| Amm Healthcare, Pa | |
|
530 New Waverly Pl Ste 101 Cary NC 27518-7414 | |
| (919) 650-6066 | |
| (919) 882-1378 |
| Full Name | Amm Healthcare, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 530 New Waverly Pl Ste 101, Cary, North Carolina |
| Authorized Official Name and Position | Zen Menon (CEO) |
| Authorized Official Contact | 9102198310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amm Healthcare, Pa Po Box 986513 Dept. 200 Boston MA 02298-6513 Ph: (910) 219-8310 | Amm Healthcare, Pa 530 New Waverly Pl Ste 101 Cary NC 27518-7414 Ph: (919) 650-6066 |
| NPI Number | 1528639689 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 6002212370 |
|---|---|
| Medicare Enrollment ID | O20210913000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528639689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Alexander C Chavez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982603163 PECOS PAC ID: 8628067147 Enrollment ID: I20040510001330 |
| Provider Name | Susan K Ziglar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134102353 PECOS PAC ID: 0446325237 Enrollment ID: I20080813000315 |
| Provider Name | Joseph Frank Nutz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760488175 PECOS PAC ID: 4587564497 Enrollment ID: I20100514000753 |
| Provider Name | Kati Ellizabeth Dessauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306832563 PECOS PAC ID: 2264530997 Enrollment ID: I20100828000016 |
| Provider Name | Shailesh Manandhar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679005409 PECOS PAC ID: 9537571468 Enrollment ID: I20201216002770 |
| Provider Name | Mary Jo Mcdonell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821095118 PECOS PAC ID: 3779978218 Enrollment ID: I20220318000750 |
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