Terry L Croasdale (NPI# 1295713147, PAC ID# 2163460460) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1295713147 |
| PAC ID by PECOS | 2163460460 |
| Professional Enrollment ID | I20050418001179 |
| Full Name | Terry L Croasdale |
| Organization Legal Name | FIRST CHOICE PHYSICIAN PARTNERS |
| Address |
1262 E N St Manteca CA 95336-4962 |
| Phone Number | 2098237646 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0941465322 |
| Number of Group Practice Members | 191 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050118 | DOCTORS HOSPITAL OF MANTECA |
| Address | Phone | Organization |
|---|---|---|
| 1262 E N St, Manteca, CA 95336-4962 | 2098237646 | FIRST CHOICE PHYSICIAN PARTNERS |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | FIRST CHOICE PHYSICIAN PARTNERS |
| Physicians | 196 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taryn Alexandra Pearl | Physician Assistant | First Choice Physician Partners | 1035 Peach St, Suite 301, San Luis Obispo, CA 93401-2700 |
| Megan Leanne Burkett | Nurse Practitioner | First Choice Physician Partners | 1154 E Grand Ave, Arroyo Grande, CA 93420-2583 |
| Jessica J Peckham | Nurse Practitioner | First Choice Physician Partners | 2727 Buena Vista Dr, Suite 210, Paso Robles, CA 93446-8580 |
| Maxim Spektor | General Surgery | First Choice Physician Partners | 58457 29 Palms Hwy, Suite 200, Yucca Valley, CA 92284-5879 |
| Jincy Clement | Hematology/oncology | First Choice Physician Partners | 880 E Tuolumne Rd, Suite 103, Turlock, CA 95382-1549 |
| Alexander Richter | Orthopedic Surgery | First Choice Physician Partners | 1325 N Rose Dr, 100 Socal Affiliated Physicians Inc, Placentia, CA 92870-3800 |
| Anna Gasparyan | Vascular Surgery | First Choice Physician Partners | 1140 N Indian Canyon Dr, Suite 100, Palm Springs, CA 92262-4872 |
| Robert Price | Neurology | First Choice Physician Partners | 1220 Las Tablas Rd, Suite 1418, Templeton, CA 93465-9756 |
| Robert Edward Horner | Physician Assistant | First Choice Physician Partners | 5500 E Santa Ana Canyon Rd, Suite 255, Anaheim, CA 92807-3103 |
| Alok Shukla | Anesthesiology | First Choice Physician Partners | 1441 Florida Ave, Modesto, CA 95350-4404 |
| Street Address |
1262 E N ST |
| City | MANTECA |
| State | CA |
| Zip | 95336-4962 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Siraj K Ahmed | Pulmonary Disease | 1262 E N St, Manteca, CA 95336-4962 | |
| Karl Konrad Wolf | Family Medicine | First Choice Physician Partners | 1262 E N St, Manteca, CA 95336-4962 |
| Paola Velosa | Nurse Practitioner | First Choice Physician Partners | 1262 E N St, Manteca, CA 95336-4962 |
| Prayuk A. Waran | Obstetrics/gynecology | First Choice Physician Partners | 1262 E N St, Manteca, CA 95336-4962 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Jean Bouchard | Obstetrics/gynecology | P. Gill Obstetrics and Gynecology Medical Group, Inc. | 1234 E N St, Suite 102, Manteca, CA 95336 |
| Maya Nambisan | Obstetrics/gynecology | P. Gill Obstetrics and Gynecology Medical Group, Inc. | 1234 E N St, Suite 102, Manteca, CA 95336 |
| Gail Joseph | Obstetrics/gynecology | P. Gill Obstetrics and Gynecology Medical Group, Inc. | 1234 E N St, Suite 102, Manteca, CA 95336 |
| Vivian Y Diep | Optometry | Golden Valley Health Center | 302 Northgate Dr, Manteca, CA 95336-3139 |
| Jayshri M Nimbargi | Internal Medicine | Golden Valley Health Center | 250 Northgate Dr, Manteca, CA 95336-3161 |
| Shweta S Rao | Family Medicine | Golden Valley Health Center | 250 Northgate Dr, Manteca, CA 95336-3161 |
| Michael Erdman | Chiropractic | 1126 N Main St, Manteca, CA 95336-3208 | |
| Henry Alan Pallotta | Physical Therapy | 1041 N Main St A, Manteca, CA 95336-3988 | |
| Hanh Judy Ngoc Nguyen | Optometry | 158 N Maple Ave, Manteca, CA 95336-4503 | |
| Gregory L Miller | Optometry | 138 N Grant Ave, Manteca, CA 95336-4601 | |
| Find all physicians in zip 95336 | |||
| City | MANTECA |
| Zip Code | 95336 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MANTECA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Terry L Croasdale.
| 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.