Eugene Pomeranets M.D.S.C.,

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EUGENE POMERANETS M.D.S.C.,

Practice address

500 Park Ave Ste 104
Lake Villa, IL 60046-6550

Phone

(847) 245-8700

Fax

(847) 245-8771

NPI assigned

Sep 14, 2018

Last updated

Sep 14, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cindy Schaller

Title

Manager

Phone

(847) 245-8700

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Semyon Maslovsky, MD

  • Family Medicine Physician
  • Lake Villa, IL
  • NPI 1508855040
  NPD (past)
• Eugene A Pomeranets, MD

  • Family Medicine Physician
  • Lake Villa, IL
  • NPI 1770579005
  NPD (past)
• Jill Colleen Zupansic, APN, FNP-BC

  • Family Nurse Practitioner
  • Lake Villa, IL
  • NPI 1346810488
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1679056618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PARK AVE STE 104",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600466550",
            "telephone_number": "847-245-8700",
            "fax_number": "847-245-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARK AVE STE 104",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600466550",
            "telephone_number": "847-245-8700",
            "fax_number": "847-245-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE POMERANETS M.D.S.C.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "SCHALLER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-245-8700"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacklyn Louise Durnil, M.S., CCC-SLP
• Kelly Nichole Eckhart, APRN
• Anna Michelle Edmiston, M.D.
• Embrace Behavioral Health
• Elizabeth Ericksen, LPC
• Family Care of Lake County S.C.
• Joel Keith Fish, D.C.
• Shontae L Fisher
• Thomas Joseph Forman
• Laura Franz

• Family Medicine Physician in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.