Sara Fukuzawa (NPI# 1619315728, PAC ID# 4183858830) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1619315728 |
PAC ID by PECOS | 4183858830 |
Professional Enrollment ID | I20160331001969 |
Full Name | Sara Fukuzawa |
Organization Legal Name | CLEAR LAKE SA SERVICES, INC. |
Address |
1940 N Pearl St Apt 3645 Denver CO 80203-1543 |
Phone Number | 2489533706 |
Gender | F |
Graduation Year | 2013 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 1153559588 |
Number of Group Practice Members | 27 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
060028 | SAINT JOSEPH HOSPITAL |
060034 | HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1940 N Pearl St, Apt 3645, Denver, CO 80203-1543 | 2489533706 | CLEAR LAKE SA SERVICES, INC. |
Organization Legal Name | CLEAR LAKE SA SERVICES, INC. |
Physicians | 30 |
Name | Specialty | Organization | Address |
---|---|---|---|
Seanna Fuhrman | Physician Assistant | Clear Lake Sa Services, Inc. | 1940 N Pearl St, Apt 3645, Denver, CO 80203-1543 |
Rachel Richardson | Physician Assistant | Clear Lake Sa Services, Inc. | 19015 S Jodi Rd H, Mokena, IL 60448-8534 |
Kaylee A Williams | Physician Assistant | Clear Lake Sa Services, Inc. | 7324 Southwest Fwy 1550, Houston, TX 77074-2053 |
Joshua R Williams | Physician Assistant | Clear Lake Sa Services, Inc. | 35246 Us Hwy 19 N, Suite 185, Palm Harbor, FL 34684-1931 |
Valerie L Cosamano | Physician Assistant | Clear Lake Sa Services, Inc. | 35246 Us Hwy 19 N, Suite 185, Palm Harbor, FL 34684-1931 |
Patrick W Myrthil | Physician Assistant | Clear Lake Sa Services, Inc. | 35246 Us Hwy 19 N, Suite 185, Palm Harbor, FL 34684-1931 |
Charles L Neustein | General Surgery | Clear Lake Sa Services, Inc. | 35246 Us Hwy 19 N, Suite 185, Palm Harbor, FL 34684-1931 |
Joshua Steven Reissig | Physician Assistant | Clear Lake Sa Services, Inc. | 35246 Us Hwy 19 N, Suite 185, Palm Harbor, FL 34684-1931 |
Piper M Whiteley | Physician Assistant | Clear Lake Sa Services, Inc. | 1940 N Pearl St, Apt 3645, Denver, CO 80203-1543 |
Brandon Scott Wilson | Physician Assistant | Clear Lake Sa Services, Inc. | 35246 Us Hwy 19 N, Suite 185, Palm Harbor, FL 34684-1931 |
Street Address |
1940 N PEARL ST APT 3645 |
City | DENVER |
State | CO |
Zip | 80203-1543 |
Name | Specialty | Organization | Address |
---|---|---|---|
Seanna Fuhrman | Physician Assistant | Clear Lake Sa Services, Inc. | 1940 N Pearl St, Apt 3645, Denver, CO 80203-1543 |
Piper M Whiteley | Physician Assistant | Clear Lake Sa Services, Inc. | 1940 N Pearl St, Apt 3645, Denver, CO 80203-1543 |
Name | Specialty | Organization | Address |
---|---|---|---|
April Lynne Dominick | Physical Therapy | Nishimoto and Neujahr Physical Therapy LLC | 1120 N Lincoln St, Suite 907, Denver, CO 80203-2138 |
Berrin Lyon Boyce | Physical Therapy | Nishimoto and Neujahr Physical Therapy LLC | 1120 N Lincoln St, Suite 907, Denver, CO 80203-2138 |
Jeffrey Richmond | Psychiatry | 1120 N Lincoln St, Suite 1601, Denver, CO 80203-2141 | |
Stephanie L Frank | Clinical Social Worker | Heart of Boardwalk | 709 E 12th Ave, Charg Resource Center, Denver, CO 80203-2610 |
David D. Burgess | Clinical Social Worker | Heart of Boardwalk | 709 E 12 Ave, Denver, CO 80203-2610 |
Jed Sickles Shapiro | Psychiatry | Heart of Boardwalk | 709 E 12th Ave, Charg Resource Center, Denver, CO 80203-2610 |
Casey R Mcnitt | Physical Therapy | 800 N Lincoln St, Denver, CO 80203-2710 | |
Alison M Milbauer | Chiropractic | 980 N Grant St, Suite 100, Denver, CO 80203-2907 | |
Todd R Ball | Physical Therapy | 899 N Logan St, Suite 115, Denver, CO 80203-3128 | |
Rebecca H Lubin | Psychologist, Clinical | 899 N Logan St, Suite 209, Denver, CO 80203-3154 | |
Find all physicians in zip 80203 |
City | DENVER |
Zip Code | 80203 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | DENVER + PHYSICIAN ASSISTANT |
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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.