Peter Okolo (NPI# 1851551766, PAC ID# 8426220955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1851551766 |
| PAC ID by PECOS | 8426220955 |
| Professional Enrollment ID | I20111005000814 |
| Full Name | Peter Okolo |
| Organization Legal Name | INDEPENDENT IMAGING LLC |
| Address |
701 S Main St Belle Glade FL 33430-4201 |
| Phone Number | 5617955558 |
| Gender | M |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4587694716 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100258 | DELRAY MEDICAL CENTER |
| 100275 | WELLINGTON REGIONAL MEDICAL CENTER LLC |
| 100288 | ST MARY'S MEDICAL CENTER |
| 100287 | GOOD SAMARITAN MEDICAL CENTER |
| 100268 | WEST BOCA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 701 S Main St, Belle Glade, FL 33430-4201 | 5617955558 | INDEPENDENT IMAGING LLC |
| 21644 State Rd, Suite 7, Boca Raton, FL 33428-1842 | 5614888000 | SHERIDAN RADIOLOGY SERVICES OF SOUTH FLORIDA INC |
| 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 5614984440 | SHERIDAN RADIOLOGY SERVICES OF SOUTH FLORIDA INC |
| 1619 N Harrison Pkwy, Suite 200, Sunrise, FL 33323-2856 | 9548382371 | SHERIDAN RADIOLOGY SERVICES OF SOUTH FLORIDA INC |
| 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 5617661300 | BLUE RADIOLOGY SERVICES LLC |
| 3347 S State Rd, 7 Suite 100, Wellington, FL 33449-8148 | 5617955558 | INDEPENDENT IMAGING LLC |
| 1309 N Flager Dr, West Palm Beach, FL 33401-3406 | 5616555511 | SHERIDAN RADIOLOGY SERVICES OF SOUTH FLORIDA INC |
| 901 45th St, West Palm Beach, FL 33407-2413 | 5618446300 | SHERIDAN RADIOLOGY SERVICES OF SOUTH FLORIDA INC |
| Organization Legal Name | INDEPENDENT IMAGING LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra L. Mondro | Diagnostic Radiology | Independent Imaging LLC | 3347 S State Rd, 7 Suite 100, Wellington, FL 33449-8148 |
| Thomas F Marino | Diagnostic Radiology | Independent Imaging LLC | 3347 S State Rd, 7 Suite 100, Wellington, FL 33449-8148 |
| Joseph J Surace | Diagnostic Radiology | Independent Imaging LLC | 3347 S State Rd, 7 Suite 100, Wellington, FL 33449-8148 |
| Christina A Michael | Internal Medicine | Independent Imaging LLC | 3347 S State Rd, 7 Suite 100, Wellington, FL 33449-8148 |
| Orlando A Castillo | Diagnostic Radiology | Independent Imaging LLC | 3347 S State Rd, 7 Suite 100, Wellington, FL 33449-8148 |
| Rachel S Eidelman | Cardiovascular Disease (cardiology) | Independent Imaging LLC | 3347 S State Rd, 7 Suite 100, Wellington, FL 33449-8148 |
| Daniel A Hernandez | Physician Assistant | Independent Imaging LLC | 3347 S State Rd, 7 Suite 100, Wellington, FL 33449-8148 |
| Gabrielle Kater | Diagnostic Radiology | Independent Imaging LLC | 3347 S State Rd, 7 Suite 100, Wellington, FL 33449-8148 |
| Tobia A Palma | Cardiovascular Disease (cardiology) | Independent Imaging LLC | 3347 S State Rd, 7 Suite 100, Wellington, FL 33449-8148 |
| Barry K Simon | Diagnostic Radiology | Independent Imaging LLC | 3347 S State Rd, 7 Suite 100, Wellington, FL 33449-8148 |
| Street Address |
701 S MAIN ST |
| City | BELLE GLADE |
| State | FL |
| Zip | 33430-4201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William R Fox | Psychiatry | Pqa Healthcare, Inc. | 701 S Main St, Dobson, NC 27017-8593 |
| Jerry L Pomeroy | Physical Therapy | Advanced Pt of Newton, LLC | 701 S Main St, Hesston, KS 67062-8974 |
| Gregory Lewis | Clinical Social Worker | Pqa Healthcare, Inc. | 701 S Main St, Dobson, NC 27017-8593 |
| Kerry F Fox | Physician Assistant | Pqa Healthcare, Inc. | 701 S Main St, Dobson, NC 27017-8593 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmencita B Walls | Physical Therapy | 1100 N Main St B, Belle Glade, FL 33430-1973 | |
| Pradyumansinh M Chudasama | Internal Medicine | Metcare of Florida Inc | 349 Nw 16th St, 104 Metcare of The Everglades, Belle Glades, FL 33430-2839 |
| Tamika Denee Cummings | Nurse Practitioner | L.o.t. Health Services, Inc | 306 Sw 10th St, Belle Glade, FL 33430-3282 |
| Ahmed H Barhoush | Obstetrics/gynecology | 232 S Main St, Belle Glade, FL 33430-3426 | |
| Yaw O Abu | Internal Medicine | 124 Sw 1st St, Belle Glade, FL 33430-3472 | |
| Allaix Philogene | Internal Medicine | 141 S Main St, Suite 131, Bell Glade, FL 33430-3473 | |
| Marvin Reich | Ophthalmology | 309 Se 2nd St, Belle Glade, FL 33430-3509 | |
| Susan S Mcmillan | Nurse Practitioner | 425 Se 2nd St, Belle Glade, FL 33430-3511 | |
| Cory B Haimon | Podiatry | 941 Se 1st St, Suite B, Belle Glade, FL 33430-4353 | |
| Edward R Becker | Urology | 21st Century Oncology, LLC | 1100 S Main St, Belle Glade, FL 33430-4910 |
| Find all physicians in zip 33430 | |||
| City | BELLE GLADE |
| Zip Code | 33430 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BELLE GLADE + DIAGNOSTIC RADIOLOGY |
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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.