Michael A Medeiros (NPI# 1417120866, PAC ID# 4688809320) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1417120866 |
| PAC ID by PECOS | 4688809320 |
| Professional Enrollment ID | I20131105000347 |
| Full Name | Michael A Medeiros |
| Address |
1303 E Herndon Ave Fresno CA 93720-3309 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | NEUROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050093 | SAINT AGNES MEDICAL CENTER |
| 290001 | RENOWN REGIONAL MEDICAL CENTER |
| 050057 | KAWEAH DELTA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1303 E Herndon Ave, Fresno, CA 93720-3309 | ||
| 1303 E Herndon Ave, Fresno, CA 93720-3309 | 5594503301 | SAINT AGNES MEDICAL CENTER |
| 1155 Mill St, Reno, NV 89502-1576 | 7759824000 | COMMUNITY CARE SERVICES LLC |
| Street Address |
1303 E HERNDON AVE |
| City | FRESNO |
| State | CA |
| Zip | 93720-3309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Denise Septer | Nurse Practitioner | Cep America - California | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Chinnapa R Nareddy | Hospitalist | Saint Agnes Medical Center | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| James Simmons | Hospitalist | Galen Inpatient Physicians Inc | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Geralyn Alyssa Roberson | Nurse Practitioner | Cep America - California | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Joshua Lin | Hospitalist | Vituity Hospitalists PC | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Jonathan Caldwell | Emergency Medicine | Saint Agnes Medical Center | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Benjamin Pruett | Interventional Radiology | Wishon Radiological Medical Group Inc | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Venkataramana K Reddy | Hospitalist | Galen Inpatient Physicians Inc | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| John P Phillips | Emergency Medicine | Saint Agnes Medical Center | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Camie J Sorensen | Emergency Medicine | Saint Agnes Medical Center | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry A Gillian | Plastic and Reconstructive Surgery | 1193 E Herndon, Suite 106, Fresno, CA 93720 | |
| Hongshik Han | Plastic and Reconstructive Surgery | 7005 N Maple, Suite 107, Fresno, CA 93720 | |
| Mari Jo Hanson | Physician Assistant | Urology Associates of Central California Med Grp, Inc | 7014 N Whitney, Fresno, CA 93720-0153 |
| Berhane Mebratu | Nurse Practitioner | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Yuk-yuen M Leung | Urology | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Steven M Kurtzman | Radiation Oncology | Western Radiation Oncology Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Peter J Garcia | Nurse Practitioner | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Kuldip J Behniwal | Urology | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| John C Julian | Urology | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| William M Schiff | Urology | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Find all physicians in zip 93720 | |||
| City | FRESNO |
| Zip Code | 93720 |
| Specialty | NEUROLOGY |
| City + Specialty | FRESNO + NEUROLOGY |
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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.