Dr Omar Ezziddin, MD | |
908 Allen St, Springfield, MA 01118-2533 | |
(413) 796-7494 | |
Not Available |
Full Name | Dr Omar Ezziddin |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 15 Years |
Location | 908 Allen St, Springfield, Massachusetts |
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 |
---|---|---|---|
1821232901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036131711 (Illinois) | Primary |
207LP3000X | Anesthesiology - Pediatric Anesthesiology | 036131711 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Ctr | Springfield, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Woodland Anesthesiology Associates, P.c. | 8820083652 | 172 |
Pulse Anesthesia Consultants Pc | 8921479809 | 8 |
Woodland Anesthesiology Associates, P.c. | 8820083652 | 172 |
Connecticut Gi Pc | 9830110758 | 185 |
Entity Name | Umass Memorial Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
Entity Name | Springfield Anesthesia Service Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093768830 PECOS PAC ID: 0345228011 Enrollment ID: O20040709000365 |
Entity Name | Woodland Anesthesiology Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437109824 PECOS PAC ID: 8820083652 Enrollment ID: O20180215000067 |
Entity Name | Pioneer Sedation Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154886810 PECOS PAC ID: 8729320239 Enrollment ID: O20190503000018 |
Entity Name | Pulse Anesthesia Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407560618 PECOS PAC ID: 8921479809 Enrollment ID: O20230201001698 |
Mailing Address | Practice Location Address |
---|---|
Dr Omar Ezziddin, MD 908 Allen St, Springfield, MA 01118-2533 Ph: () - | Dr Omar Ezziddin, MD 908 Allen St, Springfield, MA 01118-2533 Ph: (413) 796-7494 |
Poornachandran Manikantan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 908 Allen St, Springfield, MA 01118 Phone: 413-796-7494 Fax: 413-796-7498 | |
Ghassan Ali Aljafar, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 Wason Ave Fl 2, Springfield, MA 01107 Phone: 413-794-1800 | |
Andrew Gainski, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 908 Allen St, Springfield, MA 01118 Phone: 413-796-7494 Fax: 413-796-7498 | |
Dr. Peter A Vieira, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 908 Allen St, Springfield, MA 01118 Phone: 413-796-7494 Fax: 413-796-7498 | |
Dr. Christopher Conron Dow, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 908 Allen St, Springfield Anesthesia Service, Springfield, MA 01118 Phone: 413-796-7494 Fax: 413-796-7497 | |
Lakshmi Yalavarthy, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 908 Allen St, Springfield, MA 01118 Phone: 413-796-7494 | |
Michael Kevin Walsh, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 271 Carew St, Springfield, MA 01104 Phone: 508-494-0316 |