| Omar Faruque, DO | |
|
1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859-5001 | |
| (808) 433-2474 | |
| Not Available |
| Full Name | Omar Faruque |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 9 Years |
| Location | 1 Jarrett White Rd, Tripler Army Medical Center, Hawaii |
| 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 |
|---|---|---|---|
| 1710431044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 1812 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
| Wayne Memorial Hospital | Jesup, GA | Hospital |
| Mercy Hospital Ada | Ada, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virtual Radiologic Professionals Llc | 4981608817 | 394 |
| Atlantic Radiology Associates Llc | 5799706032 | 112 |
| Specialists In Medical Imaging Sc | 2163733544 | 205 |
| John D Archbold Memorial Hospital Inc | 4981502622 | 50 |
| Virtual Radiologic Professionals Llc | 4981608817 | 394 |
| Entity Name | Virtual Radiologic Professionals Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932342029 PECOS PAC ID: 4981608817 Enrollment ID: O20071004000582 |
| Entity Name | Ascension Borgess Lee Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1194771030 PECOS PAC ID: 7719881002 Enrollment ID: O20080304000173 |
| Mailing Address | Practice Location Address |
|---|---|
| Omar Faruque, DO Omar Faruque, General Delivery, 300 E Hospital Rd, Ft Gordon, GA 30905 Ph: (313) 903-2111 | Omar Faruque, DO 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859-5001 Ph: (808) 433-2474 |
Mr. Edward Anthony Daly Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 888-683-2778 | |
Dr. Dustin R Roberie, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-2474 | |
Dr. David Timothy Padro, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-683-2778 | |
Dr. Young Woo Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Department Of Radiology, Tripler Army Medical Center, HI 96859 Phone: 808-433-6669 | |
Michael Mann Chamberlin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-2390 | |
Timothy Wulfestieg, Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-2474 | |
Daniel Robert Mason, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-6669 |