Mark V Tetz (NPI# 1891779138, PAC ID# 1254345937) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1891779138 |
| PAC ID by PECOS | 1254345937 |
| Professional Enrollment ID | I20080513000239 |
| Full Name | Mark V Tetz |
| Organization Legal Name | VISALIA FAMILY PRACTICE MEDICAL GROUP |
| Address |
107 N Hall St Suite D Visalia CA 93291-5850 |
| Phone Number | 5596259200 |
| Gender | M |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9830139179 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050057 | KAWEAH DELTA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 107 N Hall St, Suite D, Visalia, CA 93291-5850 | 5596259200 | VISALIA FAMILY PRACTICE MEDICAL GROUP |
| Organization Legal Name | VISALIA FAMILY PRACTICE MEDICAL GROUP |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Rodarte | Family Medicine | Visalia Family Practice Medical Group | 107 N Hall St, Suite D, Visalia, CA 93291-5850 |
| John C Booker | Family Medicine | Visalia Family Practice Medical Group | 107 N Hall St, Suite D, Visalia, CA 93291-5850 |
| Elizabeth M Sasaki | Family Medicine | Visalia Family Practice Medical Group | 107 N Hall St, Suite D, Visalia, CA 93291-5850 |
| Thomas E Daglish | Family Practice | Visalia Family Practice Medical Group | 107 N Hall St, Suite D, Visalia, CA 93291-5850 |
| Maria Yepiz-wang | Nurse Practitioner | Visalia Family Practice Medical Group | 107 N Hall St, Visalia, CA 93291-5850 |
| Kourtney E Umphfres | Physician Assistant | Visalia Family Practice Medical Group | 107 N Hall St, Suite D, Visalia, CA 93291-5850 |
| Paul J Schommer | Family Practice | Visalia Family Practice Medical Group | 107 N Hall St, Suite D, Visalia, CA 93291-5850 |
| Street Address |
107 N HALL ST SUITE D |
| City | VISALIA |
| State | CA |
| Zip | 93291-5850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Rodarte | Family Medicine | Visalia Family Practice Medical Group | 107 N Hall St, Suite D, Visalia, CA 93291-5850 |
| John C Booker | Family Medicine | Visalia Family Practice Medical Group | 107 N Hall St, Suite D, Visalia, CA 93291-5850 |
| Elizabeth M Sasaki | Family Medicine | Visalia Family Practice Medical Group | 107 N Hall St, Suite D, Visalia, CA 93291-5850 |
| Thomas E Daglish | Family Practice | Visalia Family Practice Medical Group | 107 N Hall St, Suite D, Visalia, CA 93291-5850 |
| Maria Yepiz-wang | Nurse Practitioner | Visalia Family Practice Medical Group | 107 N Hall St, Visalia, CA 93291-5850 |
| John Coffey | Family Practice | 107 N Hall St, Visalia, CA 93291-5832 | |
| Kourtney E Umphfres | Physician Assistant | Visalia Family Practice Medical Group | 107 N Hall St, Suite D, Visalia, CA 93291-5850 |
| Paul J Schommer | Family Practice | Visalia Family Practice Medical Group | 107 N Hall St, Suite D, Visalia, CA 93291-5850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shellie Burdick | Family Practice | Family Healthcare Network | 501 N Bridge, Visalia, CA 93291 |
| Maziar Nabavi | Internal Medicine | Family Healthcare Network | 501 N Bridge, Visalia, CA 93291 |
| Rodolfo Borrego | Clinical Social Worker | 1106 N Chinowth St, Visalia, CA 93291-4113 | |
| Bryan R Pacilla | Physical Therapy | C O R E Physical Therapy of Visalia Inc | 1138 N Chinowth St, Visalia, CA 93291-4113 |
| Sean C Trujillo | Physical Therapy | C O R E Physical Therapy of Visalia Inc | 1138 N Chinowth St, Visalia, CA 93291-4113 |
| Margarita Prado Borrego | Clinical Social Worker | 1106 N Chinowth St, Visalia, CA 93291-4113 | |
| Luis H Velosa | Psychiatry | 1029 N Demaree St, Visalia, CA 93291-4117 | |
| Kathleen T Mccorkle | Clinical Social Worker | 1019 N Demaree A, Visalia, CA 93291-4117 | |
| Christopher Lynn Villard | Dermatology | 1027 N Demaree St, Visalia, CA 93291-4117 | |
| Amy Tillery | Psychologist, Clinical | Kings Counseling Services | 1043 N Demaree St, Visalia, CA 93291-4119 |
| Find all physicians in zip 93291 | |||
| City | VISALIA |
| Zip Code | 93291 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VISALIA + 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.