th Ave, Radiology Dept, Phoenix, AZ 85015-1646 |
| Erinn Kyle Noeth | Diagnostic Radiology | David J Cohen Md Pllc | 4723 Vista De Oro Ave, Woodland Hills, CA 91364-3429 |
| Street Address |
1008 BITTERSWEET BRANCH CT |
| City | SAINT JOHNS |
| State | FL |
| Zip | 32259-5261 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vassil I Valov | Chiropractic | 254 Everest Lane, Suite 2, St. Johns, FL 32259 | |
| Austin J Chaput | Family Medicine | St Vincent's Ambulatory Care Inc | 2001 County Rd 210, Saint Johns, FL 32259-2063 |
| Allison H Mabus | Family Medicine | St Vincent's Ambulatory Care Inc | 2001 County Rd 210, Saint Johns, FL 32259-2063 |
| Paul Richard Fraley | Emergency Medicine | Paragon Emergency Services LLC | 42 Doctors Village Dr, Saint Johns, FL 32259-2245 |
| Ronald John Brace | Emergency Medicine | Paragon Emergency Services LLC | 42 Doctors Village Dr, Saint Johns, FL 32259-2245 |
| James E Callan | Emergency Medicine | Paragon Emergency Services LLC | 42 Doctors Village Dr, Saint Johns, FL 32259-2245 |
| Glenn A Pederson | Nurse Practitioner | Paragon Emergency Services LLC | 42 Doctors Village Dr, Saint Johns, FL 32259-2245 |
| Leslie A Lynn | Chiropractic | 445 State Rd, 13 Suite 9, Jacksonville, FL 32259-2822 | |
| Gerald Fisher | Optometry | Gerald H Fisher and Erika L Fisher, Pa | 651 State Rd 13, St. Johns, FL 32259-2830 |
| Erika Fisher | Optometry | Gerald H Fisher and Erika L Fisher, Pa | 651 State Rd 13, St. Johns, FL 32259-2830 |
| Find all physicians in zip 32259 | |||
| City | SAINT JOHNS |
| Zip Code | 32259 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SAINT JOHNS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Asmitha Buddam.
| 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.