Paul W Wasserstein (NPI# 1467560094, PAC ID# 1850384868) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1467560094 |
| PAC ID by PECOS | 1850384868 |
| Professional Enrollment ID | I20081211000827 |
| Full Name | Paul W Wasserstein |
| Organization Legal Name | MARIN MEDICAL LABORATORIES |
| Address |
1165 Montgomery Dr Santa Rosa CA 95405-4801 |
| Phone Number | 7075255352 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1976 |
| Primary Specialty | PATHOLOGY |
| Secondary Specialties | NUCLEAR MEDICINE |
| Group Practice PAC ID | 7911990916 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050174 | SANTA ROSA MEMORIAL HOSPITAL |
| 050136 | PETALUMA VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 7075255352 | MARIN MEDICAL LABORATORIES |
| Organization Legal Name | MARIN MEDICAL LABORATORIES |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Wolfe | Pathology | Marin Medical Laboratories | 250 Bon Air Rd, Greenbrae, CA 94904-1702 |
| Frederick J Kretzschmar | Pathology | Marin Medical Laboratories | 250 Bon Air Rd, Greenbrae, CA 94904-1702 |
| Christopher J Kim | Pathology | Marin Medical Laboratories | 250 Bon Air Rd, Greenbrae, CA 94904-1702 |
| Imok Cha | Pathology | Marin Medical Laboratories | 250 Bon Air Rd, Greenbrae, CA 94904-1702 |
| Kedar Che Prasad | Pathology | Marin Medical Laboratories | 250 Bon Air Rd, Greenbrae, CA 94904-1702 |
| Wanhua Yang | Pathology | Marin Medical Laboratories | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| Richard Wilber | Pathology | Marin Medical Laboratories | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Street Address |
1165 MONTGOMERY DR |
| City | SANTA ROSA |
| State | CA |
| Zip | 95405-4801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ridgely O Muller | Emergency Medicine | St Joseph Heritage Healthcare | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| Julie A Barlow | Nurse Practitioner | St Joseph Heritage Healthcare | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| Marlene Lennon | Nurse Practitioner | St Joseph Heritage Healthcare | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| Marlin W Causey | Vascular Surgery | St Joseph Heritage Healthcare | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| Christopher D Press | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| Alexey Shereshevsky | Family Medicine | St Joseph Heritage Healthcare | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| Matthew B Thomas | Emergency Medicine | St Joseph Heritage Healthcare | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| Christina M Kopriva | Emergency Medicine | St Joseph Heritage Healthcare | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| Robert J Wood | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| Erin Elizabeth Lopez | Physician Assistant | St Joseph Heritage Healthcare | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Marianella | Internal Medicine | 1515 Montgomery Dr, Santa Rosa, CA 95405-4500 | |
| Jean Claude Bassila | Nephrology | 435 Doyle Park Dr, Santa Rosa, CA 95405-4515 | |
| Michael G Carlston | Family Medicine | 427 Doyle Park Dr, Santa Rosa, CA 95405-4515 | |
| Stephen Lee | Nephrology | Santa Rosa Kidney Care PC | 435 Doyle Park Dr, Santa Rosa, CA 95405-4515 |
| Eric Schmidt | Orthopedic Surgery | 525 Doyle Park Dr, Suite 101, Santa Rosa, CA 95405-4516 | |
| Marc E Thorne | Physician Assistant | Eric S Schmidt, Md, Inc | 525 Doyle Park Dr, Santa Rosa, CA 95405-4516 |
| Tomas Vasiliauskas | Cardiovascular Disease (cardiology) | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Santa Rosa, CA 95405-4555 |
| Priscilla T Ngo | Nurse Practitioner | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Suite 303, Santa Rosa, CA 95405-4555 |
| Jaya R Mallidi | Cardiovascular Disease (cardiology) | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Suite G05, Santa Rosa, CA 95405-4555 |
| Marlon C Decastro | Internal Medicine | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Suite 303, Santa Rosa, CA 95405-4555 |
| Find all physicians in zip 95405 | |||
| City | SANTA ROSA |
| Zip Code | 95405 |
| Specialty | PATHOLOGY |
| City + Specialty | SANTA ROSA + PATHOLOGY |
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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.