Cheryl A Tanasovich (NPI# 1215960844, PAC ID# 4486747979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1215960844 |
| PAC ID by PECOS | 4486747979 |
| Professional Enrollment ID | I20070829000301 |
| Full Name | Cheryl A Tanasovich |
| Organization Legal Name | GREENBRAE DERMATOLOGY, A MEDICAL CORPORATION |
| Address |
1300 S Eliseo Dr Suite 207 Greenbrae CA 94904-2015 |
| Phone Number | 4159250550 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4789832908 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904-2015 | 4159250550 | GREENBRAE DERMATOLOGY, A MEDICAL CORPORATION |
| Organization Legal Name | GREENBRAE DERMATOLOGY, A MEDICAL CORPORATION |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Maddox Jr. | Dermatology | Greenbrae Dermatology, A Medical Corporation | 1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904-2015 |
| Benjamin J Nichols | Dermatology | Greenbrae Dermatology, A Medical Corporation | 1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904-2015 |
| Street Address |
1300 S ELISEO DR SUITE 207 |
| City | GREENBRAE |
| State | CA |
| Zip | 94904-2015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Ogden | Internal Medicine | 1300 S Eliseo Dr, Suite 203, Greenbrae, CA 94904-2015 | |
| Michael K Kwok | Internal Medicine | 1300 S Eliseo Dr, Suite 203, Greenbrae, CA 94904-2015 | |
| Genevieve Estilo | Nephrology | Marin Nephrology | 1300 S Eliseo Dr, Suite 104, Greenbrae, CA 94904-2014 |
| Anne M Cummings | Internal Medicine | 1300 S Eliseo Dr, Suite 201, Greenbrae, CA 94904-2015 | |
| John L Maddox Jr. | Dermatology | Greenbrae Dermatology, A Medical Corporation | 1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904-2015 |
| Benjamin J Nichols | Dermatology | Greenbrae Dermatology, A Medical Corporation | 1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904-2015 |
| Moya Anne Meckel | Nurse Practitioner | Marin Nephrology | 1300 S Eliseo Dr, Suite 104, Greenbrae, CA 94904-2014 |
| Brian Michael Brady | Nephrology | Marin Nephrology | 1300 S Eliseo Dr, Suite 104, Greenbrae, CA 94904-2014 |
| Lawrence Levy | Nephrology | Marin Nephrology | 1300 S Eliseo Dr, Suite 104, Greenbrae, CA 94904-2014 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marilyn G Orlova Zitzer | Nurse Practitioner | 250 Bon Air Dr, Greenbrae, CA 94904 | |
| Anthony Michael Sajewicz | Diagnostic Radiology | West Florida Radiology Associates Pa | 31 Corte Lodato, Greenbrae, CA 94904-1225 |
| Chloe A Martin | Psychologist, Clinical | 1030 Sir Francis Drake Blvd, Suite 100, Kentfield, CA 94904-1411 | |
| Monica J Sligh | Nurse Practitioner | Vibra Physicians LLC | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Genevieve F Smith | Nurse Practitioner | Vibra Physicians LLC | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Aida Calvillo | Internal Medicine | Marin Hospitalist Medical Group, Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Melvin Selinger | Critical Care (intensivists) | Aretaeus Telemedicine Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Robert P Lasser | Psychologist, Clinical | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | |
| Francis X Perez | Family Medicine | Marin Hospitalist Medical Group, Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Michael K Vaughan | Family Medicine | Marin Hospitalist Medical Group, Inc. | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Find all physicians in zip 94904 | |||
| City | GREENBRAE |
| Zip Code | 94904 |
| Specialty | DERMATOLOGY |
| City + Specialty | GREENBRAE + DERMATOLOGY |
Please comment or provide details below to improve the information on Cheryl A Tanasovich.
| 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.