Firas Kaddaha (NPI# 1003154337, PAC ID# 8426346057) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1003154337 |
| PAC ID by PECOS | 8426346057 |
| Professional Enrollment ID | I20161013001000 |
| Full Name | Firas Kaddaha |
| Organization Legal Name | SOUTHSIDE PHYSICIAN NETWORK LLC |
| Address |
727 N Main St Emporia VA 23847-1274 |
| Phone Number | 4343484400 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 4587722160 |
| Number of Group Practice Members | 62 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490090 | CENTRA SOUTHSIDE COMMUNITY HOSPITAL, INC |
| 490021 | CENTRA |
| 490097 | SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 563 Southpark Blvd, Colonial Heights, VA 23834-3610 | 8046217262 | DOMINION HEART AND VASCULAR CLINIC |
| 727 N Main St, Emporia, VA 23847-1274 | 4343484400 | SOUTHSIDE PHYSICIAN NETWORK LLC |
| 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 4342001800 | CENTRA MEDICAL GROUP LLC |
| Organization Legal Name | SOUTHSIDE PHYSICIAN NETWORK LLC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberley Lingler | Family Medicine | Southside Physician Network LLC | 12801 Iron Bridge Rd, Suite 200, Chester, VA 23831-1669 |
| Clifton Hawkes | Infectious Disease | Southside Physician Network LLC | 50 Medical Park Blvd, Petersburg, VA 23805-9275 |
| John Martin Yosay | Family Medicine | Southside Physician Network LLC | 436 Clairmont Ct, Suite 100, Colonial Heights, VA 23834-1765 |
| Krishna Rao Kudaravalli | Obstetrics/gynecology | Southside Physician Network LLC | 3335 S Crater Rd, Petersburg, VA 23805-9214 |
| John W Lewis | Family Medicine | Southside Physician Network LLC | 40 Medical Park Blvd A, Petersburg, VA 23805-9289 |
| Spencer G Feldmann | Family Medicine | Southside Physician Network LLC | 511 Belfield Dr, Emporia, VA 23847-1217 |
| George Quarshie | Family Medicine | Southside Physician Network LLC | 20901 Chesterfield Ave, South Chesterfield, VA 23803-1903 |
| Harry A A Bigley | Urology | Southside Physician Network LLC | 436 Claremont Ct, Suite 104, Colonial Heights, VA 23834-1765 |
| Katri Ann French | Nurse Practitioner | Southside Physician Network LLC | 40 Medical Park Blvd A, Petersburg, VA 23805-9289 |
| Angela Allen-blaine | Nurse Practitioner | Southside Physician Network LLC | 40 Medical Park Blvd A, Petersburg, VA 23805-9289 |
| Street Address |
727 N MAIN ST |
| City | EMPORIA |
| State | VA |
| Zip | 23847-1274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Cogan Casey | Internal Medicine | Emergency Medicine Associates Pa PC | 727 N Main St, Emporia, VA 23847-1274 |
| Omar A Minai | Pulmonary Disease | Southside Physician Network LLC | 727 N Main St, Emporia, VA 23847-1274 |
| Mark Maher Guirguis | Anesthesiology | Medstream Anesthesia Pllc | 727 N Main St, Emporia, VA 23847-1274 |
| Rakesh Sood | Psychiatry | Southside Physician Network LLC | 727 N Main St, Emporia, VA 23847-1274 |
| Teresa Oswald | Nurse Practitioner | Southside Physician Network LLC | 727 N Main St, Emporia, VA 23847-1274 |
| Renee M Essary | Nurse Practitioner | Southside Physician Network LLC | 727 N Main St, Emporia, VA 23847-1274 |
| Adam Haymaker | Physician Assistant | Southside Physician Network LLC | 727 N Main St, Emporia, VA 23847-1274 |
| Charles Omick | Certified Registered Nurse Anesthetist | Medstream Anesthesia Pllc | 727 N Main St, Emporia, VA 23847-1274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline J Gatten | Clinical Social Worker | 420 S Main St C, Emporia, VA 23847-0016 | |
| William W Campbell | Neurology | Henrico Doctors Neurology Associates LLC | 301 Market Dr, Suite 7, Emporia, VA 23847-1215 |
| Spencer G Feldmann | Family Medicine | Southside Physician Network LLC | 511 Belfield Dr, Emporia, VA 23847-1217 |
| Amanda Miller Temple | Nurse Practitioner | Southside Physician Network LLC | 511 Belfield Dr, Emporia, VA 23847-1217 |
| Jennifer Robinson Watson | Nurse Practitioner | Emporia Medical Associates PC | 6 Doctors Dr, Emporia, VA 23847-1240 |
| Cassandra Dee Storey | Physician Assistant | Emporia Medical Associates PC | 6 Doctors Dr, Emporia, VA 23847-1240 |
| Michael S Anderson | Family Medicine | Emporia Medical Associates PC | 6 Doctors Dr, Emporia, VA 23847-1240 |
| Robert H Squire | Family Medicine | Emporia Medical Associates PC | 6 Doctors Dr, Emporia, VA 23847-1240 |
| Leanne W Rawlings | Nurse Practitioner | Emporia Medical Associates PC | 6 Doctors Dr, Emporia, VA 23847-1240 |
| Adolph V Flowers | Family Practice | Emporia Medical Associates PC | 6 Doctors Dr, Emporia, VA 23847-1240 |
| Find all physicians in zip 23847 | |||
| City | EMPORIA |
| Zip Code | 23847 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | EMPORIA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Firas Kaddaha.
| 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.