Lian Jen (NPI# 1326031048, PAC ID# 9335171495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1326031048 |
| PAC ID by PECOS | 9335171495 |
| Professional Enrollment ID | I20050909000208 |
| Full Name | Lian Jen |
| Address |
3089 Tamiami Trl B Port Charlotte FL 33952-8052 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1993 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100236 | FAWCETT MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3089 Tamiami Trl, B, Port Charlotte, FL 33952-8052 |
| Street Address |
3089 TAMIAMI TRL B |
| City | PORT CHARLOTTE |
| State | FL |
| Zip | 33952-8052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Barrett | Clinical Social Worker | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Manuel F Gallego | Psychiatry | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Mason S Maulsby | Nurse Practitioner | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Kimberly M Huggard | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Rita F De Palma | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| David M Reilly | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Ewa A Bialikiewicz | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Gary B Jacobs | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Douglas G Henricks | Internal Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Joseph Piccolo | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Find all physicians in zip 33952 | |||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | PORT CHARLOTTE + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Lian Jen.
| 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.