| Ali M Gharagozloo, MD | |
|
214 King St, Ogdensburg, NY 13669-1142 | |
| (315) 393-3600 | |
| (315) 393-9127 |
| Full Name | Ali M Gharagozloo |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 34 Years |
| Location | 214 King St, Ogdensburg, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437142239 | NPI | - | NPPES |
| 01686460 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 198556 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| River Hospital Clinics | Alexandria bay, NY | Hospital |
| Carthage Area Hospital, Inc | Carthage, NY | Hospital |
| Canton-potsdam Hospital | Potsdam, NY | Hospital |
| Samaritan Medical Center | Watertown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ali M Gharagozloo Md Pc | 0446228472 | 7 |
| Seaway Radiology Pc | 6305837584 | 7 |
| Entity Name | Claxton-hepburn Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891753034 PECOS PAC ID: 8426966508 Enrollment ID: O20031110000552 |
| Entity Name | Carthage Area Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053497388 PECOS PAC ID: 9931010485 Enrollment ID: O20040209000856 |
| Entity Name | Seaway Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124012018 PECOS PAC ID: 6305837584 Enrollment ID: O20040518001496 |
| Entity Name | Ali M Gharagozloo Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831182633 PECOS PAC ID: 0446228472 Enrollment ID: O20040917000973 |
| Mailing Address | Practice Location Address |
|---|---|
| Ali M Gharagozloo, MD 4567 Crossroads Park Dr, Liverpool, NY 13088-3589 Ph: (315) 434-9307 | Ali M Gharagozloo, MD 214 King St, Ogdensburg, NY 13669-1142 Ph: (315) 393-3600 |
John W Gebert, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5 Lyon Place, Richard E Winter Cancer Treatment Center, Ogdensburg, NY 13669 Phone: 315-393-3600 Fax: 315-393-0320 | |
Muhammad Afridi, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 | |
Max S Laguerre, MD Radiology Medicare: Medicare Enrolled Practice Location: 5 Lyon Pl, Ogdensburg, NY 13669 Phone: 315-393-2314 Fax: 315-393-3873 | |
Dennis J Kotlove, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-713-6220 Fax: 315-393-3873 |