| Galileo Medical Group Nc Pc | |
|
315 W 2nd St Greenville NC 27834-1969 | |
| (919) 200-0119 | |
| Not Available |
| Full Name | Galileo Medical Group Nc Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 315 W 2nd St, Greenville, North Carolina |
| Authorized Official Name and Position | Thomas Lee (PRESIDENT) |
| Authorized Official Contact | 8007314254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Galileo Medical Group Nc Pc 64 Bleecker St # 151 New York NY 10012-2410 Ph: () - | Galileo Medical Group Nc Pc 315 W 2nd St Greenville NC 27834-1969 Ph: (919) 200-0119 |
| NPI Number | 1831660265 |
|---|---|
| Provider Enumeration Date | 12/11/2018 |
| Last Update Date | 09/07/2021 |
| Medicare PECOS PAC ID | 0648603266 |
|---|---|
| Medicare Enrollment ID | O20191211002938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831660265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Judith Emery Coogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477565182 PECOS PAC ID: 5698878866 Enrollment ID: I20070307000663 |
| Provider Name | Jodi L Adler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427137504 PECOS PAC ID: 5092898148 Enrollment ID: I20080212000526 |
| Provider Name | Danyel Sutton Vines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093187403 PECOS PAC ID: 7214230242 Enrollment ID: I20160125001685 |
| Provider Name | Derek Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205061553 PECOS PAC ID: 1951570209 Enrollment ID: I20160606000074 |
| Provider Name | Jamila Irene Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528353430 PECOS PAC ID: 3072740281 Enrollment ID: I20170508000035 |
| Provider Name | Daniel Weisberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841603834 PECOS PAC ID: 5799902003 Enrollment ID: I20191217001759 |
| Provider Name | Giselle Blair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013276708 PECOS PAC ID: 3173824448 Enrollment ID: I20200521001614 |
| Provider Name | Ajay Haryani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043603756 PECOS PAC ID: 8527465152 Enrollment ID: I20211221000336 |
| Provider Name | Jessica Patreece Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629622162 PECOS PAC ID: 3971835091 Enrollment ID: I20220204000415 |
| Provider Name | Elizabeth Arbia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225329238 PECOS PAC ID: 9032337241 Enrollment ID: I20230809001128 |
| Provider Name | Vyacheslav Mikheyev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649598731 PECOS PAC ID: 2163655796 Enrollment ID: I20230810000051 |
| Provider Name | Christina Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356636138 PECOS PAC ID: 3971827130 Enrollment ID: I20230811003331 |
| Provider Name | Karis Cho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790909372 PECOS PAC ID: 0648457754 Enrollment ID: I20230814002466 |
| Provider Name | Juan Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396158382 PECOS PAC ID: 4880811132 Enrollment ID: I20230815002889 |
| Provider Name | Jude Fleming-vaghjiani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104244532 PECOS PAC ID: 7517235724 Enrollment ID: I20230816003640 |
| Provider Name | Kelly Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235524794 PECOS PAC ID: 0042565178 Enrollment ID: I20230823002614 |
| Provider Name | Mary Jepson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871927301 PECOS PAC ID: 7810126679 Enrollment ID: I20230911004254 |
| Provider Name | Mara Anne Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861772402 PECOS PAC ID: 2466611363 Enrollment ID: I20230911004325 |
| Provider Name | Amy Bruno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932221140 PECOS PAC ID: 6204908577 Enrollment ID: I20230912001918 |
| Provider Name | Peter Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205148632 PECOS PAC ID: 9537358957 Enrollment ID: I20230915003647 |
| Provider Name | Maria Baez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487026522 PECOS PAC ID: 7517265887 Enrollment ID: I20231216000062 |
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