Jeremy D Gilliam (NPI# 1538284153, PAC ID# 8820169600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1538284153 |
| PAC ID by PECOS | 8820169600 |
| Professional Enrollment ID | I20080623000222 |
| Full Name | Jeremy D Gilliam |
| Organization Legal Name | SUMMIT RADIOLOGY PC |
| Address |
5001 Us Hwy 30 W D Fort Wayne IN 46818-9701 |
| Phone Number | 2604321568 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0143295410 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150072 | MEMORIAL HOSPITAL |
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 150011 | MARION GENERAL HOSPITAL |
| 151313 | WOODLAWN HOSPITAL |
| 150061 | DAVIESS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1120 Professional Blvd, Evansville, IN 47714-8000 | 8124717086 | ADVANCED DIAGNOSTIC IMAGING, PC |
| 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 | 2604321568 | SUMMIT RADIOLOGY PC |
| 1000 N 16th St, Henry County Hospital Medical Group, New Castle, IN 47362-4319 | 7655210890 | HENRY COUNTY MEMORIAL HOSPITAL |
| Organization Legal Name | SUMMIT RADIOLOGY PC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahdy Messiha | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Edward Kwang Yi | Diagnostic Radiology | Summit Radiology PC | 141 Lanipo Dr, Kailua, HI 96734-3228 |
| Erik J Bekkers | Diagnostic Radiology | Summit Radiology PC | 209 Marmona Dr, Menlo Park, CA 94025-2953 |
| Marc A Thomas | Diagnostic Radiology | Summit Radiology PC | 9901 Trailwood Dr, Suite 1020, Las Vegas, NV 89134-6680 |
| Vivek Sharma | Diagnostic Radiology | Summit Radiology PC | 38 Overlook Rd, Alpine, NJ 07620-1066 |
| Andrew V Barger | Diagnostic Radiology | Summit Radiology PC | 724 Lisboa Ct, Walnut Creek, CA 94598-4430 |
| Benjamin Y Chen | Diagnostic Radiology | Summit Radiology PC | 41 Modena, Irvine, CA 92618-0104 |
| Hassan B Semaan | Diagnostic Radiology | Summit Radiology PC | 5409 County Rd, Suite 1, West Liberty, OH 43357-9531 |
| Andre B Stovall | Diagnostic Radiology | Summit Radiology PC | 916 Myrtle St, Sturgis, MI 49091-2326 |
| Lisa R Stanley | Nurse Practitioner | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Street Address |
5001 US HWY 30 W D |
| City | FORT WAYNE |
| State | IN |
| Zip | 46818-9701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahdy Messiha | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Lisa R Stanley | Nurse Practitioner | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Randall J Phillips | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Richard Sibley | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| John C Rock | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Glenn Stephen Coats | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| John Christopher Lacunza | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Amit N Sanghvi | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Richard P Stephens | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Saad M Ibrahim | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caleb Parker Suciu | Chiropractic | 9206 Lima Rd, Fort Wayne, IN 46818-1806 | |
| Dan M Chaffee | Emergency Medicine | 12101 Lima Rd, Fort Wayne, IN 46818-8903 | |
| Joseph D Fortin | Pain Management | 9502 Lima Rd, Suite 103, Fort Wayne, IN 46818-9517 | |
| Kimberly A Keys | Chiropractic | Keys Chiropractic, P. C. | 9536 Lima Rd, Fort Wayne, IN 46818-9517 |
| Kraig C Keys | Chiropractic | Keys Chiropractic, P. C. | 9536 Lima Rd, Fort Wayne, IN 46818-9517 |
| Melissa Stemen | Nurse Practitioner | Lutheran Medical Group LLC | 11115 Lima Rd, Fort Wayne, IN 46818-9536 |
| John L Bormann | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Daniel G Branam | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Indu Rekha Meesa | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Michael S Valade | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Find all physicians in zip 46818 | |||
| City | FORT WAYNE |
| Zip Code | 46818 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FORT WAYNE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jeremy D Gilliam.
| 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.