Robert K Koida (NPI# 1275646507, PAC ID# 1850392093) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1275646507 |
| PAC ID by PECOS | 1850392093 |
| Professional Enrollment ID | I20070130000775 |
| Full Name | Robert K Koida |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
52 Mission Cir Suite 121 Santa Rosa CA 95409-5370 |
| Phone Number | 7073031712 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1965 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 1049 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050136 | PETALUMA VALLEY HOSPITAL |
| 050174 | SANTA ROSA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 52 Mission Cir, Suite 121, Santa Rosa, CA 95409-5370 | 7073031712 | ST JOSEPH HERITAGE HEALTHCARE |
| 8911 Lakewood Dr, Suite 13, Windsor, CA 95492-7857 | 7073873910 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Physicians | 1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarah N Nelson | Nurse Practitioner | St Joseph Heritage Healthcare | 2460 Buhne St, Eureka, CA 95501-3207 |
| Kristen Shay Rasnick | Nurse Practitioner | St Joseph Heritage Healthcare | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 |
| Basit Rahim | Neurology | St Joseph Heritage Healthcare | 26800 Crown Valley Pkwy, Suite 385, Mission Viejo, CA 92691-7320 |
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Sherin Ann Chakkalakel | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Jamie Lea Meyer | Nurse Practitioner | St Joseph Heritage Healthcare | 2332 23rd St, Eureka, CA 95501-3231 |
| Laura Elizabeth Hall | Nurse Practitioner | St Joseph Heritage Healthcare | 2280 Harrison Ave, Suite K, Eureka, CA 95501-3200 |
| Street Address |
52 MISSION CIR SUITE 121 |
| City | SANTA ROSA |
| State | CA |
| Zip | 95409-5370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dione M Gott | Nurse Practitioner | St Joseph Heritage Healthcare | 52 Mission Cir, Suite 121, Santa Rosa, CA 95409-5370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine A Barnard | Psychologist, Clinical | 626 Lombard Ave, Santa Rosa, CA 95409-3858 | |
| Cynthia R Ferrera | Psychologist, Clinical | 4415 Sonoma Hwy A, Santa Rosa, CA 95409-4165 | |
| Terri L Hamilton-gahart | Psychologist, Clinical | 4415 Sonoma Hwy A, Santa Rosa, CA 95409-4165 | |
| Andrea B Gladstein | Obstetrics/gynecology | 4983 Sonoma Hwy, Suite S, Santa Rosa, CA 95409-4279 | |
| John C Robinson | Maxillofacial Surgery | 55 Mission Cir, Suite 102, Santa Rosa, CA 95409-5372 | |
| Harriet T Katz | Clinical Social Worker | 4527 Montgomery Dr, Santa Rosa, CA 95409-5384 | |
| Julie C Plante | Dermatology | Redwood Empire Dermatology Inc | 6574 Oakmont Dr, Suite B, Santa Rosa, CA 95409-5958 |
| Susan C Amaturo | Dermatology | Redwood Empire Dermatology Inc | 6574 Oakmont Dr, Suite B, Santa Rosa, CA 95409-5958 |
| Christen M Thompson | Nurse Practitioner | Redwood Empire Dermatology Inc | 6574 Oakmont Dr, Suite B, Santa Rosa, CA 95409-5958 |
| Dale R Westrom | Dermatology | Redwood Empire Dermatology Inc | 6574 Oakmont Dr, Suite B, Santa Rosa, CA 95409-5958 |
| Find all physicians in zip 95409 | |||
| City | SANTA ROSA |
| Zip Code | 95409 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SANTA ROSA + 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.