Ehsan Tabaraee (NPI# 1528394202, PAC ID# 2668603861) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1528394202 |
| PAC ID by PECOS | 2668603861 |
| Professional Enrollment ID | I20150716000887 |
| Full Name | Ehsan Tabaraee |
| Organization Legal Name | STANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC |
| Address |
609 E Orangeburg Ave Suite 201 Modesto CA 95350-5512 |
| Phone Number | 2095723224 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0042373862 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050167 | SAN JOAQUIN GENERAL HOSPITAL |
| 050464 | DOCTORS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 500 W Hospital Rd, French Camp, CA 95231-9693 | 2094686000 | SAN JOAQUIN FACULTY MEDICAL GROUP |
| 500 W Hospital Rd, San Joaquin General Hospital, French Camp, CA 95231-9693 | 2094686000 | COUNTY OF SAN JOAQUIN |
| 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 | 2095723224 | STANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC |
| Organization Legal Name | STANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc A. Trzeciak | Orthopedic Surgery | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| Jonathan Pettegrew | Orthopedic Surgery | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| Anne M Fultz | Occupational Therapy | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| Jonathan Cohen | Orthopedic Surgery | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| Joel Louis Frazier | Orthopedic Surgery | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| Kyle Ross Mcclintock | Orthopedic Surgery | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| Michael Wolterbeek | Podiatry | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| William L Pistel | Orthopedic Surgery | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| John J Casey Jr. | Orthopedic Surgery | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| Mohamed Ibrahim | Hand Surgery | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| Street Address |
609 E ORANGEBURG AVE SUITE 201 |
| City | MODESTO |
| State | CA |
| Zip | 95350-5512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc A. Trzeciak | Orthopedic Surgery | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| Jonathan Pettegrew | Orthopedic Surgery | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| Anne M Fultz | Occupational Therapy | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| Jonathan Cohen | Orthopedic Surgery | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| Joel Louis Frazier | Orthopedic Surgery | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| Kyle Ross Mcclintock | Orthopedic Surgery | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| Philip Dinh Truong | Certified Registered Nurse Anesthetist (crna) | 609 E Orangeburg Ave, Bldg B, Modesto, CA 95350-5512 | |
| Michael Wolterbeek | Podiatry | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| William L Pistel | Orthopedic Surgery | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| John J Casey Jr. | Orthopedic Surgery | Stanislaus Orthopaedic and Sports Medicine Clinic | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ladan P Hashemi | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Ashley Marruffo | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Jessica F Hoffman | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Lynne M Butner | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
| Ronald J Mostowski | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
| David A Heersink | Chiropractic | 1367 Standiford Ave, Modesto, CA 95350-0700 | |
| Mariza M Del Rosario-garcia | Psychiatry | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
| Rean Hong | Clinical Psychologist | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
| Michael Taylor | Chiropractic | 1421 Standiford Ave, B, Modesto, CA 95350-0730 | |
| Jeanne Abbott | Clinical Social Worker | 3300 Tully Rd, Suite C1, Modesto, CA 95350-0849 | |
| Find all physicians in zip 95350 | |||
| City | MODESTO |
| Zip Code | 95350 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MODESTO + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Ehsan Tabaraee.
| 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.