Elizabeth Mahanor (NPI# 1013994755, PAC ID# 8729071279) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1013994755 |
| PAC ID by PECOS | 8729071279 |
| Professional Enrollment ID | I20051215000304 |
| Full Name | Elizabeth Mahanor |
| Organization Legal Name | SOUTHEASTERN SURGICAL ASSOCIATES, PC |
| Address |
100 Camp St Hyannis MA 02601-3063 |
| Phone Number | 5087751984 |
| Gender | F |
| Credential | MD |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 9133110224 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220012 | CAPE COD HEALTHCARE |
| 220176 | ST VINCENT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 Camp St, Hyannis, MA 02601-3063 | 5087751984 | SOUTHEASTERN SURGICAL ASSOCIATES, PC |
| Organization Legal Name | SOUTHEASTERN SURGICAL ASSOCIATES, PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos A Fonts | General Surgery | Southeastern Surgical Associates, PC | 100 Camp St, Hyannis, MA 02601-3063 |
| Jeffrey Spillane | Thoracic Surgery | Southeastern Surgical Associates, PC | 100 Camp St, Hyannis, MA 02601-3063 |
| Lawrence M Novak | General Surgery | Southeastern Surgical Associates, PC | 100 Camp St, Hyannis, MA 02601-3063 |
| Daniel Ray Gorin | Vascular Surgery | Southeastern Surgical Associates, PC | 100 Camp St, Hyannis, MA 02601-3063 |
| Paul A Skudder, Jr | Family Medicine | Southeastern Surgical Associates, PC | 100 Camp St, Hyannis, MA 02601-3063 |
| Street Address |
100 CAMP ST |
| City | HYANNIS |
| State | MA |
| Zip | 02601-3063 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos A Fonts | General Surgery | Southeastern Surgical Associates, PC | 100 Camp St, Hyannis, MA 02601-3063 |
| Jeffrey Spillane | Thoracic Surgery | Southeastern Surgical Associates, PC | 100 Camp St, Hyannis, MA 02601-3063 |
| Lawrence M Novak | General Surgery | Southeastern Surgical Associates, PC | 100 Camp St, Hyannis, MA 02601-3063 |
| Kathryn H Dalton | General Surgery | Medical Affiliates of Cape Cod, Inc. | 100 Camp St, Hyannis, MA 02601-3063 |
| Daniel Ray Gorin | Vascular Surgery | Southeastern Surgical Associates, PC | 100 Camp St, Hyannis, MA 02601-3063 |
| Paul A Skudder, Jr | Family Medicine | Southeastern Surgical Associates, PC | 100 Camp St, Hyannis, MA 02601-3063 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Wygonski | Oral Surgery | 700 Attucks Lane, Suite 2e, Hyannis, MA 02601 | |
| Scott M Harris | Orthopedic Surgery | Medical Affiliates of Cape Cod, Inc. | 35 Wilkins Ln, Hyannis, MA 02601 |
| Karen G Ralston | Chiropractic | 46 Pkwy Place, Hyannis, MA 02601 | |
| Geralyn Leone | Obstetrics/gynecology | 46 N St, Hyannis, MA 02601 | |
| James Boyle | Orthopedic Surgery | Cape Cod Orthopedics and Sports Medicine PC | 130 N St, Hyannis, MA 02601 |
| Jeffrey M Terwilliger | Physician Assistant | Cape Cod Orthopedics and Sports Medicine PC | 130 N St, Hyannis, MA 02601 |
| Trenton Lee Hiles | Physician Assistant | Cape Cod Orthopedics and Sports Medicine PC | 130 N St, Hyannis, MA 02601 |
| Gary L Shapiro | Gastroenterology | Medical Affiliates of Cape Cod, Inc. | 35 Wilkins Ln, Hyannis, MA 02601 |
| Justin L Yamin | Gastroenterology | Medical Affiliates of Cape Cod, Inc. | 35 Wilkins Ln, Hyannis, MA 02601 |
| Karen M Lynch | Neurology | Medical Affiliates of Cape Cod, Inc. | 35 Wilkins Ln, Hyannis, MA 02601 |
| Find all physicians in zip 02601 | |||
| City | HYANNIS |
| Zip Code | 02601 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | HYANNIS + VASCULAR SURGERY |
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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.