Anton Georgiev (NPI# 1841412145, PAC ID# 9133398597) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1841412145 |
PAC ID by PECOS | 9133398597 |
Professional Enrollment ID | I20110802000114 |
Full Name | Anton Georgiev |
Organization Legal Name | BERWICK CLINIC COMPANY LLC |
Address |
1 Brookhill S Sq Sugarloaf PA 18249-1016 |
Phone Number | 5707080176 |
Gender | M |
Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 2006 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 0648279620 |
Number of Group Practice Members | 15 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390072 | BERWICK HOSPITAL CENTER |
Address | Phone | Organization |
---|---|---|
1918 W Front St, Berwick, PA 18603-4230 | 5708025726 | BERWICK CLINIC COMPANY LLC |
1 Brookhill S Sq, Sugarloaf, PA 18249-1016 | 5707080176 | BERWICK CLINIC COMPANY LLC |
Organization Legal Name | BERWICK CLINIC COMPANY LLC |
Physicians | 16 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maxwell Eric Tolan | Family Medicine | Berwick Clinic Company LLC | 1 Brookhill S Sq, Sugarloaf, PA 18249-1016 |
Kwaku Nyame Boakye | Family Medicine | Berwick Clinic Company LLC | 109 S Mail St, Berwick Medical Prof, Shickskinny, PA 18655-1221 |
Jose F Derr | Family Practice | Berwick Clinic Company LLC | 101 W 9th St, Berwick, PA 18603-3024 |
Michael B Levandowski | Nurse Practitioner | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
Kathy Eileen Baylor | Family Medicine | Berwick Clinic Company LLC | 3151 Columbia Blvd, Bloomsburg, PA 17815-8889 |
Marek Kurowski | Pain Management | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
Erica Perez | Family Medicine | Berwick Clinic Company LLC | 3151 Columbia Blvd, Bloomsburg, PA 17815-8889 |
Ryan J Hawley | General Surgery | Berwick Clinic Company LLC | 6850 Lows Rd, Suite 328, Berwick, PA 18603-2321 |
Robert A Gregor | Nurse Practitioner | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
Michelle Lynn Hall | Nurse Practitioner | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
Street Address |
1 BROOKHILL S SQ |
City | SUGARLOAF |
State | PA |
Zip | 18249-1016 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maxwell Eric Tolan | Family Medicine | Berwick Clinic Company LLC | 1 Brookhill S Sq, Sugarloaf, PA 18249-1016 |
Roslon Johnson | Nurse Practitioner | Berwick Clinic Company LLC | 1 Brookhill S Sq, Sugarloaf, PA 18249-1016 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ronald Makuta | Podiatry | 2 Brookhill Rd, Sugarloaf, PA 18249-1045 | |
Joseph V Bafile Jr. | Chiropractic | 715 W Butler Dr, Sugarloaf, PA 18249-3003 | |
Robin J Bohanan | Nurse Practitioner | Hazleton Professional Services | 642 State Route 93 Hwy, Suite 1, Sugarloaf, PA 18249-3127 |
Scott D Ungemach | Chiropractic | De Jesus Wellness Group PC | 298 Rock Glen Rd, Sugarloaf, PA 18249-3211 |
Rowena M De Jesus | Chiropractic | De Jesus Wellness Group PC | 298 Rock Glen Rd, Sugarloaf, PA 18249-3211 |
Saura A Rohrbach | Chiropractic | 8 N Main St, Sugarloaf, PA 18249-3238 | |
Eugene D Gorski | Family Medicine | Hazleton Professional Services | 102 Banks Ave, Sugarloaf, PA 18249-3709 |
City | SUGARLOAF |
Zip Code | 18249 |
Specialty | GENERAL SURGERY |
City + Specialty | SUGARLOAF + GENERAL SURGERY |
Please comment or provide details below to improve the information on Anton Georgiev.
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.