Michael A Nissenbaum (NPI# 1356328975, PAC ID# 8325083546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1356328975 |
| PAC ID by PECOS | 8325083546 |
| Professional Enrollment ID | I20170324001035 |
| Full Name | Michael A Nissenbaum |
| Organization Legal Name | RED RIVER CONSULTANTS INC |
| Address |
124 Dish Ln Stowe VT 05672-5430 |
| Phone Number | 3182124550 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1355303363 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190176 | TULANE MEDICAL CENTER |
| 390151 | CHAMBERSBURG HOSPITAL |
| 230222 | MIDMICHIGAN MEDICAL CENTER-MIDLAND |
| 390065 | GETTYSBURG HOSPITAL |
| 230036 | MIDMICHIGAN MEDICAL CENTER - ALPENA |
| Address | Phone | Organization |
|---|---|---|
| 124 Dish Ln, Stowe, VT 05672-5430 | 3182124550 | RED RIVER CONSULTANTS INC |
| 124 Dish Ln, Stowe, VT 05672-5430 | 9858674050 | PONTCHARTRAIN DIAGNOSTIC IMAGING LLC |
| 124 Dish Ln, Stowe, VT 05672-5430 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 185 Grafton Rd, Townshend, VT 05353-8820 | 8023653601 | CARLOS G OTIS HEALTH CARE CENTER INC |
| Organization Legal Name | RED RIVER CONSULTANTS INC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn R Wagner | Diagnostic Radiology | Red River Consultants Inc | 10 Belvidere Ave, Worcester, MA 01605-1316 |
| Dawood I Malik | Diagnostic Radiology | Red River Consultants Inc | 4188 Ivy Crest Ct, Hilliard, OH 43026-6249 |
| Adam A Sciuk | Diagnostic Radiology | Red River Consultants Inc | 4222 Moss Cove Ct, Sugar Land, TX 77479-3590 |
| David S St. John | Diagnostic Radiology | Red River Consultants Inc | 8140 Grafton End, Dublin, OH 43016-9495 |
| Reem S Awwad | Diagnostic Radiology | Red River Consultants Inc | 732 Legends Crest Dr, Franklin, TN 37069-4659 |
| Joshua Thomas Blunck | Diagnostic Radiology | Red River Consultants Inc | 9290 Nw 36th St, Polk City, IA 50226-2079 |
| Cristina Margarita Cavazos | Diagnostic Radiology | Red River Consultants Inc | 2823 Ne 55th Ave, Portland, OR 97213-3439 |
| Jaime K Salvatore | Diagnostic Radiology | Red River Consultants Inc | 1624 Loudon Heights Rd, Charleston, WV 25314-1504 |
| Kimberley Sloan Miller | Diagnostic Radiology | Red River Consultants Inc | 23144 Buchanan St, Mount Vernon, WA 98273-8031 |
| Michael J Cooney | Diagnostic Radiology | Red River Consultants Inc | 116 N Dianthus St, Manhattan Beach, CA 90266-6713 |
| Street Address |
124 DISH LN |
| City | STOWE |
| State | VT |
| Zip | 05672-5430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara E Puddicombe | Occupational Therapy | 6 Stowe Hollow Rd, Stowe, VT 05672 | |
| David M Bisbee | Family Medicine | 53 Old Farm Rd, Stowe, VT 05672-0357 | |
| Sean Patrick Ryan | Clinical Social Worker | 56 Old Farm Rd, Stowe, VT 05672-4434 | |
| Richard T Barnett | Psychologist, Clinical | 53 Old Farm Rd, Stowe, VT 05672-4434 | |
| Kathleen M Doehla | Physical Therapy | 435 Points N Rd, Points North Physical Therapy LLC, Stowe, VT 05672-4547 | |
| John D Hirce | Oral Surgery | Stowe Family Dentistry PC | 1593 Pucker St, Stowe, VT 05672-4579 |
| Christopher L Pazandak | Oral Surgery | Stowe Family Dentistry PC | 1593 Pucker St, Stowe, VT 05672-4579 |
| Jason J Charkalis | Chiropractic | 188 S Main St, Stowe, VT 05672-4649 | |
| James Charkalis | Chiropractic | 188 S Main St, Stowe, VT 05672-4649 | |
| Lawrence Gardner | Clinical Social Worker | 588 S Main St, Stowe, VT 05672-4650 | |
| Find all physicians in zip 05672 | |||
| City | STOWE |
| Zip Code | 05672 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | STOWE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Michael A Nissenbaum.
| 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.