Nicole Rose Sudduth (NPI# 1013054378, PAC ID# 0345335261) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1013054378 |
| PAC ID by PECOS | 0345335261 |
| Professional Enrollment ID | I20071005000698 |
| Full Name | Nicole Rose Sudduth |
| Organization Legal Name | SUTTER BAY MEDICAL FOUNDATION |
| Address |
795 El Camino Real Palo Alto CA 94301-2302 |
| Phone Number | 4156001020 |
| Gender | F |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4284538778 |
| Number of Group Practice Members | 2620 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050242 | DOMINICAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 795 El Camino Real, Palo Alto, CA 94301-2302 | 4156001020 | SUTTER BAY MEDICAL FOUNDATION |
| 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 8314234111 | SUTTER BAY MEDICAL FOUNDATION |
| 550 S Green Valley Rd, Watsonville, CA 95076-3053 | 8314585865 | SUTTER BAY MEDICAL FOUNDATION |
| Organization Legal Name | SUTTER BAY MEDICAL FOUNDATION |
| Physicians | 2773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriela Ramos-pamplona | Nurse Practitioner | Sutter Bay Medical Foundation | 2095 Diamond Blvd, Suite 150, Concord, CA 94520-5832 |
| Ja Young Kim | Nurse Practitioner | Sutter Bay Medical Foundation | 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 |
| Gannon Dudlar | Emergency Medicine | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
| Teresa Safer | Obstetrics/gynecology | Sutter Bay Medical Foundation | 1580 Valencia St, Suite 802, San Francisco, CA 94110-4415 |
| Aly M Mohamed | Gastroenterology | Sutter Bay Medical Foundation | 1662 Dominican Way, Santa Cruz, CA 95065-1522 |
| Inxs M Chandler | Nurse Practitioner | Sutter Bay Medical Foundation | 580 N Rengstorff Ave, Unit 5, Mountain View, CA 94043-2894 |
| Elsa Petronella Van Berry | Nurse Practitioner | Sutter Bay Medical Foundation | 3100 Summit St, Fl 2, Oakland, CA 94609-3412 |
| Joshua D Menefee | Internal Medicine | Sutter Bay Medical Foundation | 7225 Rainbow Dr, San Jose, CA 95129-4552 |
| Nicole Sue Gong | Physical Therapy | Sutter Bay Medical Foundation | 1085 W El Camino Real, Sunnyvale, CA 94087-1030 |
| Melanie Manaku | Internal Medicine | Sutter Bay Medical Foundation | 350 Rhode Island St, Suite 200, San Francisco, CA 94103-5188 |
| Street Address |
795 EL CAMINO REAL |
| City | PALO ALTO |
| State | CA |
| Zip | 94301-2302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Winona M Tan | Obstetrics/gynecology | Sutter Bay Medical Foundation | 795 El Camino Real, Palo Alto, CA 94301-2302 |
| Sherry Huang | Family Medicine | Sutter Bay Medical Foundation | 795 El Camino Real, Palo Alto, CA 94301-2302 |
| Susan T Butler | Dermatology | Sutter Bay Medical Foundation | 795 El Camino Real, Palo Alto, CA 94301-2302 |
| Ryan A Mcconnell | Gastroenterology | Sutter Bay Medical Foundation | 795 El Camino Real, Palo Alto, CA 94301-2302 |
| Whitney E Landa | Psychiatry | Sutter Bay Medical Foundation | 795 El Camino Real, Palo Alto, CA 94301-2302 |
| Christian Laparan | Nurse Practitioner | Sutter Bay Medical Foundation | 795 El Camino Real, Palo Alto, CA 94301-2302 |
| Timothy W Allari | Internal Medicine | Sutter Bay Medical Foundation | 795 El Camino Real, Palo Alto, CA 94301-2302 |
| Grace W Chan | Endocrinology | Sutter Bay Medical Foundation | 795 El Camino Real, Palo Alto, CA 94301-2302 |
| Christopher R Cartwright | Anesthesiology | Sutter Bay Medical Foundation | 795 El Camino Real, Palo Alto, CA 94301-2302 |
| Peggy Albrecht | Dermatology | Sutter Bay Medical Foundation | 795 El Camino Real, Palo Alto, CA 94301-2302 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan L Edelman | Psychiatry | 451 Lytton Ave, Palo Alto, CA 94301-1535 | |
| Lewis Sandy Margolis | Anesthesiology | 153 Forest Ave, Palo Alto, CA 94301-1615 | |
| Patricia Kiser | Chiropractic | 540 Bryant St, Palo Alto, CA 94301-1742 | |
| Richard David Lee | Family Medicine | 605 Cowper St, Palo Alto, CA 94301-1808 | |
| Erica Wu | Optometry | 479 University Ave, Palo Alto, CA 94301-1814 | |
| Kathleen J Mcconnell | Clinical Social Worker | 467 Hamilton Ave, Suite 4, Palo Alto, CA 94301-1828 | |
| Joseph F Most | Optometry | 540 University Ave, Suite 110, Palo Alto, CA 94301-1912 | |
| Marlyna Rosella Stewart | Clinical Social Worker | 518 Byron St, Palo Alto, CA 94301-2006 | |
| Anders C Greenwood | Psychologist, Clinical | 550 Hamilton Ave, Suite 306, Palo Alto, CA 94301-2031 | |
| Renate Trittelvitz | Psychiatry | 550 Hamilton Ave, Suite 304, Palo Alto, CA 94301-2031 | |
| Find all physicians in zip 94301 | |||
| City | PALO ALTO |
| Zip Code | 94301 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PALO ALTO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Nicole Rose Sudduth.
| 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.