Hisa Yamaguchi (NPI# 1538161195, PAC ID# 7911809769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1538161195 |
| PAC ID by PECOS | 7911809769 |
| Professional Enrollment ID | I20040623000158 |
| Full Name | Hisa Yamaguchi |
| Organization Legal Name | EASTSIDE GENERAL SURGERY LLC |
| Address |
1000 Medical Ctr Blvd Lawrenceville GA 30046-7694 |
| Phone Number | 6783121000 |
| Gender | F |
| Credential | MD |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4880799162 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110192 | EASTSIDE MEDICAL CENTER |
| 110087 | GWINNETT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 | 6783121000 | EASTSIDE GENERAL SURGERY LLC |
| 98 Tara Commons Dr, Loganville, GA 30052-8031 | 7709727999 | EASTSIDE GENERAL SURGERY LLC |
| 1600 Medical Way, Suite 220, Snellville, GA 30078-2160 | 4702234707 | EASTSIDE GENERAL SURGERY LLC |
| 1700 Medical Way, Snellville, GA 30078-2195 | 7709790200 | EASTSIDE GENERAL SURGERY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | EASTSIDE GENERAL SURGERY LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Kramer | General Surgery | Eastside General Surgery LLC | 98 Tara Commons Dr, Loganville, GA 30052-8031 |
| Vonda R Ware | Obstetrics/gynecology | Eastside General Surgery LLC | 98 Tara Commons Dr, Loganville, GA 30052-8031 |
| Janice H Pressley | Obstetrics/gynecology | Eastside General Surgery LLC | 98 Tara Commons Dr, Loganville, GA 30052-8031 |
| Brittany M Merritt | Obstetrics/gynecology | Eastside General Surgery LLC | 1800 Tree Ln, Suite 300, Snellville, GA 30078-6794 |
| Peter C Mann | Obstetrics/gynecology | Eastside General Surgery LLC | 98 Tara Commons Dr, Loganville, GA 30052-8031 |
| Betsy G Weiss | Physician Assistant | Eastside General Surgery LLC | 98 Tara Commons Dr, Loganville, GA 30052-8031 |
| Carmen C Mcgee | Obstetrics/gynecology | Eastside General Surgery LLC | 1800 Tree Ln, Suite 300, Snellville, GA 30078-6794 |
| Katherine A Kennedy | Physician Assistant | Eastside General Surgery LLC | 98 Tara Commons Dr, Loganville, GA 30052-8031 |
| Street Address |
1000 MEDICAL CTR BLVD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip | 30046-7694 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara B O'callaghan | Nurse Practitioner | Gwinnett Hospital System, Inc. | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Jiaqi Li | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Amsel M Siore | Pulmonary Disease | Gwinnett Physician Group,llc | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Crichton Anne Hollingsworth | Nurse Practitioner | Gwinnett Emergency Specialists PC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Michael J Pickford | Otolaryngology | Gwinnett Physician Group,llc | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Eddie L Simms | Physician Assistant | Cvg Physicians Group, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Praveen Sivakumaran | Hematology/oncology | Gwinnett Hospital System, Inc. | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Erica B Jin | Obstetrics/gynecology | Gwinnett Physician Group,llc | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Jennifer Ifeoma Obi | Pulmonary Disease | Gwinnett Physician Group,llc | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Whitney Morrow | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chundra Brooks | Nurse Practitioner | Aga Professional Services LLC | 301 Phillip Blvd, Suite A, Lawrenceville, GA 30046 |
| Gail S Hammond | Clinical Social Worker | 295 S Culver St, Suite A, Lawrenceville, GA 30046-3239 | |
| Kenneth L Knight | Clinical Social Worker | 295 S Culver St, Suite A, Lawrenceville, GA 30046-3239 | |
| Robert W Stevens | Chiropractic | 368 W Pike St, Suite 202, Lawrenceville, GA 30046-3240 | |
| Mehdi Kazemzadeh | Optometry | 575 Professional Dr, Suite 100, Lawrenceville, GA 30046-3300 | |
| Raymond L Stovall | Internal Medicine | 575 Professional Dr, Suite 310, Lawrenceville, GA 30046-3300 | |
| Jeffrey D Zwiren | Plastic and Reconstructive Surgery | Gwinnett Physician Group,llc | 100 Medical Ctr Blvd, Suite 165, Lawrenceville, GA 30046-3301 |
| Kelly H Scoggins | Nurse Practitioner | Gwinnett Physician Group,llc | 100 Medical Ctr Blvd, Suite 165, Lawrenceville, GA 30046-3301 |
| Pamela A Boyd | Nurse Practitioner | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| William G Tanner Jr. | Gastroenterology | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| Find all physicians in zip 30046 | |||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LAWRENCEVILLE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Hisa Yamaguchi.
| 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.