Robert Rose (NPI# 1629085873, PAC ID# 0244249134) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1629085873 |
PAC ID by PECOS | 0244249134 |
Professional Enrollment ID | I20090212000669 |
Full Name | Robert Rose |
Organization Legal Name | JOHN C FREMONT HEALTHCARE DISTRICT |
Address |
5186 Hospital Rd Mariposa CA 95338-9524 |
Phone Number | 2099662154 |
Gender | M |
Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
Graduation Year | 1979 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 5890689533 |
Number of Group Practice Members | 15 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
051304 | JOHN C FREMONT HEALTHCARE DISTRICT |
Address | Phone | Organization |
---|---|---|
5186 Hospital Rd, Mariposa, CA 95338-9524 | 2099662154 | JOHN C FREMONT HEALTHCARE DISTRICT |
5189 Hospital Rd, Mariposa, CA 95338-9524 | 2099663631 | JOHN C FREMONT HEALTHCARE DISTRICT |
Organization Legal Name | JOHN C FREMONT HEALTHCARE DISTRICT |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Miguel M Ollada | Internal Medicine | John C Fremont Healthcare District | 5108 Hwy 140 140, Mariposa, CA 95338 |
Joseph E Rogers | Pediatric Medicine | John C Fremont Healthcare District | 5186 Hospital Rd, Mariposa, CA 95338-9524 |
Kenneth P Smith | Emergency Medicine | John C Fremont Healthcare District | 5186 Hospital Rd, Mariposa, CA 95338-9524 |
Brian F Licuanan | Psychologist, Clinical | John C Fremont Healthcare District | 5186 Hospital Rd, Mariposa, CA 95338-9524 |
Mimi E Carter | Family Medicine | John C Fremont Healthcare District | 5186 Hospital Rd, Mariposa, CA 95338-9524 |
Street Address |
5186 HOSPITAL RD |
City | MARIPOSA |
State | CA |
Zip | 95338-9524 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph E Rogers | Pediatric Medicine | John C Fremont Healthcare District | 5186 Hospital Rd, Mariposa, CA 95338-9524 |
Kenneth P Smith | Emergency Medicine | John C Fremont Healthcare District | 5186 Hospital Rd, Mariposa, CA 95338-9524 |
Brian F Licuanan | Psychologist, Clinical | John C Fremont Healthcare District | 5186 Hospital Rd, Mariposa, CA 95338-9524 |
Mimi E Carter | Family Medicine | John C Fremont Healthcare District | 5186 Hospital Rd, Mariposa, CA 95338-9524 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeremiah L Beery | Physical Therapy | 5008 Hwy 140 B, Mariposa, CA 95338 | |
Joy Mcclure | Clinical Social Worker | 5131 Hwy 140 4, Mariposa, CA 95338 | |
Miguel M Ollada | Internal Medicine | John C Fremont Healthcare District | 5108 Hwy 140 140, Mariposa, CA 95338 |
James T Platto | Chiropractic | 5170 Hwy 49 N, Mariposa, CA 95338-2250 | |
Debra Ann Hutchins | Clinical Social Worker | 3736 Jones Creek Rd, Mariposa, CA 95338-9341 | |
Kelly A Sharrar | Family Medicine | 4981 Indian Peak Rd, Mariposa, CA 95338-9373 | |
Lynn Gill | Optometry | 5284 Hwy 49 N 1, Mariposa, CA 95338-9501 | |
Christina Tsao | Internal Medicine | Rural Physicians Group PC | 5189 Hospital Rd, Mariposa, CA 95338-9524 |
Ravinder Kadevari | Family Medicine | Mact Health Board Inc. | 5192 Hospital Rd, Mariposa, CA 95338-9524 |
Roger D Gallant | Emergency Medicine | Yosemite Valley Medical Services, A Medical Corporation | 5189 Hospital Rd, Mariposa, CA 95338-9524 |
Find all physicians in zip 95338 |
City | MARIPOSA |
Zip Code | 95338 |
Specialty | FAMILY MEDICINE |
City + Specialty | MARIPOSA + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.