Antonio J Carrasco (NPI# 1114155231, PAC ID# 2062693328) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1114155231 |
PAC ID by PECOS | 2062693328 |
Professional Enrollment ID | I20110221000587 |
Full Name | Antonio J Carrasco |
Organization Legal Name | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
Address |
8716 E Mill Plain Blvd Vancouver WA 98664-2531 |
Phone Number | 3602562000 |
Gender | M |
Medical School | MAYO MEDICAL SCHOOL |
Graduation Year | 2006 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 9739092065 |
Number of Group Practice Members | 94 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
500050 | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
500150 | LEGACY SALMON CREEK HOSPITAL |
Address | Phone | Organization |
---|---|---|
400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 3602562000 | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 3602562000 | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
Organization Legal Name | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
Physicians | 88 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bradden W Jensen | Pathology | Peacehealth Southwest Medical Center | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 |
Kevin D Deweber | Family Medicine | Peacehealth Southwest Medical Center | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 |
David Paik | Family Medicine | Peacehealth Southwest Medical Center | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 |
Sherri L Rutherford | Family Medicine | Peacehealth Southwest Medical Center | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 |
Linina M Zocchi | Nurse Practitioner | Peacehealth Southwest Medical Center | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 |
James A Mathey | Physician Assistant | Peacehealth Southwest Medical Center | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 |
Jennifer J Newman | Registered Dietitian Or Nutrition Professional | Peacehealth Southwest Medical Center | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 |
Susan L Rylander | Registered Dietitian Or Nutrition Professional | Peacehealth Southwest Medical Center | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 |
Vaishali P Shah | Psychiatry | Peacehealth Southwest Medical Center | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 |
Claire A Marks | Nurse Practitioner | Peacehealth Southwest Medical Center | 3400 Main St, Vancouver, WA 98663-2223 |
Street Address |
8716 E MILL PLAIN BLVD |
City | VANCOUVER |
State | WA |
Zip | 98664-2531 |
Name | Specialty | Organization | Address |
---|---|---|---|
Katherine Chubinskaya | Internal Medicine | Peacehealth Southwest Medical Center | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 |
Bhavini B Bhavsar | Endocrinology | Peacehealth Southwest Medical Center | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 |
Melinda Landchild | Family Medicine | Peacehealth Southwest Medical Center | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 |
Erik P Denninghoff | Emergency Medicine | Peacehealth Southwest Medical Center | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephen W Kormanyos | Hospitalist | South Sound Inpatient Physicians Pllc | 400 Nemother Jos Pl, Vancouver, WA 98664 |
Eric W Vogelzang | Chiropractic | 7317 E Mill Plain Blvd, Vancouver, WA 98664-1300 | |
Richard T Kubiniec | Obstetrics/gynecology | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
Lindsey Campbell | Nurse Practitioner | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
Shane D Dunaway | Family Medicine | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
Jennifer M Goaring | Certified Nurse Midwife (cnm) | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
Amanda C Kerber | Nurse Practitioner | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
Homayoun Akhavan Saraf | Obstetrics/gynecology | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
Patricia M Frew | Family Medicine | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
Krista F Roscoe | Nurse Practitioner | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
Find all physicians in zip 98664 |
City | VANCOUVER |
Zip Code | 98664 |
Specialty | FAMILY MEDICINE |
City + Specialty | VANCOUVER + 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.