Teresa A Deroo (NPI# 1770554701, PAC ID# 3577653344) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1770554701 |
| PAC ID by PECOS | 3577653344 |
| Professional Enrollment ID | I20071217000499 |
| Full Name | Teresa A Deroo |
| Organization Legal Name | ADVANCED RADIOLOGY PA |
| Address |
5456 Wolverine Ter Carlsbad CA 92010-7159 |
| Phone Number | 9525951100 |
| Gender | F |
| Medical School | DARTMOUTH MEDICAL SCHOOL |
| Graduation Year | 1986 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1254327950 |
| Number of Group Practice Members | 129 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050084 | ST JOSEPHS MEDICAL CENTER OF STOCKTON |
| 330241 | UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER |
| 330397 | INTERFAITH MEDICAL CENTER |
| 210049 | UNIVERSITY OF MD UPPER CHESAPEAKE MEDICAL CENTER |
| 050557 | MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 7186134000 | INTERFAITH PROFESSIONAL PHYSICIAN SERVICES PC |
| 5456 Wolverine Ter, Carlsbad, CA 92010-7159 | 9525951100 | ADVANCED RADIOLOGY PA |
| 5456 Wolverine Ter, Carlsbad, CA 92010-7159 | VIRTUAL RADIOLOGIC PROFESSIONALS OF CALIFORNIA PA | |
| 5456 Wolverine Ter, Carlsbad, CA 92010-7159 | SUTTER VALLEY MEDICAL FOUNDATION | |
| 5456 Wolverine Ter, Carlsbad, CA 92010-7159 | 9525951301 | INTERFAITH PROFESSIONAL PHYSICIAN SERVICES PC |
| 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2095241211 | SUTTER VALLEY MEDICAL FOUNDATION |
| 600 Coffee Rd, Modesto, CA 95355-4201 | SUTTER VALLEY MEDICAL FOUNDATION | |
| 877 Island Ave, Unit 905, San Diego, CA 92101-7154 | 3236870096 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 1800 N California St, Stackton, CA 95204-6019 | 2099432000 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 1800 N California St, Suite 1, Stockton, CA 95204-6019 | 2094676316 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2099577050 | SUTTER VALLEY MEDICAL FOUNDATION |
| 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2099577050 | SUTTER VALLEY MEDICAL FOUNDATION |
| Organization Legal Name | ADVANCED RADIOLOGY PA |
| Physicians | 130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Crouch | Diagnostic Radiology | Advanced Radiology Pa | 8801 Bellancia Dr, Austin, TX 78738-7626 |
| Audrey P Mccarron | Diagnostic Radiology | Advanced Radiology Pa | 11425 Dairy St, Fulton, MD 20759-2662 |
| Clarence C Coleman Jr. | Diagnostic Radiology | Advanced Radiology Pa | 810 Delany Dr, Raleigh, NC 27610-1616 |
| Frank J Welte | Diagnostic Radiology | Advanced Radiology Pa | 112 Corona St, San Francisco, CA 94127-2808 |
| Patricia O Macfarlane | Diagnostic Radiology | Advanced Radiology Pa | 521 W 9th St, Concordia, KS 66901-3319 |
| Jennifer E Bryant | Diagnostic Radiology | Advanced Radiology Pa | 36 Hoffmann Rd, Canton, CT 06019-2123 |
| Holly E Korsvik-wysocki | Diagnostic Radiology | Advanced Radiology Pa | 11913 Tallwood Ct, Potomac, MD 20854-2169 |
| Michael L Hynes | Diagnostic Radiology | Advanced Radiology Pa | 143 Green St, Apt 1, New York, NY 10012-3245 |
| Gregory E Kenyherz | Diagnostic Radiology | Advanced Radiology Pa | 10300 Rainmaker Ct, Reno, NV 89511-5352 |
| Donna Decosta | Diagnostic Radiology | Advanced Radiology Pa | 8601 Veterans Hwy, Suite 100, Millersville, MD 21108-1571 |
| Street Address |
5456 WOLVERINE TER |
| City | CARLSBAD |
| State | CA |
| Zip | 92010-7159 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David F Marsh | Physical Therapy | 2758 Victoria Ave, Carlsbad, CA 92010-2191 | |
| Mark Sendar | Family Medicine | 3732 Strata Dr, Carlsbad, CA 92010-5503 | |
| Terri B Kraus | Physical Therapy | 3222 Grey Hawk Ct, Carlsbad, CA 92010-6651 | |
| Audrey D Thompson | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Andrew Joseph Pavlov | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Kristen May Lopez | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Meghan Zwahlen | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Ross Montgomery Edmunds | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Megan D Waller | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Casey Waller | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Find all physicians in zip 92010 | |||
| City | CARLSBAD |
| Zip Code | 92010 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CARLSBAD + DIAGNOSTIC RADIOLOGY |
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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.